Encopresis
Diet Differences, Observations, and Risks for 2 Year Old Twins Over Time.
Dear Dr,
I have twins boy/girl 2yrs old.
i feed the many veggies. I steam them and puree them. If i give them just steam they will not eat them.
the also eat fish sticks, chicken nuggets, turkey, steak, chicken, hot dogs, ground beef and ground turkey.
they will eat salmon and halibut.
they eat alot of fruit and goat yogart and goat milk.
my son likes rice milk and my daughter likes soy milk.
the really do not eat any cow dairy.'
but once in awhile i give them cottage cheese, they will only eat it with fruit.
they get veggies and fruit 1-2 times a day.
i buy most of my food at the health food store.
they do not get fruit juice, the only sugar they get is from fruit.
they have whole wheat bread, oatmeal, pasta - sometimes rice pasta.
i think their diet is very heatlhy.
but their bms are kinda mushy, they are not hard or formed.
once they had mac and cheese and they did not have a bm for 2 days and they were little round hard balls.
my son will have 1-2 bm a day sometimes 3. my daughter will have 1 a day and it will be big. sometimes 2.
am i doing something wrong?? should their bm be hard and small.
they are very healthy and last winter if they had colds they were better within days.
all my other friends who feed their children crap food seem to be sick a lot and have hard bms.
please give me some advice.'
my husband feels i am giveing them to many veggies and fruit.
thank you.
sincerely,
ilyse
Ilyse—The diet looks fine with lots of fiber and a reasonable diet of protein sources. Small and hard BMs are not good and over time you will relate more to what goes in and what comes out. Constipating or binding foods could result in a hard uncomfortable passage of stools which can lead to some children “over holding” and resisting sitting on the stool for their BMs. A vicious escalating cycle of pain-hold-more pain-more holding, is possible and become hard to overcome by predominate pediatric treatments today which merely emphasize “maintenance therapy” with the use of oral laxatives or stool softeners. Mushy BMs are OK if they do not get too much on the side of being “liquidy” or pudding-like in nature which could compromise the ability to detect the difference from passing stool or gas. That could result in soiling with harsh and confused reactions by the parents and actually promote stronger and more frequent holding attempts. Encopresis with or without constipation may result. Your boy will very likely copy your husband in his food eating habits just by observation, though your influence will still contribute to his eating habits. You are doing a good job, just keep observing and gathering information.
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