<s>[INST] I just noticed my 4 monthh old vaginal area is now showing an opening a little hole that wasnt open before. Should she have a opening already? She strains alot..stays tense or stiff trying to do alot of things her body isnt ready for yet. My point is if this isnt normal would strainig cause it? Had a very hard bowel last night cried during it. [/INST] Dear parent , the vaginal hole is normally present since birth . you have just noticed it due to her staining but it has been there the hole time. if she is having constipation then you can use either glycerine suppository or lactulose syrup when needed. in order to avoid constipation you should give her plenty of fluids including water and fresh orange juice. </s>