=\ Why is Autism Speaks showing up on here? Ugh! (Edit: Guess my ad blocker stopped working! Had to fix it. Bye Autism Speaks!)

Anyhow... try giving her pedialite? While water is the absolute BEST thing you can give her as far as hydration goes, anything she's willing to drink will help while you work on increasing what fluids she's willing to take in.

I'd experiment with a variety of juices and see if she's willing to try anything. I have to do this frequently for my son. One week he's all about the Apple Juice and will drink nothing else, then suddenly he wants nothing to do with Apple Juice and I am running around trying to find a new thing he's willing to try.

Try various water flavoring packs... although, pay attention to what you try, don't want anything really high in sugar or full of artificial coloring. Or perhaps try various sweet teas (from tea packs, not bottled) and add honey and/or lemon juice to them. Many teas (that are caffeine free) are super healthy and a wonderful substitute for water.

When she eats fruits, does she tend to favor sweet fruits, bland fruits, sour, etc? Try to find drinks that match her tastebuds. She's still very little which means on top of having sensory aversion, she has SUPER HERO taste buds! So sweet things taste VERY sweet.... younger children tend to do better with blander flavors (ever try the meats in the Gerber jars? they taste like chalk without the texture!) so perhaps fruit juices are just too sweet and water isn't flavorful enough. You could try watering down fruit juices and see how she does with them then.

Or even broths, veggie broth is great (or if she is willing to try beef or chicken broth, since they aren't meat...) Or fruit waters, like Fruit2O.

My son did the same thing because his poops were so hard they hurt. We now give him "Lil Critters Fiber gummies" every day. Problem solved. Pear juice is good too.

Part of the problem is she does not drink water and barely juice...she drink almond milk or pedisure..she just throws the cup if it's juice or water..I'm sure she is dehydrated...how do i get her to drink more??

Yeah, my son is on Miralax, doctor prescribed. Unfortunately, my insurance does not cover any medication you can get OTC, so doctor told me to buy it OTC and instructed me on how much to give him. It's not that expensive, it has no taste or color and mixes really well. I give it to him before bed in his bedtime tea and he has no idea it's even there. It has never caused my son diarrhea or loose stools, just a nice poop the following morning. It does take a couple of days before the Miralax kicks in and starts doing it's job.

You should not use an adult enema but rather get one prescribed from the doctor that is safe and sized for children (how much of the solution you use is based on their weight) you don't want a large nozzle tearing her rectum or putting too much fluid in there, either. And repeated use of enemas (while they are generally safe) can cause damage to the rectum. You're supposed to hold the solution in your bottom for a bit until it loosens up the stools. And it takes roughly 5-10 minutes to fully empty the bag into their bottom as it needs to be done slowly to prevent pain and cramps or injury while they stay in sort of the fetal position but facing the floor. If you choose to give an enema, do so the first time to fully clear her bowels, then you can follow up with giving her Miralax at night for a week or so to keep things flowing and prevent her from getting constipated again. Encourage bathroom use. And make sure she's getting plenty of fluids.

Basically, if she was dehydrated, and had a painful poop, she may be avoiding pottying because she knows it might be painful again.

Also, make sure she drinks plenty of fluids BEFORE giving an enema as they can lead to dehydration.

I am very shocked that her doctor sees she is constipated and holding her bowels, but did not offer any solutions for it. That just seems very off to me. Childhood constipation can be dangerous and very painful. But it's not uncommon for ALL children. Too much processed foods, previous painful BM experience or avoiding using public restrooms (which I was guilty of the minute I entered school and still do to this day often leading to constipation) as well as being dehydrated. As a 3 year old she cannot exactly tell you what is going on inside her body.... even with my 7 year old it's a guessing game every time he is in pain because he cannot accurately describe what type of pain it is (sharp, hunger, dull, aching, etc.). She should be having a mooshy BM once a day or at the very least, every other day.

A lot of kids that have autism are on miralax the Dr. can prescribe it. It's just a stool softener not a laxative.