Hi, She basically had severe constipation, and the hard pellets of stools caused mucosal wound in anal area, leading to bleeding. Now even if stool is soft, some bleeding can be there until the wound is healed. In such cases, after de-loading rectum with suppositories like bisacodyl, I used to give oral laxatives for 5 days and reassess. Some kids needs laxatives to be increased / continued for few weeks if no adequate response. Meanwhile, let her drink plenty of water, take fibre rich items(like raw fruits, vegetables, oats, sweet potato). Also give paracetamol/ibuprofen for pain relief to avoid voluntary bowel holding fearing pain, which can further aggravate the situation. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician