I was wondering if you would be able to review my 8 yr old son's abdominal x ray and give me your opinion? My son is 8 years old. Has Autism and ADHD. He has had trouble with constipation since summer of last year which I am sure is partially due to his meds along with being an extremely picky eater. The constipation led to Encopresis. The last BM he had in the toilet prior to this past weekend was DEC 6th! I believe he contracted a stomach virus as that was one nasty episode!!! Since then he has not had a normal bm. Only small accidents in his pants and also in his sleep. We tried dulcolax with no success then Miralax still no luck only small amounts of diarrhea. Okay fast forward to this past Friday. I took him back to Pediatrician. They did an xray in the office and said he is really backed up. He actually said "one of the worst cases of constipation" he's seen. He was shocked and said my son has a very high pain tolerance. He said to start with a nightly dose of Miralax, give an enema as soon as I got home, another enema in a couple of hours, and one everyday for a week or until I thought he was cleaned out and that I would know. Okay 2 hrs after first enema he did have a bm! that was solid. Not a lot, I am assuming it was whatever was in the rectum (small handful maybe?) 2nd enema a few hrs later and nothing came out except the enema itself. That night he did have diarrhea in his sleep. Sat. 2nd enema and nothing except the enema. He has been having just small amounts of diarrhea leakage I guess you could say here and there. Sunday I decided to skip the enema figuring maybe give some time for 'stuff' to move downward before giving the next one. Anyhow no accidents or anything all night or all day today while at school. Gave him 4th enema when he got home and 15 mins later he had a small amount of diarrhea. I would have figured with 4 enemas and nightly adult doses of Miralax things would be surely "Moving" by now. My guess is a partial obstruction? He doesn't complain of any pain. I can tell he is uncomfortable at times (flitching in his sleep, sleeping in fetal position, sitting with knees drawn up to chest, or sitting leaning toward the side). I have the x ray on my computer. Would you be willing to look at it for me and tell me what you see? I would GREATLY Appreciate it!