My dd was diagnosed early this year with encopresis. She turned 4 in april. She soils daily and sometimes up to 4 or 5 times daily unless I give her frequent (1-2 times a week) enemas which are pure hell for both of us. I had her on miralax for the first 9 months or so after she was diagnosed and all it does is make the soiling messier. She still has enormous poops that were obviously saved up for a while after I just give her miralax. I am quickly losing patience. Not that I want to but I have never dealt with anything more frustrating in my life! She fights like a madwoman when I give her the enemas and she can still manage to hold it in for quite a while after I give them to her which proves to me how "good" she is getting at this. I have seen the dr. phil with the two teenage boys that sit at the TV and soil themselves and I do not want that for my daughter. I also don't want this to be a social and self esteem issue for her. I just don't understand why she would stand in the hall with her legs crossed instead of just going to the potty to get it out.I have recently teken her off miralax and make her sit for a while a few times daily to poop. Most of the time she does but sometimes I have to give her the enema. This seems to be working 100 times better than the miralax at keeping her clean which is our ultimate goal. I don't know if it will work and I will stop having to give them to her but anything is better than having diarrhea when you have trouble not soiling your pants. Has anyone else had this problem and had success with what I am doing? I know a few people that have children with this problem but they seem content just using the miralax. I feel like I have to try something else.