| Subject: Re: Teen withholds her stools |
Author:
Joyce
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Date Posted: Saturday, December 14, 2024, 12:05: am
In reply to:
Shelly
's message, "Re: Teen withholds her stools" on Friday, December 13, 2024, 06:11: pm
Shelly,
I want to share with you some information about Miralax.
I understand that sitter had a very bad experience several years ago when her mom was told to give her large doses of Metamucil and Miralax and that suggesting that to her now would likely put your relationship with her at risk. So please don't say anything to her about this at this time. Perhaps there will come a time when you and sitter are having a comfortable conversation so that you can gently share what I tell you now.
Its important to understand how Miralax works. Miralax is granular (like sugar or salt) PEG-3350 made by Bayer pharmaceuticals. Bayer makes lots of it and it is very profitable. It is used by mixing it into water, milk, fruit juice, or other beverages where the granules attach to the water. It has no significant taste. Once in the stomach it carries the water through the small intestine where nutrients are absorbed and on to the colon. If a large dose of Miralax is taken it acts like an enema often with unpredictable and embarasing results.
In my experience that is why most people think of Miralax as a laxative. However if taken in small controlled doses it can be very helpful in avoiding constipation. The beauty of it is because of its granular nature it is easy to precisely control the dose. If you start with a very small daily dose it will probably have no effect. But if you slowly increase the dose, perhaps once a week, it will reach a point where bowel movements will gradually become more frequent without embarrassing accidents.
For sitter I think she should start with one teaspoon at breakfast which is far less that the Bayer recommended dose. Increase the dose by a half a teaspoon each week. Continue the maintenance enemas and cleansing treatments until you see an increase in BM frequency between enemas. Then gradually decrease the frequency of enemas and adjust the Miralax only as necessary until you obtain the desired regularity. This may take several months. But during this time her colon may slowly return to normal size. Cleansing enemas should be continue, perhaps once a month, to keen her colon healthy.
Do your best to convince setter if she is patient and doesn't rush the adjustments she should be able to avoid the disasters of the past.
Now is probably not the time to present this to sitter. But based on the recent report from her mom she may develop a happier, healthy life from your attentions.
My best to you and sitter. Please keep me posted on your progress.
- Joyce
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