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Topic : 07/11 What’s Up, Doc?

Number of Replies: 486
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Created on : Thursday, July 05, 2007, 02:34:20 pm
Author : DrPhilBoard1
Have you ever wanted to talk to your doctor about pressing medical concerns, but were too afraid to speak up? Today, four physicians with four different specialties return to bust medical myths and teach you things you never knew about your body. First up, 45-year-old Pamela has a paralyzing fear of physicians. She was diagnosed with a terminal lung disease six years ago and hasn't set foot in a doctor's office since. Find out what happens when Dr. Phil creates a makeshift exam room backstage! Then, Denise and her husband, Steve, have been trying to get pregnant for three years. Steve says he’s tired of sex being a business deal, but Denise desperately wants a baby. Should she keep trying to conceive or just move on with her life? And, having four kids wreaked havoc on Casey's body, and now she wants cosmetic surgery. Her husband, Jonathan, says a tummy tuck is too expensive, and thinks Casey can get in shape by doing more sit-ups. See Dr. Phil’s surprise for her! Plus, a couple who say their 9- and 15-year-old sons are still not potty trained! Tell us what you think!

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July 31, 2007, 7:45 pm PDT

07/11 What’s Up, Doc?

Quote From: breang15

This is a real condition that many kids have but it can be overcome.  People cannot just assume the kids arent "potty trained" , it is different than that.  It is easy to judge if you do not have personal experience with this.  Become educated before making judgement.  I do agree that the parents need to do more to help those boys overcome this.  I only know of younger children (6 and under) who develop this and are afraid to sit on the toilet for some reason that needs to be figured out.  These parents have let this go on way too long and I think maybe a bit of laziness on their part has allowed this to go on. 

I cannot believe you start out talking like you understand and feel for this family.  Then you change and say that the parents have let it go to far.  I too have a child that suffers from this.  Unfortunately, she hasn't actually been diagnosed by a doctor.  The doctors so far haven't done much for her.  After reading more about this we are looking into other options.  This again has nothing to do with what the parents have or have not done.  We as parents do everything we can to help our kids.  When it comes to something medical you have to find the right doctor that can actually help you and fix the problem.   My daughter has been dealing with this since age 2 and is now 11.  We have good times and then we have bad times.  Bad times usually seem to come during times of stress.  Trying to eliminate all stress from an 11 year olds life is virtually impossible.  So you can either do some more research and decide what you actually think.  But until you have actually dealt with something like this you need to have a little compassion and not put down the parents either.  Parents can only do so much when they need medical help and the doctors don't always give the right help.
 
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August 7, 2007, 10:13 pm PDT

I feel for the family

It is not easy to go through what this family is going through.  The parents are frustated and wondering why is this happening.  The children are probably embarrassed and confused.  I have a 5 year old who has been dealing with severe constipation and encoproesis eversince she has been potty trained at 2 years.  She has been treated by a pediatrician who put her on several stool softeners and benefiber.  Also did the having her sit on the potty and push thing after meals and every so often.  Also have changed her diet several times.  First eliminating milk and going to soy then back to milk but only 12 ounces with a pediasure drink that has fiber in it.  She also has been doing laxatives and enemas for a long time--too long.  A 5 year should not know what an enema is or does.  The pediatiricain refered her to a gastroenterologist where she has had a biopsy done of her rectum, a barium enema done and that was no picnic, and lastly a CT scan done which showed her colon was not normal.  Her colon has sharp turns and is in a wavy pattern instead of a box shape.  With her colon like that it is hard for her to feel the urge or push out the stool so it sits in her colon for a long time.  He refered her to U of M but they didnt tell us anymore then we already knew and made it like we had to retrain her which is not the case but not sure if they had the results of the CT scan because he asked if U of M told us the results which they didnt.  We are going back to the gastroenterologist in Sept and we are going to ask for other options to help her get back to somewhat of a normal life.  We have also increased her stool softerner miralax and benefiber and neither seem to be helping her.  She will go for weeks without a good bowel movement unless she is given an enema and she screams at the word and during the process.  I feel horrible when she has to have one.  Her diet also has now been eliminated of peanut butter, cheese, rice and bananas which are supposed to be constipating foods.  It has made no difference.   She is going to be in kindergarten this fall and she also went to head start and the school system knows it is a medical problem but for her sake I hope it can be corrected so children will not make fun of her for her episodes.  We have also done the reward thing which didnt work due to her medical issue.  She has been wearing pull ups when she has bad epsiodes and underwear with liners during the not so bad episodes.  Just want her to be able to feel herself go.

 
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August 15, 2007, 2:02 am PDT

07/11 What’s Up, Doc?

Quote From: ivysnow1

It is not easy to go through what this family is going through.  The parents are frustated and wondering why is this happening.  The children are probably embarrassed and confused.  I have a 5 year old who has been dealing with severe constipation and encoproesis eversince she has been potty trained at 2 years.  She has been treated by a pediatrician who put her on several stool softeners and benefiber.  Also did the having her sit on the potty and push thing after meals and every so often.  Also have changed her diet several times.  First eliminating milk and going to soy then back to milk but only 12 ounces with a pediasure drink that has fiber in it.  She also has been doing laxatives and enemas for a long time--too long.  A 5 year should not know what an enema is or does.  The pediatiricain refered her to a gastroenterologist where she has had a biopsy done of her rectum, a barium enema done and that was no picnic, and lastly a CT scan done which showed her colon was not normal.  Her colon has sharp turns and is in a wavy pattern instead of a box shape.  With her colon like that it is hard for her to feel the urge or push out the stool so it sits in her colon for a long time.  He refered her to U of M but they didnt tell us anymore then we already knew and made it like we had to retrain her which is not the case but not sure if they had the results of the CT scan because he asked if U of M told us the results which they didnt.  We are going back to the gastroenterologist in Sept and we are going to ask for other options to help her get back to somewhat of a normal life.  We have also increased her stool softerner miralax and benefiber and neither seem to be helping her.  She will go for weeks without a good bowel movement unless she is given an enema and she screams at the word and during the process.  I feel horrible when she has to have one.  Her diet also has now been eliminated of peanut butter, cheese, rice and bananas which are supposed to be constipating foods.  It has made no difference.   She is going to be in kindergarten this fall and she also went to head start and the school system knows it is a medical problem but for her sake I hope it can be corrected so children will not make fun of her for her episodes.  We have also done the reward thing which didnt work due to her medical issue.  She has been wearing pull ups when she has bad epsiodes and underwear with liners during the not so bad episodes.  Just want her to be able to feel herself go.

My son too suffers from encopresis.  I recently made a myspace page for support for parents if you are interested.  It is a private page. 

 

http://www.myspace.com/day2day_encopresis

 
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August 15, 2007, 2:06 am PDT

07/11 What’s Up, Doc?

Please, if you have a child who is going through this illness, join me over at myspace...Trying to build up a great support group for parents.

 

http://www.myspace.com/day2day_encopresis

 
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August 15, 2007, 11:57 am PDT

You don't get it at all...........

Quote From: kaykwilts

To see a 9 and 15 year old who are not potty trained.  Even a mentally challenged person is capable of being potty trained. 
That is a hateful thing to say - especially when you don't even know what you're talking about.  My grandson is 9 and has had this problem ever since starting potty training.........he has been to 2 pediatric gastroenteroligist and to one of the best Childrens' Hospital in our state...........................he is an all "A" student and is in the accelerated learning program in school (a far cry from mentally challenged)................I hope you never have to go through this with a child, for the child's sake, because you would never be able to handle it.
 
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August 15, 2007, 12:02 pm PDT

You don't understand.................

Quote From: bluhrig

Yuck!  We always assumed those really stinky kids (in high school special education classes) - fewer than one every five years - were just dirty or had poor hygiene.  We never guessed this could be the cause.  If those kids don't have a documented physical problem and past help, those parents are among the most abusive I've ever heard of.
.....well, at least you got that right.  You have no idea what strength  and love it takes these parents to do what has to be done to help their kids - don't judge when you don't know anything about it please
 
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August 15, 2007, 9:51 pm PDT

Keep me posted

Quote From: dougj62

You are right when you say that you only got to see a very small part of what is going on.  The producer that came to the house tried to tell the story in a 90+ second chunk of tape and a 7 minute segment.  How do you put YEARS of frustration into that short of a time frame?  We easily could have taken up the entire hour discussing what we have done and what we have attempted to do over the years.  Here's a fun one, try giving an enema to a kid who is absolutely dead set against it.  It turns into an argument of epic proportions.  Again, their are so many aspects to this story that we just did not get the chance to explain due to time constraints. 

 

We have always explained to the boys that the proper place for this was the toilet and not their pants.  We watched over them and when we saw what we thought might be some sign that they had to go, we would shag them into the nearest bathroom.  At a certain point in their lives they start wanting privacy and obviously you have to respect it.  At that point, we told them, "don't flush because we want to see the proof that you actually went."  Sometimes they complied sometimes not.  When they didn't comply we would call them on it. 

 

We have taken away privileges, TV, computers, video games in response to not going to the bathroom.  We did the yelling and screaming about it but that only made it worse. 

 

The one thing that has seemed to work so far has been getting them to sit down and go just before they take their shower in the morning.  By getting them into that routine, we have had more success than anything else we have tried.  As I stated in an earlier message, these kids are intelligent and polite young boys, not the "retards" that a lot of the posters have been claiming. 

 

The oldest last night mentioned that he came out to this forum and read some of the hateful and spiteful comments from people do not know us.  He was pretty upset with what he read.  I told him to not get too upset about it since they were uninformed about the problem and our situation. 

 

These two, along with my wife are my best friends and my life.  I will do anything that is within my ability to help them solve the troubles they have.  That is a part of what being a parent is all about.  You are there for them when they need you and you put their wants and needs in front of your own. 

I haven't checked this in a long time and I was thankful you replied.  I hope what I wrote was not taken as spiteful or hateful--especially if your son read it.  It's good to hear that your routine has helped with the issue.  I remember back from my college days about our body functions are meant to be a routine--eating, sleeping and using the bathroom around the same time everyday is the way our bodies work best.  Mess up the routine and problems set in.  When I was working with my son, I found that most of the accidents he was having tended to be in the morning--just as I needed to get him out the door.  And then I started having him sit and work on a poop right after breakfast--before he was allowed to play.  This is where I first saw progress.  I never had to do the enema thing (thank God), but we had a few close calls where I probally should have done one.  We had been out of his fiber tablets for more than a week and there were no more accidents during that time. 

 

I do have a lot of respect for your family to come forward and share your story.  Hang in there and the issue will get resolved.

 
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August 17, 2007, 8:37 am PDT

07/11 What’s Up, Doc?

Quote From: mckie5

There is a web forum for encropresis.  It is parents asking questions and telling about their dealing with encropresis.  It is a helpful site for frustrated parents.  Encropresis.com 
The correct name to the website is Aboutencopresis.com.  It is an informational website and a web forum for parents dealing with encopresis.
 
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August 18, 2007, 7:49 pm PDT

07/11 What’s Up, Doc?

I totally understand what that family is going through because we live with it everyday. I have a child that suffers from th same condition.  But lucky for us we have been under the care of a very good Dr.  And little by little things are improving.  I just want to offer support to that family that it will get better.  But that it will take a lot of time to retrain their bodies to function properly.  We were lucky that we caught it early. It has been  ongoing for 5 years now for us but i do see it getting better.  So hang in there.
 
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August 20, 2007, 2:28 pm PDT

Encopresis

I have two children 8 and 10. Both of my children were potty trained by 2. I am a full time security site supervisor with an Associates Degree as a Paralegal. My 10 year old son was diagnosed with encopresis when he was 5. We have been to all the counselors, physiologists, and doctors. I have been told to give him laxatives or fiber pills. He has been taking this for 5 years now and nothing is helping. My son also has other issues due to other medical problems like ADHD, ODD, and other problems. He is ridiculed and ostracized at school and other places. He does go to the bathroom when he "Feels it". He knows he is doing something wrong but he can't help it and feels like he can't do anything right. I thought for the longest time that he was lazy or I was doing something wrong. Embarrassed and frustrated I am still looking for answers on how to HELP him. This is not a problem for us to sweep under the rug. This is a problem that not many people know about but everyone blames the parent. The parent is a bad parent, or doesn't care, or doesn't discipline or doesn't teach their children manners. Trust me I have heard it all. I am a good mother and I cry myself to sleep over this problem many nights. I have gone to all the "experts" and can not be helped and my children say "yes mam" and "no mam" more than any children I have ever seen. My children are more behaved that many children. However, my son had a problem and he doesn't know how to stop and no one, including those people/children who don't understand and make fun of him, help. Please! read up on this issue. Don't blame the parents or the children! Blame the people who are supposed to be helping us, and haven't! My son has been living with this problem for 5 years now and is embarrassed and sad because he can't stop. Like I said. stop blaming the parents who do try to help and have done all that they know how, and stop blaming the children who work very hard every day to stop but can't, and start putting the blame where it belongs.
 
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