Our expert says:
Faecal impaction is a severe form of constipation and the original treatment that was recommended, namely a high-fibre, low-GI diet would seem to be the best long-term solution. Most high-fibre foods contain unsifted wheat bran, so if you now start cutting out all wheat and its fibre, I am worried that this will make her constipation and faecal impaction even worse. Have you had your lassie assessed by a registered dietitian? If not, then please visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area. I think it is important that the dietitian does a diet history and helps you to find a diet that is high in so-called insoluble fibre, which is the type of fibre found in wheat bran that promotes normal bowel movements. I also think that what you say about your daughter being very stressed and angry with her Dad, may well be a reason for her faecal impaction. A child psychologist (ask your Paediatrician to refer you), should evaluate if she is avoiding having bowel movements as a result of her stress and anger. The psychologist will assist her to work through her anger and to learn less damaging coping techniques. So please take your child for some expert assistance, because repeated bouts of faecal impaction are a danger signal that something is seriously wrong, which needs to be solved so that your daughter can start living a normal life and get her digestive tract to work normally too.
Holding thumbs for both of you
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