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My 2 year old daughter has been battling chronic constipation for over 1 year now. It is driving me crazy! She is normally has a wonderful personality...until 3 days after a bowel movement. She stops eating and turns into this awful, angry, crying, tempermental defiant child. Until she has a BM. Then she instantly returns to her fun loving self. This cycle is driving me nuts!

She's taking 20 ml of lactulose twice a day, and while it has improved the softness of her stool, it has not increased the frequency. If we are lucky, she has a BM every 4 days.

We are taking her to see a pediatric gastroenterologist, and he keeps pushing more and more lactulose. She's already at the maximum adult dosage.

When will this terrible cycle of constipation end?

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The personality changes and constipation are linked. Though the fashion is for doctors (other than alternative-remedy advisors) to dismiss it, autointoxication from the colon and rectum does happen. It causes fatigue, headaches, acne, pallor, nausea and other short-term symptoms (but also a weakened immune system, and, in the very long term, colorectal cancers).  Absorption of faecal toxins into the bloodstream also the affects behavior - an erratic temperament is one of the first signs. Specialists in autism treatment pay a lot of attention to infrequent/incomplete bowel evacuation.

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