I have a 3 year old daughter who has been potty trained for approx. 8 months successfully. She does not have any accidents but she hold her bowel movements for days( sometimes 5 days despite she is taking Miralax everyday). My husband or I will encourage her to sit on the potty and we can tell that she tries to hold it in saying that it hurts. However, when she does have a bowel movement, sometimes after 4- 5 days, she admits that it does not hurt. I feel that his diet consists of adequate fruits,fiber, plenty of juices and water. The pediatrician recommends us to give her miralax every day and we have been adding Miralax to her milk at breakfast.
Obviously, I notice irritability when she has not had a frequent bowel movement. I am afraid she can develop painful cracks around the rectum. There is not blood in or around the bowel movements. Sometimes she has small amounts of diarrhea or soiling in her pants but this is unusual.
We put her at the bath tub to relax ther rectun muscles and help her to have bowel movement easily. I don't know what else to do. Should I need to take her to see a specialist? What kind of specialist? A pshycologist or a gastroenterologist?
Thanks in advanced for your help.
Olga D.