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Insight Into Poop?

post #1 of 19
Thread Starter 
I am so frustrated with my undiagnosed 4.5-year-old DS's bowel habits. He poops every three days or so, and this is an improvement; he's gone as long as a week without pooping. Whether it's three days or a week, though, I'm not sure if he's technically constipated. His poops aren't hard and they don't hurt him.

However, he is extremely resistant to pooping. I know when he has to poop, because he will put his hand on his abdomen, or sometimes it's just a look in his eyes. I'll ask him, "Do you need to poop?" He will say no. He will say it loud. He will escalate, he will cry, he will scream that he does not have to. I then have to pick him up and physically carry his pitifully crying self up the stairs to the bathroom, put him on the toilet, and then he poops. He's always quite happy then. He calls me in and tells me proudly that he did a poop. "I said yes!" he says. Well, no, actually, he said no, no, no, but apparently he meant yes.

His diet is not good. He refuses to eat any vegetables except potatoes and tomatoes (in the form of spaghettti sauce). He refuses to eat any fruit ("it's too sweet," he says, though he doesn't say that about candy!). I purée vegs and fruits and put them in other things, but if he so much as detects an imcompletely-puréed chunk of veg, all bets are off. I made some delicious butternut squash pasta sauce the other night, and he refused to eat it.

I give him flax seed oil every night and sometimes mineral oil if he hasn't pooped for a few days too long. He is un-dx'ed because we've been waiting for months for an appt. with a developmental pediatrician out of town. He's been fully eval'd and qualifies for OT and integrated Pre-K. He has severe sensory-seeking issues and I suspect he'll get an Asperger's dx.

I wish he would just go to the bathroom without all the drama, trauma, and grief each time; sometimes it reduces me to tears as well.
post #2 of 19
High Julia. Something you might look into is giving him any of the following:

probiotics (Culturelle is a single strain, but is has helped with constipation my my son)

benefiber (or something similar) - it is completely tasteless and clear in water or any liquids you give your child. it ensures that he gets fiber in his diet.

magnesium - deficiency can cause constipation

digestive enzymes - if you have done the others this can be something to look into (www.enzymestuff.com has some great info)

Good luck.
post #3 of 19
This may be of no help at all,but it is normal for some people not to go everyday. Some people go every few days or even once a week.
post #4 of 19
Thread Starter 
Thanks for the suggestions, buttercup. I will definitely look into them.

You may be right, aslyn. I'm not sure if this is really constipation. But it's his resistance to pooping that is the worst for me. Why the "no, no, no"? The crying, the screaming, the denial that he has to go, when he does have to go? It is emotionally wearing. I wonder if it's part of his whole neurological profile, or if it's just because he doesn't want to stop what he's doing, or if it's about will. I'm wondering if anyone with children on the spectrum is familiar with this kind of behavior.
post #5 of 19
I agree that not all people go every day/every few days(I'm one of them).

When you notice he has to go, instead of asking him if he has to go have you tried telling him it's time to go to the bathroom. That way he doesn't have a question to answer(by saying no).
post #6 of 19
Thread Starter 
I have tried. He still denies that he has to go in dramatic ways . . .
post #7 of 19
Since it's the asking/denial part of the equation that seems to be causing a big part of your tension, I'd take that out.

A bowel training program might be helpful to you both. You can make sure he's regular and stop fighting about it.

DS has had a fecal impaction twice, and we used a bowel training program to make sure he's regular.

He sits on the potty every morning for 5-10 minutes. No arguments. No asking. It's just part of the daily routine. He sits on the potty, takes a shower, brushes teeth, gets dressed, and eats breakfast. If he goes, he goes. If he doesn't go, he doesn't go. I don't yell about it. I say "good job" if he tells me he went. When we started, we had a "treasure box" with small plastic toys on it, and he got to pick one after every potty sitting. Now he knows that he has to sit on the potty before he can watch TV or play his DS. No potty sitting = no free choice. He doesn't go everyday and I don't stress about it. If he doesn't go, we can try again later.

We also work hard on getting enough fiber in the diet. DS1 is good about fruit and vegetables, but I make sure that he also gets whole grain bread (whole white wheat works if your kid won't eat other whole grains) and cereals with whole grain (if your kid won't eat a regular whole grain, lots of kid cereals have whole grain in them now, including stuff like Cookie Crisp and Apple Jacks). We also eat a lot of fresh-popped popcorn at our house. (I use an air popper and put butter on it. It's fewer calories than microwave popcorn). We also buy whole grain pasta, instead of regular pasta. We also buy stuff like whole grain frozen pancakes and whole grain frozen waffles.
Yogurt is good because it has bacteria in it that help regulate the bowel.

Benefiber is helpful as long as he'll drink a big glass of water with it. (Benefiber + no water = concrete). We don't give my son Benefiber except when we know he's constipated because it makes him go and go and go and go and go. It's a big mess.

Good luck. Potty battles are very tiring.
post #8 of 19
Thread Starter 
Oh, thank you, RiverTam! The training/routine is a great idea. I'm going to try it.
post #9 of 19
You're welcome.

One other thing: the yelling might get worse at first. He might be even more upset and start trying to fight you even harder at first. Hang in there and insist on the routine. He'll get worse for awhile and then he'll give up. He yells at you to get out of sitting on the potty because sometimes it works. If yelling never works -- if it never gets him out of sitting on the potty in the morning -- he'll quit yelling when he figures out that it isn't going to work.
post #10 of 19
Thread Starter 
Yeah, this sounds like DS. I will be prepared, thanks for the heads-up. Sometimes it is the yelling and the opposition that are the most discouraging . . .
post #11 of 19
I strongly agree with the PPs who suggested probiotics and making sitting on the potty a part of his morning routine, and hiding fiber in foods he eats like Benefiber. You can put that in muffins, spaghetti sauce, apple sauce, mashed potatoes, etc. Our DD had some major poop issues until fairly recently. She'd do the same things - hold or poke her belly, be extremely grumpy, have a dead look in her eyes, etc. We took out the asking part of the problem and started the morning story on the potty routine. We always needed to be with her due to her severe sep. anxiety, even to the point of hugging her while she pooped when she finally did. Eventually she stopped this at just over 4 yrs. Now she poops on her own usually every day. We stiill give her treats for poops - 2 mini marshmallows. Not great but food is the only thing that motivates her. I'm working on phasing them out in favor of chocolate chips.
post #12 of 19

Probiotics

I have to second the probiotic suggestion. My DS has been constipated since beginning solids when he as a baby - even though I breastfed. At 9months his ped suggested Benefiber, which I gave to him in EVERY drink and mixed in his morning food. It helped, but he still struggled. After researching supplements to give him after he received the ASD dx I gave him Jarrow Baby-Dopholis (I hope I spelled that correctly) and it worked like nothing else ever did . The difference was HUGE! I hope you find what works for your little guy.
post #13 of 19
Thread Starter 
Thanks, all!

I just did something I never thought I'd do, because I'm just not that methodical/organized. I made a chart. A morning chart. I found cute photos online of a boy waking put, SITTING ON THE POTTY, brushing teeth, getting dressed, etc. Made the chart, showed it to him, hung it on the door. Went to the dollar store and got chintzy little toys for a treasure box. We start tomorrow . . . wish us luck!
post #14 of 19
You can also get some extra veggies into the spaghetti sauce. I put carrots or squash in mine. Also whole grain pasta. I also started a crazy food day, where my sone helps me put food dye in his fave foods (to make green eggs, etc). Once everyone was used to the concept, I started using veggies (i.e. add spinach (pureed) to the meatloaf to make it green.
post #15 of 19
Thread Starter 
Good idea about the food coloring. DS refuses to eat anything green if it's natural - this doesn't apply to things like pistachio ice cream, of course. Maybe if I can make him think that natural green food is really artificially colored?
post #16 of 19
Thread Starter 
DS has been doing pretty well with a chart that shows him sitting on the potty as the second step after waking up. However, on the days that he clearly has to poop, it's still an epic struggle He's sitting on the toilet now, for instance, and has been for almost two hours. He cries, screams, throws everything within reach around the bathroom. Says he doesn't know how to poop, he's hungry, he wants food and drinks brought to him (which I won't do, and I remind him that he'll have breakfast when he's done with this item on his chart). I am alternating between sitting with him and leaving him in there with the door closed. I don't know why this has to be such an epic struggle.
post #17 of 19
my daughter is like this if she gets any gluten or casein- the emotional issues and everything. probiotics do help, and also lots of extra fat. lubes everything up! we have never gotten a diagnosis. it doesn't matter, because she doesn't poop if she gets even the tiniest bit of either. some folks believe that fiber is bad for the gut (i haven't decided)- see www.fibermenace.com
post #18 of 19
I would take him off after 5-15 minutes, whether he went or not. 2 hours is too long. That's like a punishment. If he doesn't go, he doesn't go.

I would not sit with him. Ever. One of things that may be happening is that he is using this to get your attention. The attention for the bad behavior is reinforcing for the bad behavior.
post #19 of 19
Thread Starter 
Quote:
Originally Posted by RiverTam View Post
I would take him off after 5-15 minutes, whether he went or not. 2 hours is too long. That's like a punishment. If he doesn't go, he doesn't go.

I would not sit with him. Ever. One of things that may be happening is that he is using this to get your attention. The attention for the bad behavior is reinforcing for the bad behavior.
The problem is that he poops every 3 or 4 days, and I know which are the days he has to poop -- not because of a schedule, but because of his actions and gestures. He put himself on the toilet today, and didn't get off. He knew he needed to poop too, and he did, one of his usual giant ones (sorry to be graphic), and then he was very proud of himself. I don't want him to hold it in for another day when his bowel movements are so infrequent and unregulated as it is.

About sitting with him, I agree. He does better without me there.
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