My 3 1/2 year old son has down syndrome. When he was 6 months old he was diagnosed with hirschsprung's disease and had a rectal pull through surgery. The surgery was definitely a success, but it's difficult for him to have a bowel movement. He has been on miralax since he was about 15 mths old. I MUST give him about 10 grams per day for him to be able to have a bowel movement. I am concerned because he strains really hard every time he has a BM, even with the miralax. His stool is very loose. Even with "soft stool", he strains so much. Why is this so hard for him? What could be the problem?
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