My constipation posts have definitely started the most debate!
Do you need help with constipation? Need to find a cure for constipation?
Probably worth re-iterating few points:
There is no magic Movicol dose
It might even change day to day! Depends on what you eat (even more what you drink!) and what you are doing. Exercise stimulates the bowel (remember Paula Radcliffe got caught short during a marathon), and in adults large quantities of alcohol can act as a bowel stimulant.
Remember it’s in the top and out the bottom – it’s not absorbed – the molecules are too big.
Some of the electrolytes (salts) are absorbed though. Yeuk tasting stuff! All parents should try it – and then imagine taking up to 8 sachets a day – can make you quite nauseous. But it works – just like dynamite!
Large doses are short term and only for disimpaction
The end of the bowel (rectum and anywhere up to the rest of the colon) will be stretched to accommodate the poo that’s built up. It can be emptied from the top (Movicol or similar) or much more rapidly from the bottom (small candle-wax like suppositories or enemas). How fast does Movicol work? It depends, but effects usually take about 4-12 hrs to start.
Once this is emptied your child should feel back to normal (you can’t feel whether your bowel has returned to normal size or not). Only small doses are then required – sometimes with a small dose of pushing medicine (senna or similar).
This is just to keep soft and regular (every 2nd day OK) to allow the bowel to shrink back down over a year or so.
it is often hard to know if Movicol hasn’t worked yet or if just on too much
Fancy medical tests may help, but something like a suppository will often make it clear if there is anything there. Most children are cleared quite quickly, it’s those in early teens who have always been impacted that can take much longer and often they have rock solid lumps to feel in the abdomen.
When your doc examines your child get them to show you where the poo is felt – means you will know when it has passes