My nephew is about to turn 12 years old. He recently came to live with us after several problems in his own household. He is in 5th grade.
Ever since he was little he has had a problem with "accidental" bowel movements in his pants. It is something that we have always had to try and help him with. He has also been diagnosed with ADHD and is not on any medications. While medications were tried for the ADHD, his mother opted to take him off of them. Since he has come to live with us, behaviorally he has been fine, except that he continues to have bowel movements in his pants. We asked him about this and he says he doesn't actually "feel" when he needs to go. I also think that the embarassment of the fact that he does it is preventing him from saying anything while we can all tell by his regular "odor." We aren't sure as what to do about this. We know that the issue was once addressed with his pediatrician who said he was just "lazy" but at the age of 12 we aren't sure if this is laziness or could be linked to his ADHD or if it could be a medical problem. However, we know if something isn't done it could become a medical problem if it continues. We aren't sure weather to try another doctor, a therapist or what. He is doing fine now that he is in a new more "functional" and "stable" home environment when it comes to behavior. He enjoys his new school, his teacher, and is making friends. However, the bowel movements in the pants continue. We are going through underwear like mad! Any help would be greatly appreciated as we are at a loss as to what to do! We don't want to embarass him but we do want to fix the problem that was obviously not corrected before he came to live with us. Thanks!
You might consider two things. First, obtain a referral to a pediatric gastroenterologist for a specialized workup. Don't assume that he is well medically. The process can begim with a routine examination by a peditrcian; you'll want to rule out that he is chronically constipated and has impacted bowel syndrome. This can be treated. Second, schedule an evaluation with a pediatric neurologist or child/adolescent psychiatrist for the purpose of re-evaluating and probably treating the ADHD.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.