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encopresis (again) [okay...still]
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<blockquote data-quote="Marguerite" data-source="post: 87637" data-attributes="member: 1991"><p>I'm not sure who said it was about control, but there are several ways of interpreting it. I interpret 'control' in this sense, as simply not being aware (ie not having the control, at the level of brain awareness). That's where it all starts. I don't see this as a matter of a child necessarily deliberately withholding, at least not in the beginning. But it all connects together and I think underlying it all, underpinning it all, is the Sensory Integration Disorder (SID), which in this case leads to a lack of awareness of the need to go. Then you get the secondary problems - I don't feel the need to go, therefore it builds up until it's painful; therefore I will try to hold on for longer next time because it hurts; it gets worse because holding on more makes it worse; lack of body awareness again means the urge to go isn't as well noticed; constipation again with leakage; the smell would kill a brown dog (Aussie expression - our brown dogs are tough) - it all builds up (in every way). The child's sense of shame (it IS there) leads to denial, which increases parental frustration, which leads to the child trying to hide it more because they simply don't know what to do because it's all overwhelming.</p><p></p><p>You need to break the cycle. If the child isn't recognising cues to 'go', then it's back to early potty training and prompting. We would sit a baby on the potty after meal times - so either in the morning after breakfast, or in the evening after dinner, remind the child to go and at least try. "But I don't NEED to go!" is what you will hear, so it is always best to have set this up ahead of time with the child, via a talk and an agreement. "Just try, take a book with you or a computer game - anything to occupy yourself while you're in there. And have a try."</p><p>If no result, simply say, "At least you tried, thank you," and do the same thing next morning or next evening. The daily prompting does set up a BODY response (which is independent of the child's conscious response) and hopefully the body will learn, even while the conscious brain is still struggling with it all.</p><p></p><p>The cake recipe:</p><p>Whole Orange cake This recipe is gluten free</p><p>Note: Imperial (US) measurements are for that measure only. 1 cup castor sugar weighs less than 1 cup of milk)</p><p></p><p>Boil 2 Oranges (whole with peel on) for 1 hour then Puree.</p><p> Blend</p><p> 250 gm (4 oz) of Almonds or Almond meal</p><p> 1 cup (7 and a quarter oz) of caster sugar </p><p> 1 tsp of baking powder</p><p> </p><p>until everything is ground to a fine powder</p><p> Add 6 61gm eggs (that's just over 2 oz per egg) to Orange puree then add almond mix.</p><p> Cook at 180 C (that's a moderate oven, 350 F) for 55 - 60 minutes</p><p> Use a spring form tin with foil around the outside in case of leaks.</p><p></p><p>My own suggestions here - use a silicone baking mould rather than spring-form. Use ground almonds (grind them first if you only have whole blanched almonds). If you haven't got castor sugar, use the usual granulated stuff, but the same weight. Blend the dry ingredients, then tip them out into a basin. Blend the eggs, add the orange puree, then add the almond meal and blend until all sugar is incorporated into the mix. As long as it's all mixed together it should work out fine. </p><p></p><p>If in doubt over the eggs, weigh out ALL your eggs to a total of 13 oz, then break in the eggs. It works - we have bantam eggs plus full-size eggs, I make my recipes by weighing out the total egg in grams, and take it from there. We've translated a lot of recipes.</p><p></p><p>It's tasty, it's also high fibre but doesn't taste like it. You can also make a syrup using orange juice and sugar, and pour it over the cake. It IS sticky, but absolutely wonderful. You can serve a piece with cream or ice cream, or a dollop of sour cream or yoghurt. I've known mothers of kids with gluten allergies who serve this up as a birthday cake - the kids love it as a special treat.</p><p></p><p>Remember - Fibre, Fluids, Frequency.</p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="Marguerite, post: 87637, member: 1991"] I'm not sure who said it was about control, but there are several ways of interpreting it. I interpret 'control' in this sense, as simply not being aware (ie not having the control, at the level of brain awareness). That's where it all starts. I don't see this as a matter of a child necessarily deliberately withholding, at least not in the beginning. But it all connects together and I think underlying it all, underpinning it all, is the Sensory Integration Disorder (SID), which in this case leads to a lack of awareness of the need to go. Then you get the secondary problems - I don't feel the need to go, therefore it builds up until it's painful; therefore I will try to hold on for longer next time because it hurts; it gets worse because holding on more makes it worse; lack of body awareness again means the urge to go isn't as well noticed; constipation again with leakage; the smell would kill a brown dog (Aussie expression - our brown dogs are tough) - it all builds up (in every way). The child's sense of shame (it IS there) leads to denial, which increases parental frustration, which leads to the child trying to hide it more because they simply don't know what to do because it's all overwhelming. You need to break the cycle. If the child isn't recognising cues to 'go', then it's back to early potty training and prompting. We would sit a baby on the potty after meal times - so either in the morning after breakfast, or in the evening after dinner, remind the child to go and at least try. "But I don't NEED to go!" is what you will hear, so it is always best to have set this up ahead of time with the child, via a talk and an agreement. "Just try, take a book with you or a computer game - anything to occupy yourself while you're in there. And have a try." If no result, simply say, "At least you tried, thank you," and do the same thing next morning or next evening. The daily prompting does set up a BODY response (which is independent of the child's conscious response) and hopefully the body will learn, even while the conscious brain is still struggling with it all. The cake recipe: Whole Orange cake This recipe is gluten free Note: Imperial (US) measurements are for that measure only. 1 cup castor sugar weighs less than 1 cup of milk) Boil 2 Oranges (whole with peel on) for 1 hour then Puree. Blend 250 gm (4 oz) of Almonds or Almond meal 1 cup (7 and a quarter oz) of caster sugar 1 tsp of baking powder until everything is ground to a fine powder Add 6 61gm eggs (that's just over 2 oz per egg) to Orange puree then add almond mix. Cook at 180 C (that's a moderate oven, 350 F) for 55 - 60 minutes Use a spring form tin with foil around the outside in case of leaks. My own suggestions here - use a silicone baking mould rather than spring-form. Use ground almonds (grind them first if you only have whole blanched almonds). If you haven't got castor sugar, use the usual granulated stuff, but the same weight. Blend the dry ingredients, then tip them out into a basin. Blend the eggs, add the orange puree, then add the almond meal and blend until all sugar is incorporated into the mix. As long as it's all mixed together it should work out fine. If in doubt over the eggs, weigh out ALL your eggs to a total of 13 oz, then break in the eggs. It works - we have bantam eggs plus full-size eggs, I make my recipes by weighing out the total egg in grams, and take it from there. We've translated a lot of recipes. It's tasty, it's also high fibre but doesn't taste like it. You can also make a syrup using orange juice and sugar, and pour it over the cake. It IS sticky, but absolutely wonderful. You can serve a piece with cream or ice cream, or a dollop of sour cream or yoghurt. I've known mothers of kids with gluten allergies who serve this up as a birthday cake - the kids love it as a special treat. Remember - Fibre, Fluids, Frequency. Good luck! [/QUOTE]
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