Hi,
I hope all of you experts can help! My 6 year old son has had a fissure on and off for over a year now. Started with very small amounts of blood on tp and never complains of pain. Dr. recommended Miralax which took me forever to get the right dose for him. I have to do about 1/2 tsp every other to every two days or else he has accidents because it's so soft he doesn't even get the urge. Worked for awhile and so then started weaning him off, and then bleeding again. He has a BM about 5 days a week and when not on Miralax they are huge. Over the last month or so the bleeding is more as in it drips in the toilet water. Twice now he has actually bled a bit when just urinating. I've noticed when he urinates he pushes as if he's having a BM. I've encouraged him to relax and that he doesn't need to push it out. I'm assuming that the pushing from urinating and pooping is constantly opening the fissure. All the dr is saying is keep pushing Miralax to keep the poop soft. I'm also giving him a probiotic and starting a fiber supplement today. I'd like to get away from the Miralax if possible as he seems so sensitive to it and it's so hard to control the dose where he doesn't have leaks. The other day I picked him up from Kindergarten and he had a bit in his undies and he said he didn't feel it : ( His BM also seems very pasty and gooey on the miralax.
I have follow up with Dr. in 2 weeks and wondering if there are any other suggestions anyone has. Thanks!