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Autism. Abdominal pain, vomitting, water sandy poop. GI study normal. On miralax. Problem?

Hi, My son Jake is 9 years old with moderate autism. He has always struggled with intentional bowel movement holding. His pediatrician has had him on Miralax for a couple years now, The past year we have been experiencing new symptoms. He has had severe left sided abdominal pain with vomiting about every 15 days. He has had an upper GI barium study and that came back normal. He has a bowel movement everyday that is water and has a sandy texture that looks like the Miralax
Asked On : Tue, 30 Apr 2013
Answers:  1 Views:  45
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Pediatrician 's  Response
Dear user,

The scenario you are describing is compatible with chronic fecal retention and constipation. You need to ask his doctor to get him admitted to a hospital and to get his bowels completely evacuated with age appropriate doses and methods of enema. Once his bowel has emptied, you can start him on behavioural modification program so that he does not retain stools inside of him. The symptoms are periodic because he reaches a full abdomen once every fortnight.

- Dr. Taher
Answered: Tue, 28 May 2013
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