Conversation: The conversation between human and AI assistant.
[|Human|] Hello, My almost-6 yr old (aprox 45 lbs) daughter is experiencing fecal incontinence. She has a constant oozing stool in her underpants along with dry flaky bits of stool. she eats a diet high in fiber, low in refined sugar/cabs, low in dairy (only yogurt a couple times/week), etc. we assume the sneaky poo is due to constipation. it is getting worse and she hasn t had a BM in 5 days! (at least not a successful one. She has tried many times with limited output ) she is drinking a minimum of 6 (8oz) servings of fluid per day with at least 4 of the 6 being pure water and the rest being diluted juice (and she s had 16 oz of diluted gatorade in the past 24 hrs). she hasn t ever taken laxatives until two days ago. i gave her one chewable pedialax (magnesium sulfate, i think) before bed and one in the morning with no result. then i gave her three tablets last night before bed with no result. I gave her 4 tabs almost 5 hours ago along with 16 oz of water on an empty stomach. since then she s only had one egg white, a large bowl of watermelon, a glass of diluted apple juice, and a cup of warm peppermint tea with honey. She does not seem ill other than slight lethargy. though she hasn t had a BM in 5 days, before that she had three pretty typical ones in a period of 36 hrs. she does have a history of digestive difficulty and fecal withholding but never until now has she experienced this soiling. it is dry and fluid at the same time and is occurring constantly.
[|AI|]  Soiling is one of the symptoms of constipation. Hard pellets stools in spite of all the dietary modifications suggest that she is either in the initial stage of treatment. She will need regular distraction with oral Chat Doctor.  Initially she might need daily laxatives twice or thrice a day for a maximum of 4 to 6 weeks. Dietary modifications though definite and first line will take long time to regularize her bowel habits. Make sure she has/had no spinal abnormalities or her bowel habits during her newborn period was uneventful.