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The 11 month old that I posted a while back about being on whole milk and not formula, the doctor gave the OK and I got a doctors note. Now this baby is so constipated that she will lay on the floor and scream for hours. The parents give her miralax about every 3 days but it doesn't help. Today it was so bad that I had to guide it out and bend her knees up and it was the size of a golf ball and hard as a rock! I don't know how to handle this. I have spoke to the parents and they do nothing about it other then give her miralax or give her nothing but water. Then a few days go by and she does it again. This poor baby is miserable and the parents always say the are calling the doctor and nothing changes. Would you term over this? I CAN NOT handle this for up to two hours a day and handle 8 other kids (one of which is 4 months old and also needs me) I know its something the baby can't help but I don't see the parents helping and its getting to a point where I feel like I call them at least twice a week because this baby is having some sort of issue weather it be constipation or just non stop crying and the parents make me feel like I am the one that can't handle her. I don't know what to do. Part of me feels like I need to put it back on the parents and tell them if they don't get it under control then they need to be termed. but at the same time my job is to care for these kids and this is part of it.
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I also want to add that the parents think she is lactose intolerant. However she had NO problem whatsoever while on formula. So if she was lactose intolerant would she of had an issue with formula as well? -
And part of it is being able to provide care for all the children in your care. If a child's health problems affect the care you can provide the others, it does effect your program and your clients. Not to mention this isn't good for the child.
"Dear DCP. As we have discussed previously, the situation with your child's constipation has continued and reached a level it is affecting the care I can provide DCB and others in my program. If the situation persists, a change will have to be made. This could include suspension or termination of services. I advise you to seek additional medical care regarding your child's condition."Comment
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The Miralax should probably be given daily. I have a foster child with chronic constipation. He was getting three TBSP of Miralax a day (a BIG dose) since 5 months of age. Without it, he is miserable-screaming and straining, and can not pass a stool without a liquid glycerin laxative (suppository style). The doctor said that things should get better once he is on table food. He only recently has been able to start eating table foods and it has improved somewhat...we're down to 1.5 TBSP per day of Miralax and he's still going somewhat normally, though he sometimes still needs that glycerin to pass a stool (and it is very hard and huge when he does need that glycerin). If the parents think it's lactose intolerance, why have they not tried a lactose free milk?Comment
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Pretty sure a baby that is lactose intolerant would need to be on a special formula, and would not be able to continue drinking milk, from digestive abdominal pain.
My oldest daughter became constipated very easily as a baby, and cracker was one of her first words, so we knew why.
But seriously, depending on how bound up they are, can be very painful for babies. I cannot seem to understand how a parent could fluff this off
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I would call for pick up when she cries from this issue. They are making this your problem when it is theirs. If they have to leave work every few days to pick her up they will realize what a problem it is.Comment
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...good point!
I'm really interested in this thread, cause I'm facing something similar with a day care child for the first time this week with my 11month old, he hasn't had a bm in 5 days and the last two days he's been miserable.
Thanks Hope, I'll be using this advice tomorrow
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It's awful. These parents never do anything about it but try to comfort her while she does it. And when the doc suggested going back to formula that said no because they didn't want to spend the money. These are young parents and don't always make the smartest choices. The do what is best for them and not the kids. I really need to make this there problem and not mine. But when I call they get upset because I should be able to handle it. They say it's my job to care for her and this is how she is.Comment
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The mom came in today and she was already screaming in pain trying to poop. All she could get out was a pea size ball which tells me something has to be going on either she is backed up and its not coming out or something far worse then just pooping. I told her she could not stay and if I was her I would drive straight to the er and get her looked at to rule out something more serious going on. So she leaves and now that its nap time, I called mom to see how she was and what she found out. She didn't take her in, she said the DCG fell asleep from crying and wanted to let her rest. Said she would call me later. Im sorry something is wrong! Is this something I need to start checking into maybe calling someone like srs? I don't know what to do.Comment
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Yes, this could be or become a serious problem if not taken care of. I don't understand how a parent could watch their child screaming in pain and not be more concerned...it could be as simple as a diet change, miralax daily...whatever they need to do to help her!
I found this online:
If your child becomes constipated, it can cause discomfort and serious complications if it goes untreated.
Megacolon. Nope. It’s not a new superhero. It’s what doctors call it when your colon gets stretched out from holding on to too much poop. A stretched out colon often is accompanied by bowel incontinence. It’s not pretty. And it doesn’t smell like roses.
Anal fissures. This happens when a large stool tears the skin around the anus.
Hemorrhoids. Yep. Kids get them too.
Rectal prolapse. This is when the rectum lining falls down into or sticks through the rectum. As you can imagine, this can be highly traumatic.
Emotional trauma. Painful pooping, teasing from other kids — it can be quite traumatic.Comment
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