<s>[INST] My daughter likes to hold her poop in for days for one then when she does go her poop is very light color . and when she pushes hard to strain a little blood appears with it. Now her bottom between the two cheeks close by the hole of the but is really red and raw. what can I do or is it more serious to see her doctor. [/INST] Thank you for asking quarry. Your child is suffering from constipation. Consult your physician. First stool distraction is important, give either glycerine suppository per rectal or she may need enema. Change diet, include more fiber in day like fruits, green vegetables.15 days or 1 month course of lactulose 5-10 ml daily. Hope you find this helpful. Rate the above answer if you like it. Chat Doctor.  </s>