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  1. #1
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    Default 2 1/2 year old cries in pain leading up to a poo

    We are stumped and exhausted.

    Six weeks ago our 2 1/2 year old daughter started complaining about being "itchy" (her word) in her pelvis area and sometimes she would point to one of her butt cheeks. We thought it was the diaper brand and changed it, but there were no signs of rash or redness.

    It soon escalated into her cramping up and having sharp pains in her lower intestinal area, coinciding with the time she should be doing a poo. The cramps would generally come and go every few hours, until she finally did a BM. Doing a poo itself doesn't seem to hurt, it's just the lead-up to it. Her time between bowel movements went from every two days to three, four, then finally five days (with cramps/stomach pain off and on from the second day onwards). I suspect she started holding it in due to the pain she was experiencing. At that point we took her to the emergency department. They seemed to think it was constipation, except her poo has never been hard, always soft.

    We did two days of Movicol (a powder laxative) at their suggestion. This only increased the problem. Because it made her do a poo more often, she'd be in pain more often. She would be screaming and crying and we ended up back in the ED. Now she was screaming every 15min and doing tiny bits of watery poo each time. The Movicol had cleaned her out, constipation just wasn't the issue. The doctors initially thought it would've been some kind of blockage, but the evidence was contrary to this. She had has a stool and urine sample tested, and an ultrasound AND x-ray done in hospital, with nothing abnormal to report. EDIT: No blood or mucus in her poo either.

    She is not potty-trained. Prior to this issue we sat her on the potty now and again, but she would cry and stress out about it, so we never kept her there very long. I don't think this is potty-training related. She also does not have any visible tears on her anus area.

    After the Movicol debacle, she is now back to around a 2-day cycle. After she does a poo, she'll usually be fine for a good 24 hours, and then she'll start getting irritated in the lower belly every few hours. She'll just walk around feeling antsy and uncomfortable. This then becomes more painful and she'll cry for a bit now and again. Finally she'll start crying in pain again and do a poo at my wife's coercing. Usually on the second day. Her crying is not as bad as it was before, but she is still in obvious pain.

    We've booked in to a pediatrician but can't get in for another month. We have been trying to reduce her gluten intake for the last couple days in the meantime to see if that helps. Before and after this whole thing started, we have not consciously changed her diet. We're hoping it's not some gluten allergy (neither of us have any known allergies though), but we just don't know. We've also started her on a probiotics pill once a day. I'm a bit skeptical due to the lack of evidence/research so far on probiotics, but our GP said it wouldn't hurt to give it a shot.

    Any feedback would be appreciated. She's been through that many doctors that we're out of ideas.
    Last edited by Prizm; 17-03-2013 at 09:18.

  2. #2
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    Quote Originally Posted by Prizm View Post
    We are stumped and exhausted.

    Six weeks ago our 2 1/2 year old daughter started complaining about being "itchy" (her word) in her pelvis area and sometimes she would point to one of her butt cheeks. We thought it was the diaper brand and changed it, but there were no signs of rash or redness.

    It soon escalated into her cramping up and having sharp pains in her lower intestinal area, coinciding with the time she should be doing a poo. The cramps would generally come and go every few hours, until she finally did a BM. Doing a poo itself doesn't seem to hurt, it's just the lead-up to it. Her time between bowel movements went from every two days to three, four, then finally five days (with cramps/stomach pain off and on from the second day onwards). I suspect she started holding it in due to the pain she was experiencing. At that point we took her to the emergency department. They seemed to think it was constipation, except her poo has never been hard, always soft.

    We did two days of Movicol (a powder laxative) at their suggestion. This only increased the problem. Because it made her do a poo more often, she'd be in pain more often. She would be screaming and crying and we ended up back in the ED. Now she was screaming every 15min and doing tiny bits of watery poo each time. The Movicol had cleaned her out, constipation just wasn't the issue. The doctors initially thought it would've been some kind of blockage, but the evidence was contrary to this. She had has a stool and urine sample tested, and an ultrasound AND x-ray done in hospital, with nothing abnormal to report. EDIT: No blood or mucus in her poo either.

    She is not potty-trained. Prior to this issue we sat her on the potty now and again, but she would cry and stress out about it, so we never kept her there very long. I don't think this is potty-training related. She also does not have any visible tears on her anus area.

    After the Movicol debacle, she is now back to around a 2-day cycle. After she does a poo, she'll usually be fine for a good 24 hours, and then she'll start getting irritated in the lower belly every few hours. She'll just walk around feeling antsy and uncomfortable. This then becomes more painful and she'll cry for a bit now and again. Finally she'll start crying in pain again and do a poo at my wife's coercing. Usually on the second day. Her crying is not as bad as it was before, but she is still in obvious pain.

    We've booked in to a pediatrician but can't get in for another month. We have been trying to reduce her gluten intake for the last couple days in the meantime to see if that helps. Before and after this whole thing started, we have not consciously changed her diet. We're hoping it's not some gluten allergy (neither of us have any known allergies though), but we just don't know. We've also started her on a probiotics pill once a day. I'm a bit skeptical due to the lack of evidence/research so far on probiotics, but our GP said it wouldn't hurt to give it a shot.

    Any feedback would be appreciated. She's been through that many doctors that we're out of ideas.
    Hi there

    So sorry to hear about what your little girl is going through. I haven't been through this with a child but I have had "tummy issues" myself for 5+years so I know it's awful to go through.

    It took me many doctors, specialists and 6 months of suffering before I ended up in emergency and was finally diagnosed with ulcerative colitis.

    So I understand how incredibly frustrating it is to be seeing doctor after doctor with no answers. It would be especially hard as your daughter probably can't fully articulate what she's feeling.

    I would suggest trying to see a gastroenterologist as soon as possible. I'm not sure whether children can have inflammatory bowel disease (ulcerative colitis/chrohns disease) at such a young age, and given there is no blood or mucus that may not be what is going on. But definitely worth a try as its prwtty miserable living with those conditions untreated.

    I've also had anal fissures as a complication of my condition and the tears arent actually visible as they can be on the inside. They are the worst kind of agony - worse than childbirth (and I have 2 kids!). They also take a long time to heal (can be months). I find it most helpful to have warm baths after going to the toilet, using sudocrem/desitin, and a cream that's called dr Wheatgrass has been brilliant for healing as well.

    There's also a brilliant support organisation called Chrohns and Colitis Australia who may be able to assist you.

    Sorry I couldn't be more help but I really feel for you and hope you get some answers for your daughter. Let me know how you go.

  3. The Following User Says Thank You to kristykristykristy For This Useful Post:

    Prizm  (17-03-2013)

  4. #3
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    Hi Kristy, thanks for taking the time to write a reply.

    It seems that a colonoscopy and sometimes biopsy is the best way to diagnose the diseases you mentioned (and for celiac disease as well), so I guess that would be up to the pediatrician. Though she only seems to have one of those symptoms that are listed for those diseases, so it sounds a bit unlikely.

    Thanks for the info on fissures. We have been putting Dettol anti-septic cream on her anus after every poo to help soothe the skin, but it might be a good idea to put some a little further up just in case. We do have sudocrem for the exterior as well.

    thanks again

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    Hi Prizm

    I just came across your post and my just 3 year old is having the EXACT same problem. Literally everything you wrote, I could have written myself. It has been going on for 8 months now, all the doctor has done is prescribe laxatives, which does not solve the problem, as you said. We are trying gluten free diet at the moment, isnt working so far. She is also taking probiotics.

    I am wondering if you ever had figured out what the problem was? We are going to take her to the pediatrician but I was hoping I could figure it out myself, before she would have to go through horrible tests. Hope your little one is doing better.

    Thanks

  6. #5
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    A previous poster said putting dettol antiseptic on anal fissure to soothe it.
    That Is the worst thing it contains alcohol and will only burn the area and dry it out and make it worse. I suggest paw paw as it seals the wound to keep it moist and allows it heal. Also letting bub sit in a warm Bath with sea salt to heal it.
    Other than that i suggest seeing a gastroenterologist and booking a colonoscopy. To rule out IBS, coeliac, internal haemorhoids GL
    Last edited by Cherry18Bloss; 18-06-2013 at 07:09.


 

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