Hello dear,
As your daughter is experiencing difficulty in bowel movement for 4 days, you can give Dulcolax and Miralax for the moment.
Though symptomatic relief from
constipation can be obtained by intake of laxatives and stool softeners, the underlying cause needs to be treated.
Constipation can be caused due to:
1. Any pathology/ sub acute obstruction in the Gastrointestinal tract (as observed on the X ray).
2. Irritable bowel syndrome- constipation predominant type.
3. Functional cause- due to decreased gastric motility.
4. Inadequate intake of fluids and fiber rich diet.
5.
Hormonal & Metabolic causes, etc.
So, it will be better to
consult a Gastroenterologist for a proper clinical examination.
Further investigations like stool examination,
Ultrasound scan of abdomen,
Colonoscopy & contrast studies will be helpful to rule out any pathological cause for her symptoms.
Wishing your daughter a good health.
Take care.