From https://www.justanswer.com/ythealth
JustAnswer Customer: Can a suppository cause harm to a two year old girl if inserted into the vagina instead of the rectum?
Dr. A. Clark: Pediatrician: I'm happy that you have asked me to assist you with your child and hope that you can benefit from my many years of helping parents like you.
Dr. A. Clark: Pediatrician: What suppository was it?
Dr. A. Clark: Pediatrician: If you are talking about a medication, such as phenergan for vomiting, then it is absorbed from the vagina almost as well as from the rectum.
Dr. A. Clark: Pediatrician: If glycerin for constipation, then it will not cause a problem either but certainly won't help constipation.
Dr. A. Clark: Pediatrician: I'll watch for your reply.
JustAnswer Customer: Yes Im sure it was glycerin.
JustAnswer Customer: Green and white box.
Dr. A. Clark: Pediatrician: Then it will not harm her.
Dr. A. Clark: Pediatrician: If it fit without any pain then you did not cause any damage to her vaginal opening.
JustAnswer Customer: Si have only ever used it once before and it worked within 30 min, but this time it hasn't worked and she was saying it hurt afterwards.
Dr. A. Clark: Pediatrician: I would think though it would have melted and you would now see some discharge from her vagina.
Dr. A. Clark: Pediatrician: Rectal suppositories are not fun for anyone so pain is not unexpected but not harmful either.
Dr. A. Clark: Pediatrician: I wouldn't worry in either case.
JustAnswer Customer: Well it is the middle of the night and i just got up unchanged her nappy, but did so in the dark so didn't notice any discharge.
JustAnswer Customer: However i wasn't really looking for that though.
JustAnswer Customer: I was hoping she had done a poo and that the suppository had worked.
Dr. A. Clark: Pediatrician: You should try it again then.
JustAnswer Customer: You have certainly put my mindset ease.
JustAnswer Customer: I was starting to get really worried.
JustAnswer Customer: Can you give me any advice as to why she is still constipated so much, she been like it ever since she was born.
JustAnswer Customer: I have tried parachoc
JustAnswer Customer: Movicol, Coloxyl drops and but out bananas and no change.
JustAnswer Customer: I have gone to see a doctor about this issue about 7 times now and they just keep suggesting these products.
JustAnswer Customer: But i want to know what i could be doing to prevent it from happening.
Dr. A. Clark: Pediatrician: You might try Miralax as it is far superior and doesn't taste bad.
Dr. A. Clark: Pediatrician: It has to be treated from "above", that is with medication she swallows and you may also give her a Pediatric Fleet's Enema if necessary to help her empty now.
Dr. A. Clark: Pediatrician: Miralax is polyethylene glycol so ask your pharmacist or chemist about it.
JustAnswer Customer: Oh okay.
JustAnswer Customer: Was hoping i might be able to get around it without having to use medication for the rest of her life.
JustAnswer Customer: So are you saying we will need to give her medication everytime she needs to do a poo?
Dr. A. Clark: Pediatrician: You should give it daily until she is having soft stools for a week or more and then decrease it slightly for another week or so, then as needed.
Dr. A. Clark: Pediatrician: It is NOT habit forming and simply helps keep her stools soft.
Dr. A. Clark: Pediatrician: Her is a protocol I wrote (it is for a boy so ignore the wrong pronoun!) that might be helpful going forward.
Dr. A. Clark: Pediatrician: Chronic constipation is a common problem in children, especially boys.
Dr. A. Clark: Pediatrician: The protocol for treating this, while fairly simple, does require strict adherence to it for many weeks or months before the problem improves.
Dr. A. Clark: Pediatrician: Here it is and please let me know if you have questions: First, all children with soiling have chronic constipation and have colons full of stool.
Dr. A. Clark: Pediatrician: This needs to be evacuated completely so buy a few Pediatric Fleet's Enemas and give him one now, one in the morning and then you can continue to use an enema if he goes more than 4 days without a stool.
Dr. A. Clark: Pediatrician: Second, eliminate all dairy products from his diet for now as the calcium in dairy caused the colon to slow down and the calories from dairy products only spoil their appetite for other foods.
Dr. A. Clark: Pediatrician: Increase his intake of juices, especially apple juice, as this will help with keeping his stools soft along with the next step.
Dr. A. Clark: Pediatrician: Start him on Miralax, 2 teaspoons daily in juice, to help keep his stool loose or soft and moving.
Dr. A. Clark: Pediatrician: Over time his colon will shrink back down and he will regain his control over his bowels in time, but you should expect this protocol to work only if he is willing to participate fully in it.