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Aloe Vera gel or Black-Walnut s will help. Milk and other dairy products may be plugging your child up. Try stopping all dairy for a week and see if that helps. Your child may also be allergic to wheat.

A liitle aloe vera mixed into a smoothie will be easier than taking it straight but I mow have two bowel movements a day as opposed to once a day without aloe vera.

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Aloe Vera gel or Black-Walnut s will help.

I am a bit surprised that your doctor prescribed Miralax for your son, unless it was for immediate and temporary relief. Miralax is not intended for long term use. The web page excerpt that follows is from http://www.rxlist.com/cgi/generic2/polyglyc_pi.htm

"MiraLax achieves its best results when used between one and two weeks. You may discontinue taking the drug after you have had several satisfactory bowel movements. Should unusual cramps, bloating, or diarrhea occur, consult your physician. MiraLax is intended for up to a two week course of therapy. You should not use for a longer time unless directed by your doctor.

When you say you have given him adult enemas but he holds them in, are you referring to the Fleet type phospho soda chemical disposable units? If so, you may want to try a plain warm water (103 degrees F) salt solution (1 teaspoon table or Sea Salt for each pint) of water administered with an enema bag or bulb syringe. Typically for a child that age, 1 ounce of water for every 2-3 pounds of body weight for a child of normal health. Severely constipated children can typically take more than one ounce for each 2 pounds without undue discomfort.

So for a 40 pound constipated child I would probably use a pint and a half, and for 60 pounds, a bit more than a quart.

I haven't worked with autistic children professionally, but I think it important that any child understand and agree to the purpose of the medication or health procedure.

--> If a child doesn't want to eliminate (for whatever reason) s/he won't.

Autism makes this more complicated, but the bottom line is that one should not treat an autistic child (or any child) as an idiot.

I don't know much about autism, but I understand it as a focus issue -- too much focus on one aspect of life.

If the autistic child can be brought to realize that they need to eliminate regularly, one might succeed with treatments that had otherwise failed.

Best wishes! I hope your child brings something new and wonderful to the world.

Emily