instruction: hello doctor my son has had chronic constipation issues and this past week he was at the er three times two enemas were given and eventually they hospitalized him and they inserted an eg tube to flush out his bowels I am trying to figure out the time frame it takes for a four year old to become that backed up he came home saturday night had not had a bowel movement on that day nor he drank his normal amounts of fluids the next day he had a huge piece of stool come out with blood upon wiping immediately after he pooped his pants with stool that had much softer consistency not diarrhea then he passed another hard piece of stool at night monday night he passed a larger piece of stool once more and blood was noticed upon wiping tuesday morning he passed another large piece of stool and the toilet filled with blood and I took him to er I have all the summaries from the visits and ray results I am trying to figure out if constipation started prior to sunday or if he got constipated from sunday through tuesday I need an opinion on this matter as I am trying to figure out the behavioral aspect of his constipation he is currently taking three ex lax chews at am daily and 85 my miralax in 20 ounces of fluids every friday for one month
output: hello I understand your concern after going through the ray report it shows on the ith no gross constipation noted on ith and 10th ray constipation noted with colon filled with stool but the actual problem has started from ith stool formation for years old child usually takes 24 to 48 hours depending upon diet pattern if low fiber intake and low water intake is there constipation can happen constipation can also occur secondary to local bowel inflammation