Guest guest Posted June 28, 2006 Report Share Posted June 28, 2006 I don't have any specific tips but you may look to the para/quadriplegic community. This is also a problem for paralyzed people, they lose abdominal and intestinal muscle tone ( = constipation). I know this may be yucky but many have to use digital stimulation (think rectal thermometer for babies) to stimulate the bowel. I have worked with several patients that had to use these measures to keep things moving. HTH Martha Amy <acdudick@...> wrote: I was hoping someone could help. I have tried almost everything. My apraxic 4 year 9 month old son is chronically constipated. I have him on POM juice every day, pear juice, fruit, veges, etc. The doctor originally gave me a prescription for a powder fiber. I really don't like to use it because his tummy bloats way out when I give it to him. I have used the Milk of Mag. I've heard others recommend on the list. I'm just at a loss. I took him to my doctor who is more proactive than the peds office. He ran every test including food allergies and came up with nothing. I don't give him milk. The doctor wants to send him to a pediatric GI doctor. Has anyone had to do this?? Does anyone know why kids with apraxia tend to be constipated?? Thanks for your help! Amy D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2006 Report Share Posted June 28, 2006 Is he eating high-fiber foods and drinking plenty of water? So far, these old standbys have worked great for us. When I do feel I have to help things along, I give my son prunes, either cut up with raisins or pureed and mixed with applesauce or pear sauce. You could also blend the baby food prunes into a smoothie. Earth's Best makes one mixed with oatmeal. I like to stick to healthy techniques whenever possible, and this next thought kind of violates that, but sometimes caffeine stimulates bowel movements. Maybe a cup of hot chocolate or tea or even a very weak cafe au lait every once in a while? > > I was hoping someone could help. I have tried almost everything. My apraxic 4 year 9 month old son is chronically constipated. I have him on POM juice every day, pear juice, fruit, veges, etc. The doctor originally gave me a prescription for a powder fiber. I really don't like to use it because his tummy bloats way out when I give it to him. I have used the Milk of Mag. I've heard others recommend on the list. I'm just at a loss. I took him to my doctor who is more proactive than the peds office. He ran every test including food allergies and came up with nothing. I don't give him milk. The doctor wants to send him to a pediatric GI doctor. Has anyone had to do this?? Does anyone know why kids with apraxia tend to be constipated?? > > Thanks for your help! > > Amy D > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Hi Amy and Martha! Amy not sure if you read the entire Dr. Adam's " prescription " for constipation -but it's below in the archives. Let me know if you tried all of what is below, and has your son seen a gastroenterologist yet? If you have the money I'd even say it's worth flying to West Palm Beach Florida (airport right there and it's a nice one too) to see him -he is that awesome and helped my son Tanner that much. Tanner's pediatric gastroenterologist Lawrence MD 5325 Greenwood Ave West Palm Beach Florida 561 840 1960 Re: -constipation remedy besides POM? Hi ! The MD I recommend is located in Palm Beach Florida -but what he recommended is almost all in the archives below. Tanner has had 'NO' issues at all with constipation for the past two years other than when we flew into NY for the Holidays this year as I posted and he didn't have his Pom juice for a few days. Then we used the Milk of Magnesia once -got him back on POM -and once again he's regular again. Next time I'm packing the Pom juice with us! http://www.pomwonderful.com/ As far as what we did -that's all in the past too. Today other than Pom juice every day (just a bit -he doesn't appear to need lots for it to work) Tanner eats normally -other than of course he takes his fish oil every day! But we did what Dr. said to get him to where he is today. (and thank goodness without any drugs other than MOM!) Here's the archive on this -let me know if your friend has any questions: From: " kiddietalk " <kiddietalk@...> Date: Mon Apr 26, 2004 10:52 pm Subject: Re: constipation - what kind of nectar? Hi Tricia -sorry I missed your call and not sure if it's too late to call you now. We mainly use pear nectar and fruit cups, and papaya nectar and Dole Fruit 'n GelsĀ®, Reduced Sugar, Papaya in Peach Gel Problem is even though they are still in our stores here in Florida - I don't see them on the Dole website which means they may be discontinued and soon to be missing from store shelves? (NO!) http://www.dole.com/foodservice/products/pack.fruitngel.jsp I had asked Tanner's doctor, Dr. why more MDs don't recommend nutritional interventions to the constipation and he said " And how long did I just spend with you? " Yes it took a few hours! Anyway -you guys can know all I do in a few minutes -(the time it takes to write a prescription) and just in case you are interested - I have Dr. contact information below. I highly recommend him. Lawrence MD (pediatric gastroenterologist MD) 5325 Greenwood Ave West Palm Beach Florida 561 840 1960 Here are a few archives with more information on this. From: " kiddietalk " <kiddietalk@...> Date: Sat Feb 7, 2004 7:19 pm Subject: Re: high fiber regression/constipation Hi Joanne, I first thought of aloe too, and then found the senna tea to work for Tanner, but when I posted it here was told how bad senna is for children and especially with long term use. (thank you!!) The advice I heard here was confirmed by Tanner's pediatric gastroenterologist Dr. from West Palm Beach Florida. Dr. who told me that senna, and harsh stimulants like it (which include aloe) are harsh on the body, and that they may work for a bit, but you will gradually need more and more for it to work. Dr. advised me that the gentlest laxative is the Milk of Magnesia because it just draws moisture to the bowels and works the most like mother nature. Tanner likes the cherry flavored Milk of Magnesia. MOM is " stimulant free " " ' Milk of Magnesia has provided effective, stimulant-free relief of constipation for over 125 years. Unlike some other laxatives, doctor recommended ' Milk of Magnesia does not contain the harsh stimulants that can cause pain and cramping. When taken at a lower dose, ' can also be used for fast-acting relief of acid indigestion, sour stomach, and heartburn. Available in Mint, Cherry, and Original formulas. " http://www.bayercare.com/htm/philmom.htm And what you need to read about aloe: FDA Rules that Aloe & Cascara Are Not Safe as Stimulant Laxatives Date November 20, 2002 Details The FDA issued a final ruling on Nov 5, 2002, stating that the stimulant laxative ingredients aloe (including extract and flower extract) and cascara sagrada (including all fluidextracts, bark and casanthranol) in over-the-counter drug products are not generally recognized as safe and effective or are misbranded. The FDA pointed out that there is inadequate data on the toxicity of aloe and cascara sagrada. These products have not been shown to be safe and effective for their intended use. These ingredients should be eliminated from general use within 180 days http://www.mskcc.org/mskcc/html/12015.cfm " herbal teas containing senna, aloe, buckthorn, and other plant- derived laxatives that, when consumed in excessive amounts, can cause diarrhea, vomiting, nausea, stomach cramps, chronic constipation, fainting, and perhaps death. " http://www.pueblo.gsa.gov/cic_text/health/teatime/597_tea.html And again -an archive about what the traditional gastroenterologist Dr. " prescribed " for Tanner which is working (just wish he didn't have to drink nectar every day!): " This also may have to do with some signaling problem or motor planning aspect. Not sure -but who cares when anyone just about anywhere can pick up pear nectar or Dole papaya fruit and gel bowls! This works -and we love Dr. !! > Today I took Tanner to see pediatric gastroenterologist Lawrence > MD from Palm Beach Florida for Tanner's problem with > constipation which we have been trying to help him with now for the > past 5 years or more with various MDs (Tanner is now 7) Up till now > nobody has wanted to put Tanner on medications -and since we've > moved we haven't taken Tanner to see his NJ/NY MDs. I highly > recommend Dr. if you are in Florida in that he took over an > hour with us -was excellent with Tanner (very funny) and was very > open to discussing off the wall theories on constipation in apraxic > children -a best kept secret even though it's known for autism. Dr. > has many patients with special needs -some with severe CP > whose parents have to blend fruits for their constipation that they > can put through their feeding tube. > > Here is a brief summery from the prescription he gave me: > > Diet: Nectars (fruit juices) Papaya, pear, apricot (if he can > stand it -can mix with others but try plain nectar first) > * prune juice -can be mixed with orange juice (since most kids don't > like it) > > exotic fruits- figs, dates, apricot, papaya (papaya underlined > twice) (if he can stand it -like the nectars -these work wonders he > said) > > limit -banana, apple, rice, dairy > > Milk of Magnesia 2-3 tablespoons with glass of water any time he > skips 1 day. Works 4-8 hours. > > Behavior Modification -10 minutes daily -no distractions. Use > calendar stickers -every week reward for amount of BMs > 2/ week something small > 3-4 medium > 5-7 large reward > > Dr. said that there is a chance that the problem could be > motor planning -but he can't fix that -his goal is to get Tanner on > a schedule for a long period of time so that he starts going > automatically. He doesn't want me to use the Nature's Tea due to > the senna in it -said it can cause dependence in long term use, and > said that due to what I reported with Tanner's regression with too > much fiber not to use high fiber either. He said it is possible > that the fiber is cutting short the fatty acids in the gut. " From: " kiddietalk " <kiddietalk@...> Date: Wed Dec 3, 2003 9:37 pm Subject: Re: constipation/ new info on Probiotic - Hi -lots more on this in the archives. Dr. is a traditional pediatric gastroenterologist MD too -go figure! Lawrence MD 5325 Greenwood Ave West Palm Beach Florida 561 840 1960 Tanner is picky about which nectar he'll drink or it's " ewww " he loves the pear nectar from a company from Belgium called Looza which I'm dreading our local stores stop stocking and have already spoken personally to about 4 store managers to beg them to keep carrying it, and a papaya nectar from s " all natural " that looks like someone bottles it in their garage and drives it to the store themselves -not sure if it's distributed anywhere else: s Tropical Plantation 6550 Okeechobee Blvd West Palm Beach, FL 33411-2798 United States Mr. Henry s President Tel: 561-683-4701 Fax: 561-683-4993 Hey just looked up Looza online and apparently it's owned by Tropicana which is not far from me either! http://www.copyshark.com/samples/TropWSamples2.html I send Tanner to school with these little cans of Libby pear nectar and a dole fruit and gel with papaya (that he actually likes but is now getting sick of) We give him some nectar for breakfast, some for lunch -at least twice a day. Speaking of bananas which he used to love -I stopped buying them all the time like I did before -we've cut down his rice and milk -and that's about it. If he misses a day we give him 3 tablespoons of the strawberry Milk of Magnesia like Dr. suggested, and it works -but that's not often he misses now. Speaking of missing -you must have missed my answer to you! " From: " kiddietalk " <kiddietalk@...> Date: Sun Nov 16, 2003 2:15 am Subject: Re: constipation Wow thanks for this comprehensive lesson about the gut! I just wanted to add that in a nutshell -out of our couple of hour appointment with pediatric gastroenterologist Lawrence MD from Palm Beach Florida, we covered much of what you talked about. I just want to clarify that Dr. did not recommend juice, and that I can tell you that for Tanner juice did not work. Dr. recommended the nectars -specifically papaya, pear, apricot etc.... We use a mixture of pear, papaya and mango nectar -heavy on the pear. Here is a bit about each: " Fresh papaya is probably the finest healing food in the world. It is anti-inflammatory, detoxifying, has enzymes which can decompose toxic matter, and help digest foods eaten so as to get more nutrients out of them for feeding the cells of the body. It is literally the finest anti aging food known and can even help prevent wrinkles... Pear nectar flushes the liver gallbladder, removes gout and other acid accumulation and prevents constipation. Two 6 oz glasses a day between meals is the appropriate amount for most individuals. " http://www.timeforhealth.com/foods.html ... " There was much more on that one, and here is from another archived message: " Many of our kids (sorry all the potty training stage people to break this to you) that potty trained as a group a bit later (around 4) due to the muscle control weakness from the low tone(it's not in their control) then have constipation problems for the same reason - constipation. Based on how well and quick this worked -I'm guessing that there may be some psychological fear aspects that are at play in our kids too. They have a painful experience (you know what I mean if you know what I mean) and then they are afraid to go so they hold it in. This also may have to do with some signaling problem or motor planning aspect. Not sure -but who cares when anyone just about anywhere can pick up pear nectar or Dole papaya fruit and gel bowls! This works -and we love Dr. !! > Today I took Tanner to see pediatric gastroenterologist Lawrence > MD from Palm Beach Florida for Tanner's problem with > constipation which we have been trying to help him with now for the > past 5 years or more with various MDs (Tanner is now 7) Up till now > nobody has wanted to put Tanner on medications -and since we've > moved we haven't taken Tanner to see his NJ/NY MDs. I highly > recommend Dr. if you are in Florida in that he took over an > hour with us -was excellent with Tanner (very funny) and was very > open to discussing off the wall theories on constipation in apraxic > children -a best kept secret even though it's known for autism. Dr. > has many patients with special needs -some with severe CP > whose parents have to blend fruits for their constipation that they > can put through their feeding tube. > > Here is a brief summery from the prescription he gave me: > > Diet: Nectars (fruit juices) Papaya, pear, apricot (if he can > stand it -can mix with others but try plain nectar first) > * prune juice -can be mixed with orange juice (since most kids don't > like it) > > exotic fruits- figs, dates, apricot, papaya (papaya underlined > twice) (if he can stand it -like the nectars -these work wonders he > said) > > limit -banana, apple, rice, dairy > > Milk of Magnesia 2-3 tablespoons with glass of water any time he > skips 1 day. Works 4-8 hours. > > Behavior Modification -10 minutes daily -no distractions. Use > calendar stickers -every week reward for amount of BMs > 2/ week something small > 3-4 medium > 5-7 large reward > > Dr. said that there is a chance that the problem could be > motor planning -but he can't fix that -his goal is to get Tanner on > a schedule for a long period of time so that he starts going > automatically. He doesn't want me to use the Nature's Tea due to > the senna in it -said it can cause dependence in long term use, and > said that due to what I reported with Tanner's regression with too > much fiber not to use high fiber either. He said it is possible > that the fiber is cutting short the fatty acids in the gut. From: " kiddietalk " <kiddietalk@...> Date: Sun Dec 14, 2003 11:32 am Subject: Re: constipation Hi ! Tanner is tired of the gels too. But I was told by Dr. that we need to keep him on a daily regimen of going every day for at least a few months to have the best possible chance of getting him regular. Like Tanner -your children are old enough to have this explained to them. So like it or not -Tanner is forced to drink the nectars and eat the gel -and not just once a day either. He needs nectar at least two to three times a day for it to work -and it's working (so worth it). Dr. told me " at some point you will get lax about it -and he'll get constipated again -and once he does -it will start all over. I'm just warning you because I see it happen. " I know why he said this -most parents don't listen. Don't have to warn me twice - there is no way in heck I want to be standing with a phone in my hand wondering if I should call 911 while my son is crying and screaming in extreme pain sitting on the toilet after I've tried all I could think of to get it out and Glenn wasn't home. You don't know until you know. How do we keep him from getting bored? When you go to a restaurant - ask them to make a fancy fruit mix drink for your child and put all the fancy umbrellas and fruits in it like it's a mixed drink -they don't use nectars -but they typically make them very sweet for the kids. Then when you get home -buy a bunch of different nectars and fruit juices and mix saying you will try to make the same thing for them. This is what we did and it worked. Now I typically just give Tanner the pear and papaya nectar mixed -heavy on the pear since he likes the taste of that more (and it also works) Again -if Tanner misses a day -he gets 3 tablespoons of Strawberry Flavored Milk of Magnesia -like other kids he hated the mint -he loves the strawberry -and I also saw they have chocolate -but didn't try it since I know Tanner likes the one we have. Dr. told me " Don't travel without the Milk of Magnesia, don't forget to bring it with you if you are going on vacation " and we won't! Not every store carries the Strawberry -the only flavor I know for sure Tanner likes. For those of you that don't have pear or papaya nectar by you -I'd call and see if you can order it online. I just checked net grocer http://www.netgrocer.com and they carry pear and papaya nectar, but not the brand we use -Looza. Tanner loves the Looza nectars -but we also use the Kerns and Goya when we travel which they have. They have the Dole fruit gels (I'd call and ask if they have papaya - didn't see it but maybe they can get it? They also have the Milk of Magnesia in chocolate and french vanilla -two flavors we haven't tried - and they even had papaya babyfood! Hmm -I haven't tried that one either -glad I looked for you guys!) Perhaps for variety? Tanner too doesn't like fresh or dried papaya. ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Amy, My daughter has spina bifida so she has a lot of bowel and bladder issues. I have a few tips we've learned over the last 3 years. We are able most of of the time to keep her going without needing to use suppositories. We have used them some and if you go that route I suggest using about 1/3 of and adult dulcolax used right after a meal. I don't like having to use them, but it is bette than having to go to the hospital for impacted stools. Tips to avoid all of that though: 1. water, water, water I really make sure my daughter drinks water regularly throughout the day and I've heard of some people who use a glass of warm water first thing in the morning as a laxative. It doesn't have that affect for us, but is definitely good. 2. WHOLE WHEAT PASTA. Unless you are on a glutein-free diet obviously. At home we only use whole wheat or veggie pasta and let me tell you if we have some whole wheat pasta for dinner my daughter is usually going pretty quick after that. That stuff is fabulous for us. Make sure it's not just the whole wheat added pasta; it needs to have whole wheat listed as the first ingredient. 3. Omega oil. I currently use just an omega 3 oil I found at our health food store, but have order the ProEFA. The oil helps to grease the wheels so to speak I think. 4. Any fruits with P names (prunes, peaches, pears, pineapple) are good for constipation although truthfully I rarely get them in my daughter. I have made some prune - whole wheat flour muffins and she will eat them sometimes. 5. High fiber diet in general 6. Just as important are things to avoid. Bananas, white breads and pastas, white rice, applesauce and apple juice. That BRAT diet basically that is prescribed often for diarrhea. Apples and apple cider are ok as they enough fiber in them. Homemade applesauce is often ok, but not the store-bought stuff. 7. We do use some manual stimulation for our daughter if she hasn't gone in a couple of days. No, it's not the most pleasant thing, but it needs done. We just use a pinky finger with toilet paper very very very gently and just inserted not even a fingernail's length. Again this works best after a meal when the digestive system is already moving all of the muscles to push food and waste through. The most important thing I think for constipation is to keep on top of it. Don't let your son go for more than 48 hours without a bowel movement. And if you find something the helps keep doing it. We used to get lax and forget to do things thinking we had solved the problem and then we'd realize she had gone several days without a bm and we'd have to intervene more drastically. Now that we keep on top of it she goes most of the time on her own. We even allow her bananas some these days. Good Luck, Ann > > I was hoping someone could help. I have tried almost everything. My apraxic 4 year 9 month old son is chronically constipated. I have him on POM juice every day, pear juice, fruit, veges, etc. The doctor originally gave me a prescription for a powder fiber. I really don't like to use it because his tummy bloats way out when I give it to him. I have used the Milk of Mag. I've heard others recommend on the list. I'm just at a loss. I took him to my doctor who is more proactive than the peds office. He ran every test including food allergies and came up with nothing. I don't give him milk. The doctor wants to send him to a pediatric GI doctor. Has anyone had to do this?? Does anyone know why kids with apraxia tend to be constipated?? > > Thanks for your help! > > Amy D > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Amy D Your ped is probably sending your child to a GI specialist b/c he is unable to find a treatment. the specialist might want an xray to find if there is any colon problems due to the constipation. I would not worry, it is all precautionary testing. If anything, please remain calm and don't let your child notice your anxiety. . . it will lead your child to stress out. My two cents: Your goal is to get soft BMs and only spend 10 minutes on the toilet to do so. Once your child has met this goal, do not stop the treatment. It may take well over 6 months to get regular, but I would slowly wean off therapy treatment or you may have a reoccurence. Another note is that not all children have bowel movements everyday. Each one of my four children have a different cycle, but to them that is normal. all the best, Joanne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Hi Ann! More tips on this subject, great! Just one word of caution in regards to fiber if you have a child that needs (and is responding to) EFA supplementation. I have this in the constipation message archive I just sent out but it may have been missed and it's that important it's worth saying again. Tanner regressed as if I took him off the oils whenever I gave him one of those fiber type laxatives like Benefiber. To the point where he was not able to say words he wanted to say anymore. Because we didn't realize it was the fiber at first this happened quite a few times and it was actually not me but my husband Glenn who noticed the connection on this one. And he was right! Stop the Benefiber and Tanner's speech came back like it was prior! When I discussed that with Dr. he said that was interesting and that perhaps the fiber is short chaining the long chain fatty acids in the gut. At least we have lots of other methods outside of fiber. And I'm not saying Tanner can't eat things with fiber -but I'm talking about high fiber. Just something to keep in mind -or should I say just one more thing to keep in mind! ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Amy- gets constipated fairly often. Mostly, this is due to the fact that she eats about 10 things (she is extremely picky, I believe, at least in part due to the oral-motor sensory issues related to the apraxia) and her diet is fairly heavy on dairy and bananas. Dairy is the only way she gets protein, since she will not eat meat, tofu, beans or peanut butter [except that within Ritz Bits PB crackers;-)]. She eats cheese and yogurt a few times per day EVERY day and she is so slight that I do not dare to limit these things. And heck, yogurt is one way for me to give her EFA. Shockingly, she will drink a little prune juice when mixed with apple juice, so give her a little but every day to keep things moving. That seems to help. Warm regards, ****************** (Rochester, NY) Mom to , 3.1 years, Verbal Apraxia & , 11 months ________________________________ From: [mailto: ] On Behalf Of Martha McCabe Sent: Wednesday, June 28, 2006 9:57 PM Subject: Re: [ ] constipation help again please! I don't have any specific tips but you may look to the para/quadriplegic community. This is also a problem for paralyzed people, they lose abdominal and intestinal muscle tone ( = constipation). I know this may be yucky but many have to use digital stimulation (think rectal thermometer for babies) to stimulate the bowel. I have worked with several patients that had to use these measures to keep things moving. HTH Martha Amy <acdudick@... <mailto:acdudick%40> > wrote: I was hoping someone could help. I have tried almost everything. My apraxic 4 year 9 month old son is chronically constipated. I have him on POM juice every day, pear juice, fruit, veges, etc. The doctor originally gave me a prescription for a powder fiber. I really don't like to use it because his tummy bloats way out when I give it to him. I have used the Milk of Mag. I've heard others recommend on the list. I'm just at a loss. I took him to my doctor who is more proactive than the peds office. He ran every test including food allergies and came up with nothing. I don't give him milk. The doctor wants to send him to a pediatric GI doctor. Has anyone had to do this?? Does anyone know why kids with apraxia tend to be constipated?? Thanks for your help! Amy D Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 We're in parallel worlds -- my son has been constipated since 7 weeks old (breast fed). Here are the things I have tried -- I'm listing all -- whether they worked or not. WATER Added flax oil (applesauce or smoothie) Eliminated dairy reduced gluten added other essential fatty acids (efa and dha) added cod liver oil added flax meal added vit c added magnesium oxide added magnesium citrate added cal/mag added probiotics prunes prune juice pomegranate juice Lactolose Miralax (this worked but I want him off of it!) Magic brownies (puree honey, prunes and senna leaves and add it to brownies) Haven't tried digestive enzymes yet -- waiting to do a test before we try it. Lots of exercise too. My conclusion is that there is WAY more to the digestive tract and brain link than previously thought. I am scheduled to see a DAN doctor in a few weeks. I'll post what I find out then -- or you can email me and we can talk offline. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 This is very interesting. I've never given my son a fiber pill, but I do put oat bran and wheat germ in his oatmeal. He mostly eats whole grains and veggies. I wonder if it is interfering with his EFAs. > > Hi Ann! > > More tips on this subject, great! Just one word of caution in > regards to fiber if you have a child that needs (and is responding > to) EFA supplementation. I have this in the constipation message > archive I just sent out but it may have been missed and it's that > important it's worth saying again. > > Tanner regressed as if I took him off the oils whenever I gave him > one of those fiber type laxatives like Benefiber. To the point > where he was not able to say words he wanted to say anymore. > Because we didn't realize it was the fiber at first this happened > quite a few times and it was actually not me but my husband Glenn > who noticed the connection on this one. And he was right! Stop the > Benefiber and Tanner's speech came back like it was prior! > > When I discussed that with Dr. he said that was interesting > and that perhaps the fiber is short chaining the long chain fatty > acids in the gut. At least we have lots of other methods outside of > fiber. And I'm not saying Tanner can't eat things with fiber -but > I'm talking about high fiber. Just something to keep in mind -or > should I say just one more thing to keep in mind! > > ===== > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Hi all! WOW! Thanks for all the suggestions. I printed out every one! It's so nice to see all of them because neither my doctor nor the peds office could get him into a peds GI doctor for 4-5 months. I am concerned about it taking so long because almost every day he poots and a little poo comes out into his underwear. He ruined all his underwear so I've had to use a pull up. Plus I hear another kid tell him he was stinky and at 4.9 yrs that's not a good thing at all. So I'm going to get right on the suggestions. Thanks for the warning about the fiber. I can't use it on him anyway because it bloats him so bad his stomach is like a drum. I wanted to share a recipe too. I used it when I did weight watchers and am going to make them for my son. It may help for those who have kids with constipation but no food allergies. 1 cup bran buds 1/3 cup peanut butter 1/3 cup chocolate chips Melt the chocolate and peanut butter together. I do it in a big bowl in the microwave. Add the bran buds. drop by the spoonful onto wax paper. Put in the freezer for 1/2 hour or until hardened. My son loves them and doesn't even realize there's bran in them, he can be picky also. I haven't made them in awhile so I better get on it!=) Thanks again, Amy D Amy [ ] Re: constipation help again please! We're in parallel worlds -- my son has been constipated since 7 weeks old (breast fed). Here are the things I have tried -- I'm listing all -- whether they worked or not. WATER Added flax oil (applesauce or smoothie) Eliminated dairy reduced gluten added other essential fatty acids (efa and dha) added cod liver oil added flax meal added vit c added magnesium oxide added magnesium citrate added cal/mag added probiotics prunes prune juice pomegranate juice Lactolose Miralax (this worked but I want him off of it!) Magic brownies (puree honey, prunes and senna leaves and add it to brownies) Haven't tried digestive enzymes yet -- waiting to do a test before we try it. Lots of exercise too. My conclusion is that there is WAY more to the digestive tract and brain link than previously thought. I am scheduled to see a DAN doctor in a few weeks. I'll post what I find out then -- or you can email me and we can talk offline. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 I don't know the logic behind it either actually -just reporting what we saw in our son Tanner. Tanner appears to respond as the typical apraxic child in this group. I suspect if some of you try the high fiber, you'll see the same regression -that is if your child is one of the children like mine that regresses off the oils. I don't try to limit healthy amounts of fiber in Tanner's diet that he may consume during the day, perhaps I should? But on the other hand I know not to give him stuff like Benefiber. http://www.benefiber.com/ (and thankfully no longer have to! yay!!) ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Amy, not to rain on the peanut-butter-cup parade...but bran is fiber. Probably cereal wouldn't have the same effect as benefiber but don't know. I have kept Tanner away from anything that says " high fiber " because of what we saw. According to the following link on bran fiber, a little is good -but going too high does deplete other nutrients. http://dede.essortment.com/branfiber_rfon.htm Moderation lesson I learned from my 3rd grade science teacher " To much water you drown " ~Mr. Linz ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 He sounds like he might be encopretic also. (basically blocked stool with some leaking out around the blockage). http://www.healthcare.uiowa.edu/cdd/patients/encopresisguide.asp I agree with the others on the high fiber. I find we do better with high fiber fruits and vegetables and adding flax meal and oil to things. I haven't had as much success with grain fibers such as bran cereal. (possible gluton issue) Just started him on Kirkman magnesium powder (800mg) seems to be working better than MOM or Flora magnesium > > Hi all! > > WOW! Thanks for all the suggestions. I printed out every one! It's so nice to see all of them because neither my doctor nor the peds office could get him into a peds GI doctor for 4-5 months. I am concerned about it taking so long because almost every day he poots and a little poo comes out into his underwear. He ruined all his underwear so I've had to use a pull up. Plus I hear another kid tell him he was stinky and at 4.9 yrs that's not a good thing at all. So I'm going to get right on the suggestions. > > Thanks for the warning about the fiber. I can't use it on him anyway because it bloats him so bad his stomach is like a drum. > > I wanted to share a recipe too. I used it when I did weight watchers and am going to make them for my son. It may help for those who have kids with constipation but no food allergies. > > 1 cup bran buds > 1/3 cup peanut butter > 1/3 cup chocolate chips > > Melt the chocolate and peanut butter together. I do it in a big bowl in the microwave. Add the bran buds. drop by the spoonful onto wax paper. Put in the freezer for 1/2 hour or until hardened. My son loves them and doesn't even realize there's bran in them, he can be picky also. I haven't made them in awhile so I better get on it!=) > > Thanks again, > Amy D > > Amy > > > > [ ] Re: constipation help again please! > > > We're in parallel worlds -- my son has been constipated since 7 > weeks old (breast fed). Here are the things I have tried -- I'm > listing all -- whether they worked or not. > > WATER > Added flax oil (applesauce or smoothie) > Eliminated dairy > reduced gluten > added other essential fatty acids (efa and dha) > added cod liver oil > added flax meal > added vit c > added magnesium oxide > added magnesium citrate > added cal/mag > added probiotics > prunes > prune juice > pomegranate juice > Lactolose > Miralax (this worked but I want him off of it!) > Magic brownies (puree honey, prunes and senna leaves and add it to > brownies) > Haven't tried digestive enzymes yet -- waiting to do a test before > we try it. > Lots of exercise too. > > My conclusion is that there is WAY more to the digestive tract and > brain link than previously thought. I am scheduled to see a DAN > doctor in a few weeks. I'll post what I find out then -- or you can > email me and we can talk offline. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 Don't know about everything else you have listed here, and don't know if these are still on your " do " list...but stay away from senna! It's a harsh laxative and adding those leaves to brownies may even be as bad as the leaves they added to the magic brownies in the 60's! We used senna tea a few years ago and it worked for Tanner and I was thrilled and wrote about it here. It was Marina from this group that warned me about the dangers of senna and his doctor confirmed that warning (as you'll read in the archive I just sent). You'd be better off with Milk of Magnesia, and it comes in more than one flavor. (not brownie flavored yet but still) This is the warning that the FDA said must go on teas that contains senna since 1995 (and senna is one of the herbs they are " most concerned " about) " " NOTICE (or WARNING): Contains herbs (insert name of herbs) that can act as stimulant laxatives. Prolonged steeping time can increase the risk of adverse laxative effects, including: nausea, vomiting, abdominal cramps, and diarrhea. Chronic use of laxatives can impair colon function. Use of laxatives may be hazardous in the presence of abdominal pain, nausea, vomiting, or rectal bleeding. Laxative- induced diarrhea does not significantly reduce absorption of food calories. Acute or chronic diarrhea may result in serious injury or death. " http://www.fda.gov/fdac/features/1997/597_tea.html Perhaps this is why the FDA is so concerned about senna: " Why Are Some Laxatives Being Reevaluated? For many years, pharmacists have recommended laxatives containing phenolphthalein, senna, aloe, and cascara sagrada, assuming they were safe. However, phenolphthalein was studied by the National Toxicology Institute and found to be a possible carcinogen in rodents. Senna may cause gene or chromosome abnormalities. The FDA's Carcinogenicity Assessment Committee determined after meeting with manufacturers that safety information was inadequate to settle the question, reclassifying these laxatives to Category III (more data needed).12 Phenolphthalein was removed from virtually all top- selling laxatives shortly thereafter, but senna remains. Further, since aloe and cascara sagrada are chemically related to senna, these laxatives were also placed in Category III. Until the products are definitively found safe, pharmacists may want to inform their patients of the potential for adverse reactions that do not now appear on the label. http://www.uspharmacist.com/oldformat.asp?url=newlook/files/Cons/jun00cyp.cfm ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 29, 2006 Report Share Posted June 29, 2006 , Thanks, good point. I was thinking the powder prescription was what I should be staying away from not foods with fiber in it. I'll definitely use moderation and look for changes/regression. Amy D [ ] Re: constipation help again please! Amy, not to rain on the peanut-butter- cup parade...but bran is fiber. Probably cereal wouldn't have the same effect as benefiber but don't know. I have kept Tanner away from anything that says " high fiber " because of what we saw. According to the following link on bran fiber, a little is good -but going too high does deplete other nutrients. http://dede. essortment. com/branfiber_ rfon.htm Moderation lesson I learned from my 3rd grade science teacher " To much water you drown " ~Mr. Linz ===== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2006 Report Share Posted June 30, 2006 Amy, what powder prescription medicine (laxative?) caused bloating? Was it miralax? thanks, Carolyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2006 Report Share Posted June 30, 2006 That's good to know about Tanner's regression associated with fiber. As you said everything in moderation. I read the link you provided here and I think it makes an important point - that the best thing is to eat whole grains so you get nature's balance of things. We certainly don't have the greatest diet about our house, but we try and I think whole grains are an important part of that. We have to really keep on top of constipation issues because of Charlotte's spina bifida, but I haven't had to give her Miralax or any other fiber supplement as of yet. In most cases I think it can be done largely through nutrition and, as someone else noted, activity. Charlotte started walking at 2 and that really made a big difference in how much intervention we had to provide for her bowels. There was a time she was really into dancing and we'd crank up the music and dance with her and right after that have to change her diaper. It was rather magical. > > Amy, not to rain on the peanut-butter-cup parade...but bran is > fiber. > > Probably cereal wouldn't have the same effect as benefiber but don't > know. I have kept Tanner away from anything that says " high fiber " > because of what we saw. According to the following link on bran > fiber, a little is good -but going too high does deplete other > nutrients. > http://dede.essortment.com/branfiber_rfon.htm > > Moderation lesson I learned from my 3rd grade science teacher > " To much water you drown " > ~Mr. Linz > > ===== > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2006 Report Share Posted June 30, 2006 Well, I haven't noticed any regression--unless that's because the EFAs aren't working as well as they would otherwise, and then I guess, how would I ever know? Still, as long as he's improving I'd hate to make my son's diet less healthy on purpose. Maybe it's just the pills and fiber supplements that are the problem. Something to keep an eye on though. > > I don't know the logic behind it either actually -just reporting > what we saw in our son Tanner. Tanner appears to respond as the > typical apraxic child in this group. I suspect if some of you try > the high fiber, you'll see the same regression -that is if your > child is one of the children like mine that regresses off the oils. > > I don't try to limit healthy amounts of fiber in Tanner's diet that > he may consume during the day, perhaps I should? But on the other > hand I know not to give him stuff like Benefiber. > http://www.benefiber.com/ > (and thankfully no longer have to! yay!!) > > ===== > Quote Link to comment Share on other sites More sharing options...
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