Hello and Welcome to 'Ask A Doctor" service. I have reviewed your query and here is my advice.
First of all, let me say that many times
constipation with the retention of stool took a while to develop in a young child. So please be patient; it's going to take some time to be corrected.
It is important that your daughter has maintained normal appetite and growth. She needs to have a current weight and height measured.
Have you been observing how much your daughter eats? Because if she is really not taking in enough calories for growth and losing weight, then she does not have the most common cause of constipation at her age- functional constipation (in which the gastrointestinal anatomy is normal) and MUST have a medical evaluation to find the cause of her constipation so it can be properly treated.
I am not happy that I have to turn you away without an answer to your problem, but I want to give you the best advice that I can. I request you to return after you obtain her growth measurements and report on how well she is eating.
I am a Board-Certified
pediatrician with much experience in helping parents whose children have gastrointestinal issues and hope that you come back so that I can continue assisting you.
If you do decide to return, sign in and request to be connected to the manager or supervisor and explain the situation so that I can link up with you again.
Hope I have been able to provide information that will have you think about your daughter's problem. Looking forward to communicating with you again.
Arnold Zedd, MD, FAAP