Pre-School and Daycare

4 year old "streaking" underwear

Sorry if this is TMI...I hate writing about poop! My 4 year old was late in pee training and still cant seem to get down pooping on the potty. She tells me she has to go after she has already started. All of her underwear has streak marks...its nasty (I keep replacing pairs, just to get ruined..and those marks dont come out). I've offered rewards, had talks...she just cant seem to get the timing down. Any ideas? I'm going to talk to her pediatrician at her upcoming 4 year checkup. Thanks

Re: 4 year old "streaking" underwear

  • Hi:

    We are having literally the exact same problem which started in Sep. These kind of "skid marks" in the underwear and never telling us when she has to poop. Our DD was also very late in the pee training and has some other delays. Does she have any problems with constipation? We went to the Ped and that was basically his diagnosis. In the Xray we took you can see all the stuff impacted in the bowel and what happens is that it becomes full and literally squeezes the excess out b/c there is no more room. (Sorry to be graphic). Its not that she isnt telling it's that she cant actually feel or control it. Think about it like if you had to pee and kept holding it and holding it till inevitably it just came out. Its kind of like the same thing.

    Our Dr. has recommended Miralax to clean her out which worked,however it is causing diarhea(sp?) which is problematic. We are also adding fiber powder and Activia. It's kind of a hard problem to get a handle on but all you can do is just keep trying different combinations of laxative and fibers and see what finally does the job.

    Sorry this was so long but good luck at your Ped. and I hope it resolves soon. I know how frusterating it can be for all involved!

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  • My daughter had a similar issue. We did Miralax to resolve the constipation issues. She couldn't tell she had to go until it was coming out because she always felt "pressure" in that area. Once she wasn't constipated any longer she quickly picked up on when she had to go. I used Shout Advanced and the sanitary cycle on my washing machine and was able to get the majority of the stains out.

     

    To the poster whose child is having diarrhea on Miralax....we moved DD to every other day and that resolved those issues.

    Good luck!!

  • Thanks so much for the advice. Both of my girls have bad constipation and have been on Miralax for years (which I dont find helps). I was supposed to have an appointment with a new GI a couple of weeks ago, but due to the hurricane, I had to bump to end of January :-(. I'm trying some new things on our own, like flaxseed, but I do agree constipation adds to the streaks. Hopefully it'll all click one day!
  • imageMrs.JLC:

    My daughter had a similar issue. We did Miralax to resolve the constipation issues. She couldn't tell she had to go until it was coming out because she always felt "pressure" in that area. Once she wasn't constipated any longer she quickly picked up on when she had to go. I used Shout Advanced and the sanitary cycle on my washing machine and was able to get the majority of the stains out.

     

    To the poster whose child is having diarrhea on Miralax....we moved DD to every other day and that resolved those issues.

    Good luck!!

     

    Thanks!

    Do mind me asking how much Miralax you are giving every other day? Our GI had her on 1 Tablespoon everyday but that produced uncontrollable diarrhea every day some times 2 or 3 times per day. We are trying to do 1 teaspoon everyother day but i am interested to hear other peoples doses. :) FYI my DD is 4.5 years old and about 42 pounds.

     

  • Miralax dosing is an art. DS gets backed up without it, but is regular to runny on 1/2 tsp or less a day. We usually need to start off higher for a bit and make sure he's fully cleaned out and then slowly back off. Right now we're at 1/4 tsp alternating days with 1/8 tsp. Our doctor seems to think it's ridiculous, but it is for him the difference between backed up and runny. I know other kids who need a half a cap.
  • My DD is on a quarter of a capful (I have not measured to see how many tsp/tblsp that is) every other day. She is also 4.5 yrs old and she weighs about 35lbs. She started on half a cap every day. Once she was cleaned out we slowly backed off. I also have been working to introduce other types of fiber into her diet and limit dairy and other things that cause constipation.

    Other things I have found helpful but only work if you have the time in your schedule:

    I try to get a little activity in with DD about 10-15 minutes after dinner. Nothing crazy but some dancing (I like Kids in Action CDs) or a short walk with the dog. In the summer we head to the park. I find it helps to keep things from slowing down too much. We also have a kiddie yoga book and sometimes just stretching (or even doing bicycles like when she was a baby) helps move things along. After play time I let sit her on the potty to try to go. More often than not she is able to go.  It has kind of become a habit and there are times where she heads up to the potty while I clean up from dinner (prior to playtime).

    I also wake DD up 10-15 minutes earlier than really necessary in the morning. I let her sit on the potty while I finish my hair and make up. She doesn't always go but it has gotten her in the habit of trying to go on a regular basis when she isn't as pressed for time (like she is at school).

     Again, good luck to you all!  I know it can be frustrating but it will get better. I promise.

    Side note: while the situation itself was frustrating, some of the lifestyle changes we made (being more active, having some time to chat in the morning) were a nice silver lining. :)

     

     

     

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