Patient :My 28 month old is having constipation and rash issues. It started 2 months ago after being prescribed zpac for bronchitis. We can't seem to get it back on track. 2 months ago after the first series of constipation & the pain associated with it, she discovered she can control her stool & started holding it on. It's been a nightmare. A horrible yeast rash followed. The constipation has been on and off since them & the rash cleared up after 2 weeks. Dr. recommend miralax to soften stool & eliminating dairy to see if that would help. She did go yesterday after one dose of miralax but now the redness & soreness/rash is slowly coming back. It seems her poop is frying her skin even though she is changed immediately. Nothing in her diet has changed except I reintroduced the dairy after a week off of it ( it didnt do anything to help her go) and 2 doses of miralax. Can the miralax cause the acidic stool? She's also had unexplained fever twice during the 2 months that didn't have any other symptoms and went away after a couple days. Very worried and she is extremely irritable moody & sometimes just wants to lay on couch for hours to control her poop by not going. We have not started potty training yet.
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