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Chronic constipation in 3 yo

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Waiting on yet another visit to a specialist, But I thought it was worth posting here too for ideas.

My grand daughter has suffered from this since birth to the extent she is on laxatives every day just to keep it manageable. Forgetting even once can result in tears, pain , blood and and child who tries not to poo.

The only thing I note unusual in my experience is the  volume of a crap  Tried all the usual like fruit and fibre and continue that but results are limited because amounts needed to make a difference are hard for a 3 yo. to consume and still get other nutrients. 

Ideas?

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