Sadie has to use Miralax whenever she needs a procedure done. Although they claim it does not give you cramps, it gives her awful stomach cramps every single time she takes it. It can be mixed with any liquid, so if BM is all Dean will take why not mix it with that?? It is also a stool softener... did they give him another stool softener to use with it?? Did you actually give him the full dose of Lactulose before giving up?
I'm a little confused by you saying Dean doesn't eat 4oz of anything at a time. So then you are strickly nursing him, right - no bottles of formula or BM at all? How often and how long is he nursing? How much solids is he getting? How is his weight?
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