### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my 4 1/2 year old daughter complaints of stomach pain daily, for the past 2 months. She also experiencing more than usual burping and gas. She has been on Miralax for 4 years for her constipation. Her diet is very simple, breakfast usually just gluten free cereal without milk, lunch includes crackers with cheese and either an apple or peach, then for dinner its usually hotdog, or mac and cheese. She is only 28lbs at 38 inches. she has always been tiny with very little to eat, but just few months ago started experiencing the symptoms of stomach ache daily, with gas and burping more than the usual.

### output:

Welcome to the ChatDoctorI understand your concerns. Many a time, by omitting a variety of food items in children diet due to fear of aches and bowel disturbances, we make them prone to malnutrition. Every child needs a proper balanced diet at this age in spite of allergies and diseases. It's not advisable to go for any special diet such as gluten-free without prior diagnostic tests which includes TTG antibodies and duodenal biopsy if required. Gassy tummy and stomachache in your child may be due to peptic ulcer disease, enzyme deficiencies, food allergies, infections or worm infestation such as guardians. So, to treat it I would recommend you to visit a gastroenterologist for complete examination and evaluation. Also, give your child normal healthy meals which include carboy Chat Doctor.  You may consult a dietitian for help. Many a times vitamin deficiencies can cause such symptoms. Hopefully this will be helpful. Take care