This will be a potty/poo related post. If you don't want to read it, just stop!
I'll sneak in this wordy post just before putting in some pictures....that way people who don't want to read about my daughter's digestive tract might not even notice the wordy post just under the new pictures ;-)
Ugh.
Sometimes I just feel sorry for Ria. I know most of her trials and tribulations are temporary and will be done and over with before she starts Kindergarten (except the bifocals and possibly the orthotics), but the list of cr*p she has to deal with is just rather long....
-Bifocals for crossed eyes
-gross motor delay/ balance issues
-physical therapy for the gross motor delay
-expressive speech delay
-2 speech therapy sessions a week for that delay
-orthotics due to complications from the gross motor delay
-2 ear surguries so far
-ear plugs anytime water gets near her head, unless chlorinated, due to ear tubes
-tricky constipation
-people (including her parents, sometimes) underestimating her thinking skills because of her non-stellar speaking skills.
-recurring bouts of nasty eczema on her hands
-detergent sensitivities, resulting in eczema all over her body if we don't avoid SLS, etc.
The current poop related joy is as such:
The potty training has just stalled out. She kept getting poop smears (the GI doctor calls them "sharts" ;-) in her undies, never seeming to make the step to figuring out when to go poo. Then we had 5 perfect poo days (even taking herself to the toilet!) after a bout of antibiotic related diarrhea! We thought she'd finally figured it out after 5 months....then it all went to hell and she's been in pull-up diapers since late May.
So last week we went to a GI doctor to find a new approach to her constipation since the never-ending Miralax since 10 months old doesn't seem to cut it for potty training. She thinks that the issue is that we never did a "clean out" for her colon, and that our Miralax dosage is too low. The concept is that bad constipation left chunks of nasty dried out poo in her colon. The walls of the colon by those dessicated poo bits gets unhappy. You need to not just flush out the dried nasty poo bits, but also keep the poo grotesquely gushy for a long-ish period of time so that the colon walls can heal up....otherwise dried poo will re-accumulate at those unhappy wall sections of the colon. This would explain the "5 perfect poo days" after the diarrhea....the chunks went away, and for 5 days she was free flowing, and then they started to build back up.
The issue is that having chunks stuck on the colon wall gives your body mixed signals as to whether or not you need to poo....hence the never finishing the potty training.
So....
This weekend we are doing a magnesium citrate bowel clean out, and on Monday we start a new Miralax regimen at almost 2x the dose we've been using, and we'll be doing that for at least 4-6 weeks. We also had the "joy" of doing a blood draw for some tests, so we'll have some blood test results in a few weeks to rule out any nasty causes for the constipation.
With any luck, the cleared out and healed bowel, together with regular potty sits after finishing main meals will get her bowel all nicely trained and regular.
*sigh*. But she's still a happy cute bubbly little girl despite it all!
Quickie speech update: the dyad speech therapy session is working in spades! Her speech is growing in leaps and bounds. One strange result of the improvement is that, now that she is speaking more and markedly better, her speech problems are more obvious. Before you could have just imagined that she had chosen to not speak, but that she could if she wanted to. Now, as you hear her labored speech, you can truly see how much work she has to put in to make her words. I've been feeling funky about the decision coming up next year on whether to put her in Kindergarten on time (2011 fall), or put it off a year. Now that it is easier to hear her speech abilities I feel like I will be able to make an intelligent decision next year about her Kindergarten readiness. My goal, off hand, is that she have 4-6 months of *easy speaking* under her belt before starting Kindergarten. This means easy speaking in all situations, not just at home with us. It feels good to have a reasonably measurable metric by which I can make my decision.
So....that's our girl ;-)....our lovely, happy, snuggly, sweet little girl.