How to potty train a child with constipation?

Val - posted on 04/16/2010 ( 9 moms have responded )

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We finally got our daughter potty trained when she was about 3 1/2 but she has constipation really bad so that makes it difficult for her to have normal BM. She is now 4 years old and she still wears a diaper when she needs to have a BM because it generally takes quite a bit of effort on her part as well as time. She does take medicine (Miralax) daily. She does go pee in the toilet and has let out a very small BM by accident on occasion. We praise her up and down when this happens and she is also very excited and pleased with herself. Are there any similar situations out there and what have you done to get out of the diapers?

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Jessica - posted on 05/27/2010

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My 5 yr old son is exactly the same. He's associated pooping with pain. I've made sure his teachers and all other care givers are aware that the "poop face" is indeed the "not going to let it out face". Everyone used to think he was pushing, he was clinching so it wouldn't come out. And I feel the same as one of the other moms - tackle the constipation first, whatever works. Miralax, prunes, mineral oil, etc...I've learned to make sure he takes Miralax at least every other day, if not every day. It's that quick to give him the feeling he's going to have a hard BM. Once we're able to get him to go regularly, then we'll start up potty training again. And make sure everyone who cares for your child is aware of your decisions when it comes to using diapers/pull-ups etc. My family wants to scold him for pooping in a diaper and I've had to stand up for him and explain to them that I'm very happy to have him poop regularly in a diaper rather than messing up underwear and I'm not worried about his potty training until he & I are confident it can be accomplished.

Amanda - posted on 04/19/2010

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I'm in the same situation with my son. He too is very constipated and on miralax. Our pediatrician has put him on benefiber as well as the miralax which has helped. He doesn't seem to shy away from using the potty when he has to make a BM. Another thing you could try is mineral oil in her drinks 3 times a day. The mineral oil will help make the movement smooth and help her pass it with little pain. I will warn you that the mineral oil doesn't taste the best so I do advise putting it in chocolate milk or something with a strong flavour. I hope this helps!

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Stephanie - posted on 03/04/2014

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To Michelle, Dr Daum www.doctordaum.com works with children in many countries. Have a look at his website. Many families have found him to be helpful with this problem. He uses oral laxatives and talks you through it on the phone every day. Really an expert. Good luck

Michelle - posted on 01/10/2014

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hi i live in england and have similar problems my son is 3 and a half and will start school this september where they will not allow him to have a nappy, so i need to potty train him but he has held in his poo for a month when not able to poo in a nappy. Nursrey wont let him have pull ups and i want to put him pants and help him use a toliet. Has any one got any advice what the best stratergy would be?

Stephanie - posted on 01/31/2013

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Hello Nicole,
If your son is on Miralax and still not pooping, than he needs a different dosage. Most doctors do not know how to use the miralax correctly. I would suggest that you contact doctordaum.com
He is an expert in this problem...stool withholding or constipation. He has worked with so many children. He can walk you through it over the phone and talk to you every day to adjust the dose and help you.
I hope this helps.

Nicole - posted on 01/24/2013

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My 5 year old son same situation he is on miralax and he goes pee in the potty but not poop. I have tried everything rewards but he can't start school without being fully potty trained.

Tara - posted on 05/15/2010

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hi, my advice is to treat the constipation first then encourage her to do in the toilet cos it is very painful and hard for her to do it in the toilet . keep giving her food like , soya milk , prunes, pears along side with the medicine and somtimes if it is painful give her supposteries which will make the BM easier . Just don't push her untill she is treated from constipation . i know what is like , my daughter had it and i used to give her soya milk with her milk and she became ok and started to go to the toilet ever since. and don't worry about the potty training she will get there and learn just need a little patience.

Melissa - posted on 04/26/2010

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Juice! When my son has a hard time going #2 he ask for juice! apple juice works well. My son is 2 1/2

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when my boy was tiny I tried him on banana and he was bunged up for 3 weeks. Talkin to the nurse about it I found out the fruit like banana and apple are quite constipating because of their pectin content, but other fruit such as pears aren't. So as well as the medicines you've been prescribed make sure your kids are getting plenty of vegetables and fruit, just stay away from those that are high in pectin (this adds bulk to the BM). Have a look at this page for some ideas. http://www.wholesomebabyfood.com/constip...
Good luck

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