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Barb, I forwarded you a link via e-mail on encopresis..
I agree you should have dd evaluated by a peds. gastroenterologist before anything else. You should always rule out a medical issue before looking for a psychological issue.
A lot of things can cause this kind of dysfunction. It's important to find a pediatric gastro doc.. they have specialized training that is best to avail yourself of.
One of my dd's was lactose intolerant and developed this problem when 5 yrs old. After the diet was adjusted, we had her seen by a child psychologist for behavior modification as a follow-up.
Good luck with the little dd.. ((huggs))
Val
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