<s>[INST] Hello my five year old son was circumcised two days ago. He is still screaming a lot when it s time to urinate. It s not the actual urination that hurts him, he says he can t pee unless he pushes and the pushing is what hurts. He also seems to have great difficulty going even though he has to go pretty bad. Should I be concerned? [/INST] Yes please... This is not routine after 5 days so after circumscission. I suggest you get back to your pediatric surgeon immediately.It might be a stricture which is developing.Regards - Dr. Sumanth </s>