Originally Posted by earthmama4
Chronic constipation in children can be a marker for a few things, including gluten intolerance. I personally would not be comfortable treating for years with Miralax and not knowing the underlying cause. Two years to still be dependent on Miralax is a long time. I can understand your hesitation to continue it. If dietary changes don't make enough of a difference (increased fiber, prunes, more water) you may want to try experiment again with an elimination diet, or find a health care provider who is interested in prevention as much as treatment.
I was going to suggest another food intolerance along with a really good probiotic source. Gluten, dairy and soy are all fairly problematic, and the sad thing is, if multiple foods are a problem, eliminating one may not change a thing.
I agree that looking for a root cause of why _your_ child, and not the kid down the street, has such digestive issues, is a great thing to do. There's a reason, and although it may take quite a bit of investigation and trial-and-error, it's a great thing to figure it out now, when she's little, so she knows better what her body needs.
For us, food-based probiotics seem to work better, I make kimchee and we love it. There's more discussion of that in the Traditional Foods forum, it's easy (with a food processor for shredding) and cheap.
I'd also consider structural support, a DO who does cranial-sacral, maybe a chiropractor, but see if there are subtle structural issues that are slowing digestion. Sometimes a combination of things is involved (structural, food intolerances, bad gut bacteria balance, other?).
Some folks find a higher fat diet helps with constipation as well. We eat a fairly high fat diet, I cook veggies with extra fat, and we eat relatively fatty cuts of meat and not many grains.
Best of luck with this.
eta: gluten can be an issue w/o it being celiac, and without it being an IgE allergy. DD is gluten intolerant, for her it made her poop extra-squishy. I'm pretty sure it's not celiac, we don't have any health problems in the family that tend to go with that, but gluten is seriously not good good for her (or me or DS, but different issues for us).