Kathy asks:
I have a four-year-old son who has been constipated for the past week. I took him to the doctors twice and once to the ER. He was on stool softeners and they did nothing. He was also given an enema and has only had one bowel movement. I have also tried prune juice with no results. He is now having a fear of going to the bathroom when he has to go cause of how painful it was for him with his last poop. They are big hard round balls and he is afraid to give that little extra push to get his bowels going. Is there anything else I can give him to soften his stool like some kind of drink or food that will really make him run to the toilet?
Dear Kathy,
The only thing that I can recommend that you do at this point is to completely change this kid's diet. Feed him only high-fiber foods. Fruits, vegies and whole grains. Avoid milk and cheese; instead, have him eat yogurt at least once a day. (Activia would be the preferred choice). Also, make sure that he is drinking lots of water. If he doesn't like to drink plain water, make some Kool-aid or other flavored water.
Cut out all fast foods and junk food and anything containing caffeine such as soda or chocolate, at least until he is able to have a BM that is not painful. Part of the problem is that he is most likely compounding the constipation by holding off on having his movements, and thus getting even more constipated in the process.
This cycle must be broken now to prevent a lifetime of suffering from irregular bowel patterns. Give him plenty of emotional support and encouragement regarding his potty adventures. It might even be good at this point to give significant rewards for any accomplishments he makes. But don't use food sources as the reward. Instead, you could implement a point system in which he can earn points toward a special toy or movie.
Thanks for asking Motherload!
Motherload is a Certified Nurse Assistant as well as an IBS sufferer, which means she knows a lot about poop. Got a question for her? Ask it here.