K.,
I've been through it with my daughter. She started holding her poop around age 2ish and we just got the problem fixed at 5 years old! You are lucky to be able to get on top of this now. My daughter had a painful bowel movement or several at a younger age. Most likely, she remembered this and just started to hold her poop - you think 5 days is long - she went 18 till we took her to the ER. With a hospital grade enema, she still wasn't able to poop! She was so backed up it wasn't funny. Did a ct-scan on her because the dr. thought the mass she saw on an xray may have been a tumor, holy cow, it was just POOP and a whole lot of it. OK, too much info. Anyway, we saw a pediatric dr. that had specialties and holding poop is something she deals with day in and day out. The diagnosis was Encopresis. My daughter did not have one hard/painful poop from age 2ish to this day. She eats very healthy and I knew her body was making the poop, she just wasn't pushing it out. I didn't seek help sooner because it seemed like it was a power thing. Little did I know that when this gets this out of hand, a person cannont push the poop out anymore. The muscles get so stretched that they have no control, it will come out when it comes out. Eventually, just squirts get by and the occasional huge poop. It takes 3-6 months to get the muscles/colon back to normal size. My daughter went on a 5 day cleanout. Followed up taking Miralax on a daily basis (which I've stopped giving her - she is finally going everyday!!) In the toilet!! She went in pull ups until last Decemeber (a month after turning 5 years old).
You should see a Dr. before doing anything this drastic, but I'll at least let you know what Dr. Hurwitz had us do:
For 5 days we did an enema or suppository (enema one day, suppository the next) same time each day (usually in the morning). Each night before bed, she got 2 tablespoons of mineral oil in a milkshake and once a day she got a half of scoop of Miralax in a drink. As soon as the 5 days was up, she was pooping on the toilet daily. We've had no setbacks since.
A lot of well meaning people will tell you to up the fiber, plenty of water, fruits, veggies, flax oil, prunes, etc.. my daughter ate incredible, I wanted to scream when my Dr. would say to give a little more flax oil, etc.. I finally kept a log for the months of November/December with what she ate and when she pooped/how much, etc.. just so my Dr. could see that we had no problem making the poop, we just couldn't get it out!
Hope this helps. I know how you feel, I was there for so long I thought she'd be in pull ups forever. Since pooping daily, she is a new kid. I mean, can you imagine how that would feel to not poop for several days? It effects so much. I hope you find relief soon for your son. If you have any questions, don't hesitate to email me.
M.
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