Thank you.
He eats like a farm hand and doesn't have a distended belly. It's all just the staining if he doesn't have his miralax and the seeming lack of knowing when he needs to go, but he also doesn't seem to know when he needs to pee...
He's a complicated little beastie.
Of course there are many other likely explanations. But I know of kids with good appetites, no distended belly, and staining, who turned out to have Hirschprung's. Read the last paragraph in the second link. I know it is old, but from what I have seen, it is still accurate. Hirschprung's is rare and many GIs don't have much experience with it. Regardless--it might be worth taking him somewhere with expertise to get this sorted out--i.e. CHOP or Cinncinatti Children's GI dept. Good luck.
