Hi there. Since starting school my 5 year old has been slightly constipated then after a painful bowel movement at School in October her bottom was bleeding due to a fissure. I upped the fruit/veg/fibre and drinks but she was scared to go for a poo. The gp prescribed lactulose in October but the poo was only every 3 days and her bottom still bled from the reopening fissure. She was then given senekot 5ml at night to use with the 10ml lactulose twice a day and but this didn’t make much difference. On return to the doctor before Christmas we are now on 15ml lactulose twice a day, 15ml senekot at night and awaiting cream to aid the fissure. Has anyone had problems with fissures and how can you solve it!! The jabbing pin feeling when she goes is the problem as the fissure keeps opening and it bleeds. Should we ditch the lactulose and try movicol? It’s the screaming, tears and upset when the poo is coming that’s getting to us!! The relief once she has a poo is immense!! Any advice folks.