This is such a brilliant letter and question.You have in fact made the entire diagnosis by yourself. Your daughter has encopresis which usually has a strong psychological cause. Your daughter may also be constipated but her primary problem is psychological. She needs to be seen by a child psychologist. I am afraid that I do not have the name of a child psychologist in your area but ask your GP or paediatrician for the name of an expert near you.
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