28 Jun 2009
Medical Malidies Or Plain Old Pains In The Butt - You Decide
Encopresis
If you’ve been visiting my site for awhile, you probably remember all the posts I have made regarding Benjamin’s potty training struggles. Though he has been pee pee potty trained for quite some time, we have never been able to get him to do many of his bowel movements in the toilet. I tried simply everything - rewards, punishments, no reaction, making him clean up his mess, and (unfortunately) frustration and anger. I started to figure he was lazy and just didn’t care. Turns out he had a condition called Encopresis.
What is encopresis? Stated simply, it’s fecal soiling. However, it is not due to laziness. Encopresis is caused mainly by cronic constipation, which dulls the sensation of needing to do a bowel movement. It occurs in children over the age of 4 - mostly in boys. Unable to feel the need to use the restroom, the child soils their underwear involuntarily.
What does this mean? For us it meant a trip to the doctor and a rigid regimen of stool softeners, scheduled pooping, diarrhea, poo journaling and, of course, a sticker chart and rewards. Ben was on the the softeners for a week to clear out his system. For the last couple weeks we have been monitoring his progress and poo, using Miralax when needed.
Progress? Yes, there has been progress. Ben does more poo in the potty now then he did before. In fact, up until today the only accidents he has had was when the Miralax gave him diarrhea he couldn’t control. Best part is that Ben is actually excited with his progress. He sees the stickers on his chart and exclaims that he is learning to poo on the potty. I wouldn’t say the battle is won, but we have taken a step forward. I see hope for the future.
For information on encopresis, click on the link below:
- My favorite of the sites, but there are others.
Preterm Labor
I hardly need state that the last year and a half have been kind of crazy when it comes to pregnancies. With two miscarriages and a high risk pregnancy, I have definitely had my ups and downs. Last Thursday was no exception.
On Wednesday of last week, I started having fairly strong contractions every hour. I wasn’t concerned. I’ve been having strong contractions for a couple weeks now and they weren’t close together. However, I was far more uncomfortable than I had been all pregnancy. Still, no big deal. However, Thursday I could tell something was different. I started having contractions approximately every five minutes.
Having never gone into labor naturally and many false alarms, I wasn’t sure if this was just false labor or the real deal. After a quick conversation with my sister-in-law, I decided I’d better go get it checked out. I called Ryan home from work - he was there all of 10 minutes - and asked my mom to come watch the kids.
At the hospital, I was put on the monitors and, after talking to my doctor, the nurse gave me a shot of terbutaline to stop the contractions and told me I would be going home once the contractions stopped. We were told that this would possibly make me a little dizzy or make my heart race. That was, perhaps, the understatement of the year. I don’t know if my heart raced, but, instead of dizziness, I about passed out. I started to sweat, lost all color in my face, felt like I went into a tunnel and had a ringing in my ears. Though I’m sure it lasted only a few minutes, it felt like I was inside myself for quite awhile.
Once I finally started to come out it, not only did I have a contraction, but the baby’s heart rate dropped from around 160 to 60 beats/minute. Nurses rushed in, turned me over and put me on oxygen to raise the baby’s heart rate. Another call to my doctor came back with the news that I was being admitted for the night for observation. Also, my doctor was coming down, along with a perinatologist.
Anyway, to make a longer story slightly shorter, everything turned out ok and I didn’t end up having to stay overnight. The baby’s heart rate went back up and stayed up. An ultrasound was performed to insure that the umbilical cord wasn’t wrapped around any part of the baby. We did, however, find out that Michael was already measuring 7 1/2 pounds, though I still had 4 1/2 weeks to go. Also, I have a bit more water in my uteris than I should.
Around 7:30 pm I was discharged with instructions to follow-up at the pernatologist’s office the following day and twice a week for observation for the remainder of my pregnancy. Due to the large size of the baby, I hope that won’t be more than about two weeks. I really don’t want to have to go to a doctor’s appointment three times a week for very long. On the upside, however, I no longer have to take my lovenox shots. As the perinatologists said, “There are no miscarriages after 36 weeks.” Hopefully that means I am finally assured a baby.













































