Wednesday, July 15, 2009

Full of It

Fair warning. For some of you, this post may contain way too much information, but when I started this blog, it was with the purpose of documenting the girls' lives; so, document, I must!

For the past couple of months, Madeline has had "poop problems". She does fine with peeing in the potty and knows when she needs to poop, so it isn't a conceptual issue. She has, however, had severe difficulty sitting on the potty and actually doing the #2 deed. Instead, she hides or squats down and grabs her knees and gets really quiet. If you ask if her if she needs to go potty, she says, "No, I'm just resting". Very quickly, I learned the translation for this statement was, "Yes, I'm going right now. But no force of nature, even one divine, is going to get me on that toilet". I've tried everything; rewards, guilt in the form of claiming that she must not be a big girl if she can't poop on the potty, adjusting her milk and water intakes as suggested by her pediatrician. Nothing helped. She still would complain that she needed to go "poop" to which I would find a smear (sometimes large, sometimes small, but never a turd) of poop on her panties. There were days we would go through 8 pairs of big girl panties. I almost put her back in pull-ups, but determined it would be more cost effective to have to wash multiple pairs of poopy panties than go through multiple pairs of pull-ups in one day. I began to get very frustrated.

So, today I took Madeline in to see Dr. Mayberry to confront her poop dilemma. I explained our issue, then Dr. Mayberry did a physical exam. She had her lay down, then felt her tummy. She looked up at me and said, "Come feel this". To be quite honest, I didn't feel what she was talking about, but I also don't know what it's supposed to feel like! Apparently, though, Madeline is backed up pretty severely. She showed me on her belly just how far she is backed up which measured about five inches. It looks as though Miss Madeline has been holding on to her stool. I expected a nutritional problem to be the explanation, but leave it to Madeline to be stubborn about her poop. That child will take control any way she can; she is extremely hard-headed and is determined to do things her own way.

Dr. Mayberry laid out a plan of action to flush Madeline out, then address the behavioral issue that is behind (no pun intended) the issue. She prescribed an over-the-counter laxative that I'm supposed to give her with juice or water until she is on the verge of diarrhea. Once her system is flushed, the laxative will be weaned. The only explanation I can think of for her holding on to her stool is that she went through a string of about three or four bad bouts of tummy troubles a few months back, resulting in some severe rashes on her bottom. Her skin is extremely sensitive, so her rashes are at least double the intensity of regular rashes. Maybe she associated that pain with pooping and is scared to go anymore? Bottom line, though, is I am supposed to make sure Madeline sits on the potty at least twice a day (preferably after breakfast and dinner), and encourage her to poop. Dr. Mayberry said it may take time for her bottom hole to retract to a normal size so that she senses she needs to go to the bathroom before a large amount has built up. Hopefully, within a couple of weeks, she'll be back on track.

Now, I can't believe I just wrote a post about my daughter's bowel movements. I am sure she is going to SO appreciate this when she gets older. At least, though, I will have proof that, at one point in her life, she really was full of it!


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