My 21 month old daughter has real problems going to the toilet and has done for the past year. I have made numerous trips to the drs. She has been taking latolose twice a day but the problem still persists. Even with the Latolose she strains really hard and is often in extreme pain. This can happen several times before she can finally go, and even then its only a tiny amount. Her poo is soft (due to the lactolose) and she does go every day. The doctors have also diagnosed anal fissures, which may presumably be the cause of the pain, however these seem to have healed (although its difficult to tell when they are inside). I have also tried glycerin suppositories but these didn't help. The Drs also precribed senocot, however this seemed to make her in more pain. The drs have suggested that she is now just scared of going for a poo and is holding on, rather than being in real pain. However the pain looks pretty real to me and is very upsetting. She eats healthy home cooked food, however she does not drink much or eat any fruit and despite trying lots of different fruits/drinks its impossible to force her. I have been thinking about trying a gluten free diet. However as shes quite a fussy eater I'm worried about how hard it will be and whether its actaully worth embarking on a gluten free diet and whether it would help. I'd be interested whether anyone else has experienced similar symtoms and has any advice.