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Old 05-15-2013, 10:34 AM   #1
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The Poop Chronicles - WHAT is wrong with my 2 year old!

The synopsis: DS is 2.5 years old, normal weight, height, appetite, picky toddler eater type. Poops SEVERAL (6-10) times per day, 90% of the time it's just a little bit at a time. He is not constipated. It smells unusally bad, even for poop. It's grainy, like he's swallowed sand (he did not) and it's almost impossible to clean off. He has diaper rash, but only around his anus due to constant poo.

History:
Several months ago (last fall) he started getting hives after every meal. DH and I kept a food journal and narrowed it down to a possible milk protein allergy. Drastically changed his diet and eliminated all milk protein. Hives cleared up. However we did have him allergy tested by the doctor, and it came back negative. Slowly we re-introduced those foods and he no longer exhibited the symptoms. No idea if that is related to our current issue but since we've dealt with possible food sensitivities before I thought I would include it.

Around mid-March of this year we started having issues again. His digestive system seemed to slow to a halt and he got very constipated. He started this issue of going multiple times per day, just a little bit at a time. The constipation was so bad he would assume the labor pushing position and grunt to get anything out. We made an appointment with the doctor and she said to try miralax every day until he was regular and then back off to 1-2x per week. While on the miralax he was no longer constipated but still going multiple times per day in small amounts. If I stopped the miralax at all he would not go that day. We were also doing prunes, prune juice, apple juice, raisins, and plenty of water to try and get him to go. This resulted in very acidic poop and a bad rash, which only complicated matters because he was now doubly miserable.

A couple weeks in on that routine I made the decision to back of the prunes/juice and really push water, and also to back off of cows milk, as that has always seemed to make him constipated if he had too much. About this time I also got him some probiotics to see if it would help his system at all.

We made another doctor appointment (now April) and had him checked. Doctor decided to stop miralax and go with colace. The colace made him go a larger amount a couple times, but then he just went even more often but the amounts did not change much. However he was finally no longer constipated. But then the issues with the rash started up again, AND his poop had gotten grainy/sandy. At times it would have bits of undigested food. And it smelled SO bad, and I'm not usually sensitive to poop! So I backed off of everything around the beginning of May. I stopped the colace, the probiotics, backed off the juice, etc.

DH and I pretended to be doctors on the internet and found a lot of his symptoms matched cases of gluten intolerance. So once again we have drastically changed his diet and eliminated all gluten. He has been gluten free since last Sunday (5/5). I also switched his milk to almond milk. That following Monday and Tuesday I thought we had found our answer. His poop was still grainy and super smelly, but he had good sized bowel movement and only went twice on Monday and once on Tuesday. He was not constipated either. But then Wednesday we went right back to "normal." And that's where we are today - pooping several times per day in small amounts, still assuming the labor position to push although at this point it might just be habit?, grainy and impossible to clean off, very bad smelling, not constipated. I did re-introduce the probiotics a couple days ago, only because I paid for them and figured it couldn't hurt anything so we might as well use them up!

I am at a complete loss as to what to do/try next. ANY suggestions would be very welcome. We are both miserable! And until we figure it out, there's no chance of potty learning

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Old 05-15-2013, 11:25 AM   #2
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Some of this sounds similar to my ds. If he was constipated before and now poops little bits through the day, I think it is very possible he is holding it. That's what my ds does.

Were things better on the miralax? Our ped told us there is no problem with them being on it for an extended amount of time. Body does not absorb it at all, so no adverse effects.

Also, you keep saying he is not constipated, but that might not be true. If he has an impaction stool could still be leaking around it.

Hth.
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Old 05-15-2013, 11:28 AM   #3
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Re: The Poop Chronicles - WHAT is wrong with my 2 year old!

At that age they will purposely not poop, either for control or because it hurts when they do. We had a similar issue with DD and had to dose her with Metamucil daily for about a month, until she forgot that it hurt and would stop holding it.
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Old 05-15-2013, 12:23 PM   #4
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Re: The Poop Chronicles - WHAT is wrong with my 2 year old!

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Originally Posted by marenmccoy View Post
Some of this sounds similar to my ds. If he was constipated before and now poops little bits through the day, I think it is very possible he is holding it. That's what my ds does.

Were things better on the miralax? Our ped told us there is no problem with them being on it for an extended amount of time. Body does not absorb it at all, so no adverse effects.

Also, you keep saying he is not constipated, but that might not be true. If he has an impaction stool could still be leaking around it.

Hth.
I guess I keep saying he is not constipated because the poop is not hard. It's also not diarrhea though. And the miralax made no difference.

If he is holding it, he wouldn't be getting into the labor position and straining/grunting though would he? Or maybe that's just my impression and he is actually trying to hold it in and that position is easier to do that in? Or maybe he is impacted and he has to strain to get anything out? What did your DS do when he had to go but tried not to?

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Originally Posted by Tris View Post
At that age they will purposely not poop, either for control or because it hurts when they do. We had a similar issue with DD and had to dose her with Metamucil daily for about a month, until she forgot that it hurt and would stop holding it.
If h is truly not constipated anymore it shouldn't hurt right? So why would he still be holding it? Or maybe he connects the rash to pooping?




I'm not trying to be rude or snarky with my comments I'm just trying to understand all this! I am grateful for the suggestions!!!
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Old 05-15-2013, 12:39 PM   #5
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Re: The Poop Chronicles - WHAT is wrong with my 2 year old!

You might need to check the dosage of the miralax if it isn't working. But for DD, even if she was not constipated, she would hold it in until she was. Hers was a mix of control and pain memory, the one time she was constipated ruined her hah. She would try to poop, but hold it in at the same time. After we stopped the miralax we continued with a prune a day and making sure her diet was balanced, we haven't had an issue since. But one constipation could've set her back again, vicious poop cycle.
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Old 05-15-2013, 12:54 PM   #6
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Re: The Poop Chronicles - WHAT is wrong with my 2 year old!

Gluten intolerance, if that's what it is, is not a quick fix. It can take 3 weeks to see results and 3 months before complete healing of the gut.

I would definitely eliminate all dairy, though.
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Old 05-15-2013, 01:35 PM   #7
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Re: The Poop Chronicles - WHAT is wrong with my 2 year old!

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Gluten intolerance, if that's what it is, is not a quick fix. It can take 3 weeks to see results and 3 months before complete healing of the gut.

I would definitely eliminate all dairy, though.
Thanks for the tip! I thought it was more like 2 weeks, we'll hang in there with it
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Old 05-15-2013, 02:12 PM   #8
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Originally Posted by babymakes3.4.5.... View Post

I guess I keep saying he is not constipated because the poop is not hard. It's also not diarrhea though. And the miralax made no difference.

If he is holding it, he wouldn't be getting into the labor position and straining/grunting though would he? Or maybe that's just my impression and he is actually trying to hold it in and that position is easier to do that in? Or maybe he is impacted and he has to strain to get anything out? What did your DS do when he had to go but tried not to?
My DS totally seems like he is pushing but actually is trying to keep it in. there is a book called "it's no accident" that explains how constipation can be easy to miss. A lot of people think their lo is not constipated but then an xray reveals a huge impaction. So that COULD be a factor, but even if he isnt constipated now he may just remember the pain and not want to relive that or maybe the rash compounds it. Fwiw, i'm pretty sure with my ds it's a control issue at this point.
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Old 05-15-2013, 03:37 PM   #9
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Re: The Poop Chronicles - WHAT is wrong with my 2 year old!

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Originally Posted by marenmccoy View Post
My DS totally seems like he is pushing but actually is trying to keep it in. there is a book called "it's no accident" that explains how constipation can be easy to miss. A lot of people think their lo is not constipated but then an xray reveals a huge impaction. So that COULD be a factor, but even if he isnt constipated now he may just remember the pain and not want to relive that or maybe the rash compounds it. Fwiw, i'm pretty sure with my ds it's a control issue at this point.
What, if anything, are you doing about it? Are there certain things you make sure to say/not say? Are you trying to PL or waiting until this resolves first? Thanks mama
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Old 05-15-2013, 07:17 PM   #10
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What, if anything, are you doing about it? Are there certain things you make sure to say/not say? Are you trying to PL or waiting until this resolves first? Thanks mama
When we first started having this problem we flushed his system with miralax (several doses over a couple of days plus gatorade to keep him hydrated) when we did that he pooped A LOT, now we do a full cap of miralax every morning. That keeps things soft enough that he isn't contorting himself to hold it in. he still poops little amounts many times a day, though.

It's hard to know what to say or not say. With my ds it seems like basically ignoring it is best. He doesn't like to talk about it directly, but we do read "everyone poops"

As for the potty, a pediatric GI specialist stressed to us to make sure we keep his poop soft with the miralax and then make it a positive experience with rewards, but ds is so against it that we have dropped it alltogether. I just told him to let me know when he's ready.
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