Childhood Diseases

Question
Posted by: Maria | 2011/11/07

Q.

Fecal loading

My 9 year old daughter has been struggling with digestive problems now since she was around 4. The paed said the problem is fecal loading, which becomes fecal impaction if not treated. About 2 months ago we gave a course of increasing doses of Pegicoll for a week. Subsequently the problem still persisted so he hospitalised her for 2 days and " flushed"  the system. However this still does not appear to have helped and I keep on having to give her Pegicol, otherwise she complains of diarrhea combined with hard bits of fecal matter that are hard to pass. The paed said part of the problem is if she sits and plays on the toilet instead of concentrating on what she is doing, so does not evacuate completely. We''re constantly on her case about this because she does disappear into a world of her own when she is on the bathroom, singing and playing... we also try and force her to eat at least one fresh fruit and/or some dried fruit and/or nuts and/or vegetables on a daily basis. For breakfast she has wholewheat Pronutro, High Fibre cereal or Weet-Bix.

I don''t know what else to do. This is becoming a major family issue. We keep on explaining to her why it is important to eat the right things, drink enough water, get some exercise... but she doesn''t voluntarily change her behaviour and I''m not sure that when we force her to do these things it actually makes a difference.

Expert's Reply

A.

Paediatrician

This is indeed a problem. Your daughter has the typical symptoms of faecal loading and constipation.She should be on a regular stool softener such as Duphalac for a least two eeks. It would help to take her to see a child psychologist as this issue can become something that causes her great embarrassment as she gets older.

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3
user comments

C.

Posted by: THULI NDLOVU | 2014/01/05

I hve a 12 year old daughter whose bn admitted yesterday wth feacal loading and ultra sound ws done and confirmed tht she has feacal loading,yesterday the doctor who saw her prescribed movicol sachets of which she was given 3doses bt she still not passing stools and still complaining of severe abdominal pain bt my question is,is she gonna b OK or the doctor need to change her treatment in other to pass stools.

Reply to THULI NDLOVU
Posted by: THULI NDLOVU | 2014/01/05

I hve a 12 year old daughter whose bn admitted yesterday wth feacal loading and ultra sound ws done and confirmed tht she has feacal loading,yesterday the doctor who saw her prescribed movicol sachets of which she was given 3doses bt she still not passing stools and still complaining of severe abdominal pain bt my question is,is she gonna b OK or the doctor need to change her treatment in other to pass stools.

Reply to THULI NDLOVU
Posted by: Thuli | 2012/02/29

My son is 9yrs old and has been admitted to hospital,after doing an X-ray which showed feacal loading the Dr prescribed Pegicol 3 times a day ,well he''s passing only once a day,I just want to know between Pegicol and Duphalac which one is the best because he''s still complaining of pains

Reply to Thuli

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