My five year old granddaughter woke suddenly from an afternoon nap complaining about a severe pain in her butt and that she had to go poop. She is very smart and can articulate very well. She said the pain was not in her vagina but in her butt. She did not cry hard while pooping and seemed relieved when the feces came out. However when She stood up she complained about the pain again. While very upset about the bad pain, she had to poop again and like before seemed relieved during defecation but in severe pain before and after. As best we could see, she did not have any unusual redness or signs of hemmoroids. She accepted a warm bath and was back to normal...no pain within 5 minutes in the bath. she eats lots of fruits and veggies and beans. Some meat, chicken and turkey, fish. Only drinks water and milk. Had some constipation issues, large stools around age two but takes vitamins and fiber every day. Her mother says she had another episode before bed.