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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 26383
Experience:  Over 20 yrs of Family Practice
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I care for a 3 years old boy who has never had a normal bowel

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I care for a 3 years old boy who has never had a normal bowel movement. His parents have consulted a pediatric GI specialist, who recommended Miralax (4 months w/o good results), followed by MOM daily for the past 8 weeks (again w/o good results). He has a huge BM (usually 2-3 round very firm stools) once a week with a glycerine suppository and a few small watery accidents every few days. Toward the end of the week, after not having a BM for 5+ days, his lips appear cyanotic, his skin appears "mottled", he complains of being cold, has little appetite, his abdomen swells and he becomes very tempermental. He also will only defecate on the floor of the bathroom- we believe he associates the toilet with pain and frustration from stressful unsuccessful bowel training. As a side note, he is otherwise potty trained- he doesn't have urinary accidents.
Submitted: 4 years ago.
Category: Health
Expert:  Dr. Chip replied 4 years ago.
Has his thyroid function ever been studied?
Customer: replied 4 years ago.
He has had yearly check-ups but I am unsure if a thyroid panel was a part of his physical.
Expert:  Dr. Chip replied 4 years ago.
Well, that needs to be checked and even if the TSH is considered "normal" the new guidelines are that if it's 3.0 or above and there are symptoms of hypothyroidism, the patient should be treated for that. What you've describe sounds very much like hypothyroidism to me.
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