Thank you for your replies. I think we will try the first step of making her clean herself up etc. That will probably gross her out just enough.

I also like the mirror idea because she is obsessed with us getting her clean enough so I can only imagine how freaked out she will be if she has to do it herself.

And yes, DD has had constipation problems since she was a baby and has the hemmoroids to prove it. It turned out to not be dietary, but low bowel motility. So she has been medicated since age 2. Still she will have flare ups now and then and it becomes very painful and upsets her. So I'm sure this all plays in.

Thanks