This has been an intermittent but ongoing problem since last summer, maybe longer. difficult child 1 has major constipation issues right now. He's been missing a lot of school because of the pain, too -- which is the biggest issue right now. We tried to do a cleanout last month, and it seemed like that particular weekend things got better, but they quickly went back to the same old scenario of urgency with no results, along with mushy bm's, pain, nausea, and then eventually he'd feel o.k. I got serious about adding fiber to his diet -- oatmeal for breakfast daily, high fiber sandwich breads, fruit, increasing liquids (though I'm not so sure he's all that compliant at school). But then it seemed like that just backed him up more. Last week he alternated between pellets and normal bm's, sometimes with pain around a 4 on average. Yesterday he had diarrhea three times and woke up with belly pain and feeling nauseous. He made it through his first two morning classes, then called to be picked up because he felt so crummy. I felt his abdomen, and tho I'm not a doctor, it sorta felt like there was a lot of stool in there... it was uncomfortable for him to have me pressing, too. His GI ordered an abdominal xray yesterday and faxed the paperwork to us. We decided to go to the facility by his pediatrician's, but they told me since the GI was not part of their group, the pediatrician had to rewrite the orders so I had to go track that down. He said he'd fax the results to the GI, but as of right now I still haven't heard back from either and left a message for both. I strongly suspect they'll come back and say he's FOS (full of stool), so I'm going ahead with the Miralax cleanout instructions they gave me last month. This is just getting so incredibly frustrating and tiring. I never thought this would be so hard to get under control!