Our expert says:
I recommend that you get a second opinion from a paediatrician. It is possible that she is traumatised by previous painful stools. This can be the reason that she is unwilling to pass stools. Due to this, it is possible that she has fecal impaction and a plain abdominal x-ray will show this. Other possibilities also exists, where there is poor nerve stimulation of the colon and ceacum. There can also be small tares of the anus, which can be very painful and that refers as vaginal pain.
Another possibility can be the presence of worms that is also causing the inability to pass stools. Therefore, in short, I suggest and abdominal x-ray and consultation with a paediatrician or gastroenterologist, who has experience with paediatric patients.
Dr Anrich Burger
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