A member asked:

8yr old with autism, adhd, and encopresis. no solid bm for 3 months. x ray this past fri. treatment daily miralax (polyethylene glycol) and enemas. 1sm solid bm. advice?

3 doctors weighed in across 2 answers

Probable overflow: These are probably loose stools around an impaction. A cleanout as recommended by your pcp or GI doc, followed by daily miralax, (polyethylene glycol) mineral oil and fiber such as popcorn, along with designated toilet sitting time, should help.

Answered 6/21/2015

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Dr. Maha Amr answered

Impaction: I would agree some children with behavior issues tend to retain and have leakage around the impacted stool from a dilated rectum and anus she needs a gastroenterology consultation

Answered 6/27/2014

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