Hi, I'm just after some advice or suggestions for my 2 year old DD, she's basically been constipated since she turned 1. We've tried, prunes, pears, prune juice, high fibre with no success.
We initially tried coloxyl which did nothing. Then we moved onto lactulose which worked for a while but then stopped becoming hugely effective so I stopped that too because I didn't want her body to get immune to it.
It's now a vicious cycle, she knows it's going to hurt so she holds it in and holds it in for 4-6 days and then when she finally does go her anus bleeds and there is a small tear there.
We saw the MCHN at 2 who suggested to re-start the lactulose at a higher dose to force her to go more frequently and hopeful heal her fissure. It's been 4 weeks now and it hasn't helped. She's going on average every 5 days. Tonight was the worst, she hasn't had a bowel movement for 6 days, she started crying 'belly hurts, belly hurts' and it was as hard as a rock! She was inconsolable, I tried bath, rubbing her tummy, and finally she passed a massive bowel motion, like huge. She then said 'belly better now'
Obviously this is very distressing and we need to get on top of it.. What else can people recommend? I've made a GP appointment but do I ask to see a paediatrician?
What medication can I try in the meantime? I really think it's mostly psychological now, she's terrified to poo and holds it in for days and days, how can you teach a 2 year old not too?!!!