School-Aged Children

Bathroom at school...

Ugh!! 
(Background): DD has issues getting backed up - to the point that she throws up from being so bound up.  This is something that we've known about for years and really a "she just needs to grow into her bowels" type issue as she's got a cousin in the same situation who's older.  We were addressing this with her pediatrician just before he ended up retiring.  Given we've known about the issue for years, her teachers have always been accommodating because we've gone to them at the beginning of the year and said "if DD starts acting anxious or misbehaving and you can't figure out why, send her to the bathroom because oftentimes she just needs to go potty" because she also doesn't sense the physical sensation like a normal person.  She's gotten better in the past year about when she notices those behaviors in herself to ask to use the bathroom, and sometimes it takes a couple trips for her to relax enough to "let things go" when she's binding up again.  Next, the school has been having issues with the bathroom her class is allowed to use in that kids plug the toilet such that DD has had to go find a janitor (they don't leave the dang plunger in the bathroom!).. 

So for the past month or so her teacher has been timing her when she goes and making her stay in at recess if she goes past the amount of time given (3 minutes).  I told DD that yes, there's a balance, she can't be taking advantage of going to the bathroom if she's not interested in something in class, but that if she needs to poop, take the punishment, I'm not going to get mad about it! (really - I'd rather deal with a kid who missed recess than a kid who chucked all over!).  Yesterday DD got to the car after school and just antsy/jumpy/nervous/etc., it was when I asked if she needed to go she told me that her teacher wouldn't let her use the bathroom even once ALL DAY!  Thankfully we were near a place where we could stop to let her go, and once she went - TOTALLY different kid.  We talked to this teacher at the start of the school year and thought she "got" the situation, and since the whole timing thing started DD has been asking for Miralax again (??what kid asks for miralax for cripes sake!?!?)..  I don't think we're at the point of needing to get a Doc's note, but obviously if that's what it's going to take with this teacher, obviously we need to, but I really would like to handle it direct instead of going back to the doctor's office for something that REALLY shouldn't be happening for ANY kid (if a kid needs to go, they need to go!)...  How would you approach the teacher to remind her that "hey - letting the kid go to the bathroom sure beats cleaning up puke from your floor because she got backed up and you wouldn't let her go during quiet reading/study time!" (obviously more diplomatically!)...  or would you remind her and if DD still has problems to get the Ped note with an IEP...

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Re: Bathroom at school...

  • DS has been a constipated kid for a while now.  He's been on miralax for years.  He's one who only wanted to poop at home so he was holding it in K until he got home.  He ended up being so constipated after a couple of months of K that he had to be hospitalized for 3 days.  He's better now (3rd grade) about pooping other places other than home. 

    DS was diagnosed with ADHD (inattentive) over the summer and began taking meds.  Prior to meds, he admitted to using bathroom breaks to get out of stuff he didn't want to do in the classroom.  He is also easily distracted due to his diagnosis so the breaks he was taking were extremely long. 

    Did you ask the teacher about DD not being allowed to use the bathroom all day?

    Wendy Twins 1/27/06. DS and DD
  • I would get a note from the doctor.  My child does not have issues with constipation, but I am sure if he did, my pediatrician would be more than happy to write a note.  I would also talk to the teacher again and the prinicipal.  I'm sorry--I hope it gets better. 
    DS born 8/8/09 and DD born 6/12/12.
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  • Thanks all!  I just don't like the idea of ANY child, let alone my own, not being allowed to use the bathroom during the school day when they need to go. 

    It is something we'd intended to bring up with the teacher a couple weeks ago with the whole timing thing but figured it'd resolve itself, I just didn't expect this (not allowing her to go at all) to be the teacher's resolution and ultimately something we'll step in on because constipation is nothing to mess with!!!

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  • groovygrlgroovygrl member
    edited November 2014
    Does your school have a nurse? often kids with encopresis have an arrangement with the school nurse such that they get breaks at certain times of day to go to the nurse's office and try to go for a period of time. Also I think you may want to learn/read up a little more about encopresis (you didn't mention soiling but the loss of sensation is indicative of it) and like pp said, consider a GI consult. Encopresis is not 'bowels that she needs to grow into' and improvement is generally pretty slow moving. Additionally, constipation to the point of vomiting is not really common... we have been dealing with this with our pediatrician for a little over a year with our now 5 yr old and thought it is exponentially better than a year ago, I have decided it is time to get a GI consult to make sure that all is on target before he heads to public school next year. I can't really tell from your post how badly this is affecting your daughter or if she has any leakage or accidents, etc, but if she has had lack of sensation for a long time (years?) you may want to consider being alittle more aggressive, but that is just my .02. All that being said, your child being punished for this is unacceptable & I bet the teacher needs some education on the matter in addition to working with the school nurse and the administration on an appropriate way to help your daughter. A book that I found very helpful was The Ins & Outs of Poop by Thomas Duhamel, but there are others out there too. GL.

  • fredalina said:
    It sounds like you kind of gave up on the doctor side of things when yours retired. I would pick that back up and make sure she's seeing a specialist to make sure there is nothing underlying this issue. Meanwhile I would have an immediate conversation with the teacher. The punishment is unacceptable. The rest is quite possibly illegal.

    In a sense we did give up after our previous Ped retired since the last thing he did was get the situation pretty much resolved (told us to do a month-long course of Miralax to get her used to the whole idea of going regularly again, then taper off once things got on the edge of "too soft" .. )..  But also finding a replacement for him has been what seems like the impossible task.  We eventually settled on a new MD who is a Family Practice guy who's good, but not 30 years plus for experience and not jaded from it all level of good. 

    To follow up and answer a few questions, yes, we personally talked to this teacher in-person before the start of the school year on the issue.  She (DD) doesn't "soil" herself or leak or anything like that AT ALL- it's purely just an issue of having not been allowed to go frequently enough these past few weeks at school she literally filled up (she's a string bean and you can see she's backed up visually in her tummy region)...  Things are just today starting to slowly move through but we're also following the issue incredibly close and if by Tuesday things haven't gotten back on track I'll be taking her in to her doc for the "get it added to the file again".  This is essentially something we've had in the family.  My nephew had it FAR worse than what DD has to the point the family has a "code" for his "I plugged the toilet, leave it sit for a few hours so it's soft enough to flush and move through the pipes!").

    (final follow-up) We did message the teacher with the Principal copied in.  We really hoped to keep things handled from within instead of getting her special permission from the doc.  The teacher was pretty snarky in her reply complaining about DD getting an attitude when she refused to let her go (what we told her was the first symptom that DD NEEDS to go to the bathroom because she becomes a different kid once she goes) even though essentially we want the same thing (DD to use the times like between classes or lunch instead of interrupting during class with the request to go), but that the outright refusal to let her go backfired and turned into a health issue that all of us now have to deal with.  It is what it is at this point, if we end up going to the doc, so be it.  I can't be there with DD at school to say "o.k., go to the bathroom now!" to remind her and be proactive.  Hopefully the teacher can make some changes to be proactive about having DD go when she'd like her to, but I'm not exactly optimistic given this teacher's personality..  Of course, I feel awful having to step in because I want to be supportive of the teacher's classroom management, but can't overlook something that's becoming a legit health issue if not resolved sooner rather than later when it's really such a simple issue.


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  • I haven't weighed in on this situation because you've gotten great advice, and I'm not an expert on this topic.  

    As a fellow teacher, I'm really offended and aggravated by your daughter's teacher's actions.  Come ON, lady!! This kid is coping with a serious issue that's been brought to your attention.  The parents aren't asking for anything outrageous, and they want to support your classroom procedures.  Stop being a jerk!

    Anyway, I hope things are sorted out soon!  I'm sorry you're dealing with such an unsympathetic teacher.
    High School English teacher and mom of 2 kids:

    DD, born 9/06/00 -- 12th grade
    DS, born 8/25/04 -- 7th grade
  • Not to downplay the teacher being a douche about the whole thing, but maybe your DD could be on a regimen where she usually goes at home?  Like give her a couple prunes for dessert, or Miralax before bed, and have her sit on the potty after breakfast?  I'm an internist, and I am constantly coaching my patients on a bowel regimen.

    DS takes 2 fiber gummies per day just to prevent any issues. 
    DS born 8/8/09 and DD born 6/12/12.
  • emberlee3 said:
    Not to downplay the teacher being a douche about the whole thing, but maybe your DD could be on a regimen where she usually goes at home?  Like give her a couple prunes for dessert, or Miralax before bed, and have her sit on the potty after breakfast?  I'm an internist, and I am constantly coaching my patients on a bowel regimen.

    DS takes 2 fiber gummies per day just to prevent any issues. 
    She's on quite the routine at home!!!  First thing she does in the AM - bathroom...  First thing when she gets home from school - bathroom...  etc. etc.
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  • The GREAT news is that tonight the main toilet-clogging blockage passed with the trip to the bathroom after that being a "normal" BM and DD was excited that tomorrow she gets to have her Miralax cut in half to start tapering it a bit!!  Of course, until things are back to normal for at least a couple weeks without the Miralax will we reconnect with the teacher. 

    Thanks all for the awesome recommendations and advice!!!  @fredalina I didn't take your comment as being (negative) judgmental at all!!  It was really true that we had pretty much given up on the medical route - but it was because the situation resolved itself by following the Ped's advice so a reasonable reason for not following up after that. 

    I'm just so glad that she's finally over the worst part and we're well on our way to things being managed by her again!!! 

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  • MrsLee04 said:

    emberlee3 said:

    Not to downplay the teacher being a douche about the whole thing, but maybe your DD could be on a regimen where she usually goes at home?  Like give her a couple prunes for dessert, or Miralax before bed, and have her sit on the potty after breakfast?  I'm an internist, and I am constantly coaching my patients on a bowel regimen.

    DS takes 2 fiber gummies per day just to prevent any issues. 

    I just want to say as a parent who has been through this, comments like this always made it harder. Like I told the people who brought up prunes and fiber gummies at the time....do you think that I didn't try these things before driving multiple times over an hour and 3 hours away to see pediatric GI specialists, put my kid through invasive tests, and deal with the medical bills associated? The specialists were very clear in our case that fiber was not the problem.
    I'm sorry if my comment upset you. I did not mean to imply that medical treatment is unnecessary. I was referring more to a "maintenance phase" regimen, which can be titrated to a particular child's needs.
    DS born 8/8/09 and DD born 6/12/12.
  • OP, I certainly did not mean to imply that a child with severe constipation would be fine if she simply took fiber gummies or prunes. I'm sorry if my previous posts were not clear.

    I am glad your DD is doing better!
    DS born 8/8/09 and DD born 6/12/12.
  • Our GI specialist told us that diet is frequently not the issue w/ kids like it is w/ adults, that it is much more about the holding behaviors & resulting complications and did not even recommend worrying about fiber supplementation, etc. Also to the PP, again, not sure what your practice is w/ the Miralax but it sounds like you've been doing some quick ons & offs and from what I understand and have experienced w/ withdrawing it w/ my own child, it is not something you should really go on & off, but should maintain for a while and eventually wean off slowly b/c it can backfire if withdrawn too quickly- our DS had diarrhea this summer and I cut back his Miralax (only by 1/2 not eliminating) which resulted in constipation warranting an enema and it was terrible. Our GI dr told us he thought in a year we could wean DS off once things were totally normal for quite some time. Just another thing to consider.  I am very glad she is feeling better & hope all works out with the school/teacher!!!!!!!
  • Ok, for the record. Forget about prunes, diet, etc. here's my original point: Maybe on a good regimen, as directed by a Peds GI specialist, she would mainly poop at home.
    DS born 8/8/09 and DD born 6/12/12.
  • emberlee3 said:
    OP, I certainly did not mean to imply that a child with severe constipation would be fine if she simply took fiber gummies or prunes. I'm sorry if my previous posts were not clear. I am glad your DD is doing better!

    No worries and ZERO offense taken!!!   We've already tried those - fiber isn't her issue as much as it is the physical holding it in, always has been.  My Ma pointed out last night "it's always been DD's issue - remember when she was just a baby and you had to take her in for not pooping and it lasted for months at a time?!?!?!" (back then they said it was just because of using breast milk that she wasn't pooping and using it incredibly efficiently so no waste)... 

    As for the weaning off the miralax - we know it's a gradual process, but for her it's been when she turns to having diarrhea we drop her down from the full dose because she is such a string bean.  However it's also a sign that what was clogging has now passed, so a healthy sign too. 

    How I end up with two kids on virtually the same diet on two exact opposite ends of the bowel spectrum is BEYOND me LOL!  DD got them from my side, DS from DH's... 

    My biggest concern through it all was how do you deal with the teacher without getting forever labeled as "that parent" when we're really the type of parents that are the "we support the teacher in all things their classroom and the kid knows it" types...

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  • I'm a little late to the party, but if I had student with an issue that was non-academic AND she knew when/how to take care of it herself, I'd be more cooperative. At that age, they should be able to come up with a non-verbal "sign" and not even need to disrupt class. GL.
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