I am sorry to rant...but this bothers me.
I worked a private duty case last night with a child that I have been with for about 2 months. When I got report from mom she said she hadnt had a bm in 3 days and gave her miralax in apple juice shortly after I got there. (of note, this is a fragile cardiac kid). About 1/2 hr after the miralax she was straining, sweaty flushed and crying. Mom consoled her and changed her. Her poop was baseball sized (big, round and hard) and had blood on the surface. I called her pcp and he was not concerned, as she was constipated. I called the day nurse and she was like, that happens.
At this time it is important to note that a)said event was NEVER documented b) Mom was NOT aware and c) Caseworker/DON was NOT aware.
Since when is bloody poop (small though it may be) not reportable to parents?!!!!
We ended up going to the ER with her in the middle of the night for various reasons and she was dx'd with an anal fissure. So....who knows how long this has been going on and no one has known about it? She has pooped for me and mom and we never noticed it before.
Like I said...Just a rant. and....Moms like to know these things. If it were my kid I would not be a happy mommy!
Thanks for listening