Here's a 4-year-old
By Dr. Hodges
I have been flooded with emails from concerned parents since the publication of It’s No Accident, especially in response to the recent articles on Slate.com and Babble.com. Most of the emails have been from parents asking how to figure out if their child is constipated and what they should do about it. Many parents have asked whether I can recommendation a physician in their area.
Unfortunately, I’ve heard from some of these parents that while they love their pediatrician, they have been disappointed in their doctor’s lack of interest or willingness to listen to the concepts presented in the book.
Here’s a typical example:
A mom emailed me about her 4-year-old daughter, Jane, who had been having accidents during the day and wetting the bed at night after potty training easily at age 2.
Jane’s mom reported that Jane had an excellent diet, eating plenty of fiber (fruits and vegetables) and little in the way of processed foods. Constipation did not appear to be an issue, but after reading my book, Jane’s mom raised the concept with their pediatrician.
Her pediatrician assured her that her daughter was not constipated, but this persistent mother was able to persuade the doctor to go and order the X-ray, just in case.
After looking at the X-ray, the pediatrician commented that while there was more stool than he expected, it definitely wasn’t causing the child’s wetting. I had the mom send me the X-ray, and I can tell you this: Every bit of space in that child’s pelvis is crammed full of poop!
Where exactly did her pediatrician think the child’s bladder wear going to fit in that pelvis? How could anyone think that that mass of stool would not affect the bladder?
Nobody had a clue this child was constipated. Fortunately, we can now get this girl cleaned out, and I feel certain her wetting problems will stop.
Help us get the word out to pediatricians and urologists! We are compiling a referral list of pediatricians, family doctors and urologists who are on board with the notions in our book and are experienced at treating bedwetting and accidents in the ways recommended in the book.
If you have a good experience with a doctor, please let us know so we can contact him or her for possible inclusion in our registry. Help us build the list and inform the world!
So I’m pretty sure that both my 6 month old and her 30 month old brother are constipated. How bad I’m not sure but reading over your site I think I might need to be worrying about it a bit more. I have discussed with their pediatrician…who didn’t think it was *that* bad, they both have a bm daily. My daughter (6months) is only on formula, though very recently I have occasionally added pureed avocado or sweet potato in her milk (she still has a strong tongue thrust reflex and nothing gets in her belly with the spoon but she’s eating every 2 hours like she’s not getting full/satisfied) her whole little life she has had what I call rabbit pellets or huge ‘how did that ever get out of her’ stools. She has a little (I’m guessing) hemroid on her bum and sometimes there is even a little blood..at 38 days old we even had a trip to the er because of blood (and possibly worms but that was a neg) in her dipe and they said she had ‘big girl poops” and was definitely constipated, ever since I’ve been giving her some prune juice mixed with her milk to try and help. She goes at least twice everyday.
Her brother (30 months) also goes twice everyday but they are often hard and the size of his foot…..every once in awhile we get thick pasty (peanutbutter) stools and there has been a bout or 2 of diarrhea in his 2 years…..so…all the life poop story to ask…how do I know when to push the issue with the ped? and how do I even treat constipation in a 6 month old…laxatives seem kinda harsh for one so little? Is prune juice enough? about how much is needed to be effective? I mix 56 oz of formula per day and pour in maybe 1-3 oz of juice in that. That will last her a day and half at most.
Thank you for all the great info!
Hi Chelle! I read your response and wanted to know if you’ve read the book the doctor has put out called, “It’s No Accident”? It talks about regimental use of MiraLAX instead of other “laxatives,” and (scary-sounding, but no so bad) enemas. I HIGHLY recommend it in regards to your problems, simply because I know some of what you’re going through. My middle son had the same problems as your children. I was really scared to start my kids on MiraLAX for all sorts of reasons: is it bad to give it to children?, will they become “dependent” upon it, like stimulant laxatives?, will it “mess up” their insides?, etc. I’m telling you, from one mom to another, my kids are not only okay, but they’re WELL, which is the more important thing.
I do hope this has helped some.
I don’t work for this site or anything like that, so when I advise you to get the book (I bought mine through Amazon for, like, $11-12), it has nothing to do with any sort of “kickback” or anything so vulgar as that. I’m also not affiliated with the doctor in any way other than having read his work and hearing him on Doctor Radio many times.
Warmest Regards,
Laura
I wonder if probiotics could help. I give my kiddo BioGaia drops (spendy but easy to find at Walgreens) and Udo’s Choice infant powder probiotic.
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My son has had many accidents number 2 and 1 and I just heard about the book but haven’t read it. My pediatrician listened to me and took an x ray and found a lot of poop He will be seen in two days by a GI in the Childrens Medical center. I am looking forward to the appointment and to start helping my child.
She is great her name is Agatha Hunt.