Quote From: txgroomerI will try to keep this as brief as possible but I am having real issues here and I don't know what to do anymore! I am 37 divorced I have 3 kids 16, 13 (both girls)..then there's the boy 11 yrs old. He has issues in school won't do this or that seems I get a call from the school with complaints about him every other day not doing homework not participating in class, disruptive etc etc. Well 2 yrs ago they told me he shows signs of depression. ** A little background here, his dad is bipolar and so is my son's 1/2 brother from his dad's previous marriage** We did not dismiss it but we did not see what they were describing at school at home. He does have anger issues I won't deny that. His dad and I split up when he was barely a year old. His dad wasn't much in his life until he turned around 9 he became more active in his life since he finally got straightened up on his meds and quit the "extra curricular" drugs! Anyways, past couple of years he's had soiled underwear in the past but not too often and not that bad..typical boy stuff I would assume. Then it has steadily got worse. At first he would complain he was constipated and wouldn't have a bowel movement for several days he would then would complain it hurt to go to the bathroom. I tried laxatives and suppositories then complained his stomach hurt when he took them then had diahrhea (sp?).
Back in October I got a call from the school that it was an emergency. My son had wrote a note that he would die soon and the school took it as a suicide note I ended up having to take him to a county psych hospital at the demand of the school in which they admitted him and kept him for a week diagnosed him as depressed stuck him on zoloft and a couple of anger management of classes. Now we go once a month through the MHMR since I don't have insurance to keep him on the pills. Anyways the soiled underwear is worse and it's just gross! It's like he just poops in his pants and doesn't think anything about it. Everytime we do something that require physical activity he's running back and forth to the bathroom. At first I thought it was his way of getting out of doing his share of the chores. I'm thinking my gosh anyone that can run back and forth to the bathroom as much as he does shouldn't have underwear caked with poop! It's to the point he SMELLS like poop and the kids complain about him at school that he smells. I asked him if it bothers him he said no he doesn't notice, but I Can notice when he's got poop in his underwear because he walks funny and complains his butt hurts. I even bought him adult pull ups because I got tired of throwing his underwear away instead of washing them it was THAT bad. I figured that would click on him to either get to the bathroom or wipe better or something! Nope, he just thought that was a way for him to just go ahead and keep on going since he wasn't ruining anymore underwear this way. Went back to underwear and have been making him clean his own underwear by hand and do his own laundry, this isn't helping either. Yes I've taken him to the doctor the doctor just prescribed him some more over the counter stool softeners which seemed to make things worse. We were walking through the grocery store the other day and all of a sudden he bends over and starts dancing and crossing his legs Im like what is WRONG with you? He said he had to go to the bathroom and he wasn't going to make it I said good gosh why didn't you go already it doesn't just hit LIKE THAT. He said it did. So he got home today came up to me and gave me a hug and REAKED of poop. I was like oh god, go take a bath and go wash your underwear. I asked him why he can' t wipe any better, he said he does I said there was no way he could have and have THAT much poop in his underwear so WHY are you doing this and I told him I didn't want "i don't know" as answer. He said it just happens! So I don't know if he's just being lazy or if this is a real medical issue or if this is a mental thing. The doctor didn't seem to get what he or I was trying to tell him what was going on when we there last time that we have a real issue here! He will be in 6th grade next year and will have to change in front of a bunch of other kids in PE and he's going to get the snot beat out of him for having poop in his underwear by other boys. He's in 5th grade now, he's 5'6" weighs around 160 and wears a 10 1/2 mens shoe. He's a big boy and gets picked on a lot by other kids because of his size already. The psychiatrist just also placed him on Concerta because he is showing signs of ADD or ADHD and he does have an older 1/2 sister that is ADHD. We've come to the point that after showers we have to do "butt checks" because he doesn't wash his butt really well and there's still goop still in his crack after the bath. I think what is bothering me most is that none of it bothers him at all! HELP!
Has your son been tested for IBS? Irritable Bowel Syndrome. There are 2 forms of IBS...One form will constipate you for weeks at a time and no amount of stoll softener will help. But once the urge to go to the bathroom hits it is almost uncontrolable to hold. The second form is going to the bathroom ALL the time. The need to have a bowel movement will strike at any moment and most people with this form of IBS must wear adult diapers if they leave the house.
People who suffer from IBS complain of severe stomach pain, bloating and painful rectum.
I have been suffering from IBS for many years now. I have the first form and believe me, it is very painful and can control your life and moods. My mother suffers from the second form of IBS. Unfortunatly there are no drugs you can take to fix either of these disorders...But special diets can help to relieve a lot of the problems.
There are certain foods, if eaten by someone with either form of IBS, that will aggrivate the condition and make the symptoms 100 times worse. I think your son needs to see a Gastro Dr. immediatly. They can do a lower G.I. and rule out Crones Disease. Which, quiet honestly, could also be a possibility for your son. But the Gastro Dr. can give you and your son a special diet to try and maybe you will see some results.
I deeply feel for you and your son. And I can't help but feel that some of the drugs your son is taking may be contributing to your son's lack of bowel control. With some of the medications you have mentioned above...bowel issues are some of the more severe side effects to the meds.
You also mention that your son just does not seem to care if he is soiled all the time. The problem with a lot of depression and anxiety medications is that it affects the Dopamine and Seritonin production in the brain. If these chemicals are altered incorrectly they can cause the person to just lose interest in everything. Basicaly, the thing in the brain that tells you something is wrong is being suppressed and you just don't care.
I am a child Psycologist and one of the first things I do when I see a new patient is tell the parents to have a full work up done on the child before moving any further. Sometimes the mental issues can be fixed if there is an underlying Physical issue.
I do hope this is of some help to you. And if money or insurance is a problem and you can not afford all of these test, may I suggest you visit your local hospital's administration office and fill out the forms for free services. All hospitals have reserve funds set up to cover the cost of bills if medical testing is needed. This, of course, is not advertised and not made mention of unless you request these forms. Once again, I do hope I was of some help to you.