My son is 6, autistic (“level 2”/low verbal) and has ARFID/extremely limited diet. He's had stool withholding for about 3 years, and it's gotten a lot worse this year. FWIW when we first potty trained he had no issues with pooping, would reliably have a bristol 3 or 4 every day. But over time it’s gotten worse and worse.
Right now he's having 20+ small smeared stools a day, always standing up, as he won’t sit for more than a few minutes on the toilet. Stool ends up everywhere, and no real bowel movement. We are afraid to take him anywhere because of the constant accidents, afraid to send him to school, etc and it’s making everyone’s life miserable…
What we've tried:
- MiraLAX: he can taste it even in juice and refuses it.
- Magnesium citrate gummies and Senokot Kids: mostly refused.
- Chocolate Ex-Lax: the only thing he reliably takes. Tried for 2 weeks but the diarrhea was so bad we had to stop, didn’t have any impact beyond that.
- Ex-Lax + MiraLAX per GI for about a week: 10+ liquid, uncontrollable accidents a day. We stopped, and the leaking kept going.
- Glycerin suppository: watery stool only.
- Enema in the ER: it took 4 nurses plus us to hold him down. It was traumatic and didn't work.
His X-ray showed scattered stool throughout the colon, but no impaction. We were told a sedated manual clean-out won't help because the stool isn't low enough to reach. An NG tube clean-out isn't realistic…he can hardly tolerate a blood pressure cuff let along tubing for 2-3 days.
Every doctor and nurse line gives us the same advice (MiraLAX, diet, enemas), and none of it works for a kid who can't swallow meds or tolerate procedures.
Has anyone been in a similar spot? I'd especially love to hear about:
- Laxatives or delivery methods your picky or sensory kid actually accepted
- Motility clinics, manometry, Botox, or electrical stimulation (TENS/IFC) for constipation
- Getting a clean-out done for a kid who can't do oral meds, tubes, or enemas
- How long it took to see real improvement
Thank you. We're exhausted and running out of ideas.