It is going to take a few days for him to start to heal and the change of diet to make a difference sadly, plus as pp said he also knows that going to the toilet is going to hurt him so will not stop being distressed for a while even when things start to improve as the fear is going to be there. What have you done so far, is he on the lactolose? does he mind taking that? Another thing I do with my son when hes having a bad patch is make sure he has something like shreddies for breakfast, not anything like cornflakes or rice crispies as they don't help soften anything, also we avoid porridge type thing as they make the poo larger imo, and avoid any bread if possible for a while to again stop things backing up in there. Hes going to have a rough week but the softer poo's will give him time to heal, hang in there xxx
It will take a while to heal as every time he has a bowel movement and bleeds he causes trauma to the area. It's what happens with those sorts of things unfortunately. Ensuring his has soft poos is the best thing you can do with lots of cuddles and reassurance. If you can, dab some vaseline on to his bum before he sits down as the poo touching the fissure will cause it to sting. The barrier between them reduces it a bit but won't completely take away the pain. Also a warm bath before a bowel movement can help but can be difficult to tell with a child so isn't as easy to do. Big hugs to you both xxx
Is there a reason why he can't have an anaesthetic cream? I had one with lidocaine(I think?) and it helped SO MUCH with my fissures. Especially with preventing the painful spasms after doing a number 2.
I think because I would never get it on in time. I had lidocaine when I had one but I was an adult and could put it on and wait before going, he's different, he will just decide he needs a poo and run to the toilet, I can't make him wait 5 minutes for the lidocaine to take effect xxx
My son is chronically constipated and I just recently had good luck with Kids Culturelle regularity. It is a probiotic plus fiber. My son is also on mirilax. Not sure if you have Culturelle where you are. I'm in the states. I was nervous about the fiber because fiber foods can make my son worse but it has been really helpful.
Sorry you are dealing with this. It's hard to see them in pain.
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