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?

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.
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 .

Related Questions

How safe is it to take miralax (polyethylene glycol) on a daily basis? My son took it daily between the ages of 2-3. Now I read a study it causes autism.

Quite safe. Mirilax is a product that has been used fro decades in adults & at least the last decade with infants & children. It holds on to water after it is hydrated & passes through the bowel without ever entering the blood.Any speculation that it could be related to autism has no basis in fact. Sadly, some conditions escape a reasoned explanation & until one is found there will be many such myths. Read more...