Bowel Flush

[Dolly Staab]

Dr. Woeller,

Casey having BM most every day but it still seemed not enough. I had the x-ray done and sure enough shows lots of BM so constipation issues.
Today is the third day on antibiotic and Dr. said we would discuss the x-ray and see next Thursday, assuming he is waiting to see if antibiotic causes loose stools and clears it out. Could this clear it? Or should I proceed with bowel flush protocol?
He is talking about a prescription Miralax. Is there a difference between the prescription or over the counter.
Also, you say Bowel flush can be repeated. With someone who has had issues for years, would it be best repeated once a month for so many months?

Thank you,

[DrWoeller]

Dolly,
Best to repeat once monthly. I would wait for your doctors guidance since she is on an antibiotic. The Miralax is a good way to do and is likely looking to do a higher dose than what is generally recommended over-the-counter.
Dr. Woeller

[Dolly Staab]

Dr. Woeller,

I noticed you said if child is allergic to corn then avoid Miralax.
Is there anything else that can be used or compounded other then Miralax?

I do not think Fleet enema option will work, I am afraid she would tense up and cause more damage.

Is there any reaction to watch for using the Dulcolax suppository?

I am going today to see the abdominal x-ray, can I attach a picture here to see your thoughts on it?

Thank you,

[Dolly Staab]

Dr. Woeller,

I noticed you said if child is allergic to corn then avoid Miralax.
Is there anything else that can be used or compounded other then Miralax?

I do not think Fleet enema option will work, I am afraid she would tense up and cause more damage.

Is there any reaction to watch for using the Dulcolax suppository?

I am going today to see the abdominal x-ray, can I attach a picture here to see your thoughts on it?

Thank you,

Thank you,

[DrWoeller]

Dolly,
Contact a local compounding pharmacy in your area and inquire with them about a corn-free laxative powder similar to Miralax. They may have some other options.

Ducolax – nothing specific needs to be watched for other than some people will force them out by contracting their lower pelvis area.

X-ray – yes, you can post the image here. Also, if you can get the radiologist report that is even more helpful.

Sincerely,
Dr. Woeller

[Dolly Staab]

Dr. Woeller,

I did not get copy of x-ray but did attach the Radiologist report. She has hip and bone issues as well any ideas as to whom I might take her to for that.

Any help in a direction to go with this would be great.

The compound pharmacy I use here in Lincoln wanted me to ask about miralax as she said it is not derived from corn so didn’t understand the corn issue.

Thank you,

[Dolly Staab]

Attaching report as previously mentioned.

[DrWoeller]

Dolly,
Perhaps I am mistaken about Miralax and corn. I thought it had corn starch in it. Perhaps it did in the past. I am looking now and cannot find any reference to it. It should be fine.

The X-ray definitely confirms some constipation.

Curious about her hip? Did you know about this?

Dr. Woeller

[Dolly Staab]

Dr. Woeller,

I did not know about her hip, So I am guessing at this one but should set her up with a hip specialist. I am going to try my best to find someone to help her with this.

any ideas?
Thank you

[DrWoeller]

Definitely see an orthopedist. It may be causing her pain?
Dr. Woeller

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