Conversation: The conversation between human and AI assistant.
[|Human|] My 19 month old is having horrible problems having a BM. it s so bad that she holds it in, and i have to give her an enema for her to pass the stool. When she does it is very hard, as round as a half dollar, and about 3 inches long. She screams even when she has a soft one. Could she have damage inside?
[|AI|]  Hello! Thank you for writing! For how long is this happening? Does your daughter have other signs except pain? Maybe she could have an anal fissure caused by constipation. I suggest you to give your daughter whole fruits or in a form of smash but not in form of riot juice. A whole fruit has fibers that help the stool to be soft, help to increase your daughter intestine movement. She should Chat Doctor.  If this thing lasts or your daughter have other signs better see a doctor. Wish your daughter good health. Best regards.