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#encopresis
mcatmemoranda · 1 month
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The new child developmental specialist at my clinic recommended Poop Guru for kids who don't poop well.
Basically, you keep titrating up the MiraLax until the kid is having at least a bowel movement a day and don't stop even when you get to that point; continue MiraLax for months before stopping it.
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drpedi07 · 8 months
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Encopresis (Stool Soiling)
Ability to pass stool at a time and place that is socially conducive is called as bowel control. Most children can control their bowels and are toilet trained by four years of age.
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beyuu8w14eqgyy · 1 year
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ugvp7bz7w · 1 year
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aibidil · 2 years
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A lot of people like to talk big shit about how self-diagnosis and self-treatment of medical problems using internet research is the height of narcissistic internet absurdity and an example of millennial and gen z women letting the internet rot our brains
Meanwhile
A friend of mine with a dad, brother, and two kids formally diagnosed with ADHD and a lifetime of symptoms finally went to get a diagnosis for herself and was told that her problems were due to being unhappy in her marriage, not ADHD
A friend of mine in an excruciating flare of chronic pain including recovery from a vulva biopsy was asked by a doctor if she'd tried yoga
A doctor once told me that I should go ahead with a radiation treatment that wasn't indicated for young women because "well, it'll probably make you infertile, yeah, but you'll have enough money to do IVF in like ten years so that's ok"
Doctors routinely prescribe antibiotics to breastfeeding moms who have thrush even though antibiotics make fungal infections worse
Every new doctor I tell I have EDS asks me to do the hypermobility party tricks because they want to see them, even though they should know that doing those movements isn't good for my body
Doctors refuse to advise parents to give their constipated kids enemas, one going so far as to tell me that it would give my kid psychological issues, blatantly allowing a homophobic fear of penetration to stand in the way of proper medical care for kids who don't respond to miralax
An old man obgyn once told me, when I informed him that I was going off the pill, that he was sure he would see me soon, because I would change my mind because "women are happier on the pill."
Girls with autism and adhd are completely underdiagnosed and parents' concerns dismissed because the girls are too smart or too good at masking
I have friends whose doctors will refuse to even discuss treating infertility until they lose a certain number of pounds, quite literally refusing medical care on the basis of weight
Sure, there's a lot of misinformation on the internet, and you need to be careful and sift through it all. And at some point you'll need the input of doctors and tests to confirm your hunches, etc. (Which you may only have access to if you have $.) But how can you honestly look at this situation and NOT think the only solution is for us to research everything ourselves? To diagnose ourselves? To figure out what the best-practice treatment is so that you can question suggestions? When misogyny is so rampant in a Healthcare system, how can women ever make sure we're cared for properly? And if you're also poor, or uneducated, or fat, or bipoc, or trans, or a non-native-English speaker?!?! FORGET IT
I'll be over here in my internet groups where women put in countless hours compiling medical research with citations and sharing health conditions and treatments and experiences. Because the village witches have always been the ones to figure this shit out and also the ones to get blamed whenever something goes wrong—only now the village witches are compiling 100-page detailed guides on Facebook groups on how to combat iron deficiency, while the doctors refuse to even test our ferritin levels. I'll brave the medical offices when I need to, armed with my advance research to combat the bullshit I will inevitably encounter as I try to access to care I need
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creekfiend · 1 year
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Alfie just linked me to this review of the DSM IV that is written as if it is a dystopian novel and it is the best thing I've ever read in my life
Excerpt: 'This mad project is clearly something that its authors are fixated on to a somewhat unreasonable extent. In a retrospectively predictable ironic twist, this precise tendency is outlined in the book itself. The entry for obsessive-compulsive disorder with poor insight describes this taxonomical obsession in deadpan tones: “repetitive behavior, the goal of which is […] to prevent some dreaded event or situation." Our narrator seems to believe that by compiling an exhaustive list of everything that might go askew in the human mind, this wrong state might somehow be overcome or averted. [...] A mad person is like a faulty machine. The pseudo-objective gaze only sees what they do, rather than what they think or how they feel. A person who shits on the kitchen floor because it gives them erotic pleasure and a person who shits on the kitchen floor to ward off the demons living in the cupboard are both shunted into the diagnostic category of encopresis. It’s not just that their thought-process don’t matter, it’s as if they don’t exist. The human being is a web of flesh spun over a void."
GET THEIR (THE AMERICAN PYSCHIATRIC ASSOCIATION'S) ASS!!!!!!!!
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mentoillnesspolls · 1 year
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Hey! So I've wanted to conduct some polls on more "obscure" disorders that aren't usually mentioned, but I also want to ensure I'm at least going to be getting some data, soooo:
*NeuroCOGNITIVE disorders (delirium, frontotemporaral neurocognitive disorder, neurocognitive disorder due to HIV infection, etc.), not neuroDEVELOPMENTAL (ADHD, autism, etc.)
Disorders that fit into these categories are listed below, if you're not sure where one of your disorders fit (note this isn't totally comprehensive, I recommend looking it up or sending an ask if you can't find a certain disorder you're confused about on this list):
Neurocognitive Disorders: Delirium, otherwise specified/unspecified delirium, neurocognitive disorder due to _____, substance/medication induced neurocognitive disorder, vascular neurocognitive disorder, neurocognitive disorder with lewy bodies, frontotemporaral neurocognitive disorder
Elimination Disorders: Enuresis, encopresis, otherwise specified/unspecified elimination disorder
Sexual Dysfunctions: Erectile disorder, delayed ejaculation, substance/medication induced sexual dysfunction, male hypoactive sexual desire disorder, female sexual interest/arousal disorder, otherwise specified/unspecified sexual dysfunction, genito-pelvic pain/penetration disorder
Disruptive, Impulse-Control, & Conduct Disorders: Oppositional defiant disorder, intermittent explosive disorder, conduct disorder, antisocial personality disorder, pyromania, kleptomania, otherwise specified/unspecified disruptive, impulse-control, & conduct disorder
Somatic Disorders: somatic symptom disorder, illness anxiety disorder, conversion disorder, psychological factors affecting other medical conditions, factitious disorder (imposed on self/imposed on another) sometimes referred to as "munchausen syndrome", otherwise specified/unspecified somatic symptom and related disorder
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miraridoctor · 2 months
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Introduction Encopresis, also known as bowel training problem, is a condition characterized by the involuntary passage of stool in children who are beyond the age of expected bowel control. It can be a distressing and embarrassing problem for both t... #Mirari #MirariDoctor #MirariColdPlasma #ColdPlasma
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usalivemovienews · 8 months
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Signs, Symptoms, and Treatment – SheKnows As a pediatric urologist, I t... http://dev-usalivenews.pantheonsite.io/signs-symptoms-and-treatment-sheknows/?feed_id=13470&_unique_id=64e6d24818527 #movie film movies
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extraextragto · 9 months
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Investigador UG obtiene patente en EE.UU. y Japón con dispositivo para tratar incontinencia fecal en niños 
Guanajuato, Gto.- Como resultado de una estancia sabática en el hospital Children´s Mercy de Kansas City, y para atender desde la perspectiva de la ingeniería física una problemática presente mayormente en infantes, la encopresis o incontinencia fecal, el Dr. Miguel Vargas Luna, académico de la Universidad de Guanajuato (UG) desarrolló un sistema de monitoreo no invasivo de la motilidad del…
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mcatmemoranda · 1 year
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Osmotic laxatives (titrate to effect): sorbitol available as 70% solution (pear/prune juice) 1-3 mL/kg qd; lactulose (safe in infants) 1-3 mL/kg qd; mineral oil* 1-3 mL/kg qd; magnesium hydroxide 1-3 mL/kg qd; polyethylene glycol (Miralax) 0.8 mg/kg/day in age 0-18 months, 1.0 g/kg/day in 18 months.
*Can be aspirated and lead to chemical pneumonitis
Miralax = 17 g/cap (roughly 3.5 tsp) Disimpaction dosing: 1-1.5 mg/kg/day x3 days
In severe cases: phosphate sodium (only age 2+); glycerin or bisacodyl suppositories
Maintenance -Goal is 1 soft BM per day -PEG 3350 -0.4-0.8 g/kg/day -The consistency of peanut butter, pudding, or soft serve ice cream -Longer therapy for chronic symptoms or encopresis. Sometimes 6+ months on laxatives before tapering. Initial close f/u, then q2-3 months. Reinforce physiology at each visit and consequences.
Breast feeding babies can stool anywhere from after every feed to only once a week.
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Encopresis (Fecal Soiling)
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drparitoshadalal · 1 year
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Constipation in Children
Constipation is a common issue among children. A youngster who is constipated has infrequent bowel motions or firm, dry faeces. Early toilet training and dietary changes are two common explanations. Fortunately, most occurrences of pediatric constipation are only transitory.
Simple dietary modifications, such as eating more fiber-rich fruits and vegetables and drinking more water, can go a long way toward relieving constipation. If your child's doctor agrees, laxatives may be used to treat constipation in children.
Signs and symptoms of constipation among children:
Having less than three bowel motions per week
Hard, dry, and difficult to pass bowel motions
Pain during a bowel movement
stomach ache
Traces of liquid or pasty stool in your child's underwear – an indication of rectum obstruction.
Hard stool with blood on the surface
If your child is afraid of having a bowel movement, he or she may try to avoid it. When trying to hold a stool, your child may cross his or her legs, clench his or her buttocks, twist his or her body, or make faces.
Constipation is connected with: 
Reduced appetite or eating
Feeling of being "full"
Small amounts of blood on the toilet paper or on the stool's exterior
Stool leaking into underwear (encopresis or soiling)
Urinary tract infections on a regular basis
Constipation does not cause:
Headaches
Breath that stinks
Learning difficulties
Poison back-up into the bloodstream
Rupture of the colon or intestine
When should you see a doctor?
Constipation in children is usually not a major problem. Chronic constipation, on the other hand, can cause difficulties or indicate an underlying illness. Consult a Children Specialist if your child's constipation lasts more than two weeks or is accompanied by:
Fever
Absence of eating
There is blood in the faeces.
Swelling in the abdomen
Weight reduction
Pain associated with bowel motions
Part of the intestine exiting the anus (rectal prolapse)
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rahul-dalal · 1 year
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Constipation in Children
Constipation is a common issue among children. A youngster who is constipated has infrequent bowel motions or firm, dry faeces. Early toilet training and dietary changes are two common explanations. Fortunately, most occurrences of pediatric constipation are only transitory.
Simple dietary modifications, such as eating more fiber-rich fruits and vegetables and drinking more water, can go a long way toward relieving constipation. If your child's doctor agrees, laxatives may be used to treat constipation in children.
Signs and symptoms of constipation among children:
Having less than three bowel motions per week
Hard, dry, and difficult to pass bowel motions
Pain during a bowel movement
stomach ache
Traces of liquid or pasty stool in your child's underwear – an indication of rectum obstruction.
Hard stool with blood on the surface
If your child is afraid of having a bowel movement, he or she may try to avoid it. When trying to hold a stool, your child may cross his or her legs, clench his or her buttocks, twist his or her body, or make faces.
Constipation is connected with: 
Reduced appetite or eating
Feeling of being "full"
Small amounts of blood on the toilet paper or on the stool's exterior
Stool leaking into underwear (encopresis or soiling)
Urinary tract infections on a regular basis
Constipation does not cause:
Headaches
Breath that stinks
Learning difficulties
Poison back-up into the bloodstream
Rupture of the colon or intestine
When should you see a doctor?
Constipation in children is usually not a major problem. Chronic constipation, on the other hand, can cause difficulties or indicate an underlying illness. Consult a Children Specialist if your child's constipation lasts more than two weeks or is accompanied by:
Fever
Absence of eating
There is blood in the faeces.
Swelling in the abdomen
Weight reduction
Pain associated with bowel motions
Part of the intestine exiting the anus (rectal prolapse)
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aibidil · 5 months
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I met a new doctor the other day and he asked me if I'd ever been active on patient support groups. I was like, "Actually, no. I have for other conditions, but not for this, because I never felt I needed support."
For my pituitary issue,
there are objective metrics for diagnosis and management
no doctor has ever dismissed or downplayed a concern I've raised
doctors have almost always given good advice
the one time I had a bad doctor, I was able to navigate the situation easily with basic medical research ("From what I've found, the best practice is...")
No one (myself, doctors, family members) has ever second-guessed my diagnosis
Why would I need a online support group?
Contrast that with ADHD, POTS, hEDS, low ferritin, dyslexia (slightly different bc it's educators not doctors, but same thing otherwise), and encopresis (all of which I've figured out largely through internet support groups as patient or parent-of-patient):
doctors know very little, were taught incorrect information in medical school, or are bizarrely resistant to certain treatments (eg enemas: I have a lot of thoughts on the homophobia of that one, but that's another post)
my concerns are routinely dismissed
my concerns are brushed off as being caused by something else (anxiety, overweight, etc)
I'm told symptoms will resolve on their own if I'm patient
doctors' advice is either unhelpful or harmful, so I have to turn to peer advice that is helpful and, to protect their egos, lie to my doctors about what action I'm taking
doctors either push pharmaceutical solutions when they're not yet indicated (ie prescribing PPIs before trying nutrition changes to manage pediatric reflux) or resist pharmaceutical solutions when they are indicated (ADHD meds are some of the most researched and evidence-supported prescription drugs)
doctors misinterpret the significance of "normal" ranges of bloodwork results where normal is population average not a range to indicate health (this is common with ferritin, thyroid)
So yeah, it was nice to remember that I truly don't turn to online peer medical support if I don't have to. If I have a medical condition that they actually take seriously and manage well, I am more than happy to hand over the reins, trust what they say, and literally never think about it at all.
I have NO desire to make medical conditions part of my life's work and identity. This only ends up happening because doing the deep dive and figuring it all out myself is often the only way any solutions are found. So when doctors get pissy because patients are learning about things on tiktok or on Facebook support groups, what they should really be doing is asking why on earth people would need to resort to getting their medical information through these channels instead of by asking their doctors.
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greysken · 2 years
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Synonyms for relax
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The puborectalis originates on the posterior aspect of the pubic bone, and runs backwards, looping around the bowel. It is skeletal muscle and is therefore under voluntary control. The puborectalis muscle is one of the pelvic floor muscles. The internal sphincter is responsible for creating a watertight seal, and therefore provides continence of liquid stool elements. This means that the internal anal sphincter contributes more to the resting tone of the anal canal than the external anal sphincter. The internal anal sphincter is not under voluntary control, and in normal persons it is contracted at all times except when there is a need to defecate. The internal anal sphincter forms the walls of the anal canal. It can be defined functionally as the distance between the anorectal ring and the end of the internal anal sphincter. The anal canal is the short straight section of bowel between the rectum and the anus. In continent individuals, the rectum can expand to a degree to accommodate this function. In healthy individuals, defecation can be temporarily delayed until it is socially acceptable to defecate. It is believed to act as a reservoir to store stool until it fills past a certain volume, at which time the defecation reflexes are stimulated. The rectum is a section of bowel situated just above the anal canal and distal to the sigmoid colon of the large intestine. The relevant anatomy includes: the rectum, the anal canal and the muscles of the pelvic floor, especially puborectalis and the external anal sphincter. To understand the cause of anismus, an understanding of normal colorectal anatomy and physiology, including the normal defecation mechanism, is helpful. A-puborectalis, B-rectum, C-level of anorectal ring and anorectal angle, D-anal canal, E- anal verge, F-representation of internal and external anal sphincters, G-coccyx & sacrum, H-pubic symphysis, I-Ischium, J-pubic bone. Stylized diagram showing action of the puborectalis sling, and the formation of the anorectal angle. These researchers went on to conclude that paradoxical pelvic floor contraction is a common finding in healthy people as well as in people with chronic constipation and stool incontinence, and it represents a non-specific finding or laboratory artifact related to untoward conditions during examination, and that true anismus is actually rare. Due to the invasive and perhaps uncomfortable nature of these investigations, the pelvic floor musculature is thought to behave differently than under normal circumstances. Some researchers have suggested that anismus is an over-diagnosed condition, since the standard investigations or digital rectal examination and anorectal manometry were shown to cause paradoxical sphincter contraction in healthy controls, who did not have constipation or incontinence. These pressures are visually fed back to the patient via a monitor who can regain the normal coordinated movement of the muscles after a few sessions. It can also be treated with a type of biofeedback therapy, during which a sensor probe is inserted into the person's anal canal in order to record the pressures exerted by the pelvic floor muscles. This is usually termed encopresis or soiling in children, and fecal leakage, soiling or liquid fecal incontinence in adults.Īnismus is usually treated with dietary adjustments, such as dietary fiber supplementation. Liquid stool may leak around a fecal impaction, possibly causing degrees of liquid fecal incontinence. This mass may stretch the walls of the rectum and colon, causing megarectum and/or megacolon, respectively. Retention of stool may result in fecal loading (retention of a mass of stool of any consistency) or fecal impaction (retention of a mass of hard stool). Symptoms include tenesmus (the sensation of incomplete emptying of the rectum after defecation has occurred) and constipation. Anismus that has a behavioral cause could be viewed as having similarities with parcopresis, or psychogenic fecal retention. It can be caused by physical defects or it can occur for other reasons or unknown reasons. It can occur in both children and adults, and in both men and women (although it is more common in women). Escape synonyms slang.Anismus or dyssynergic defecation is the failure of normal relaxation of pelvic floor muscles during attempted defecation.
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