Toddler poop - what does this mean? (Poop picture!)
22 month old female, been seeing pediatric gastro since 6-7 months old. Was on similac alimentum until 1 year. Has chronic constipation. Bloodwork, recent stool testing, and xray of abdomen all came back normal. No food restrictions. Eats everything (meat, veggies, fruit, snacks, cheese). Drinks water all day long. Also drinks "poop juice" once a day - 2 oz prune juice, 2 oz water, 1/4-1/2 cap miralax.
Last week we skipped the poop juice for a few days on vacation, and she drank 4 oz of 2% milk before her nap and bedtime instead. She was pooping some hard pellets on Monday, and we started the daily poop juice again on Monday. Tuesday and Wednesday she had leaky blowouts.
This morning (Thursday) her poop looked like this. She's had poop like this more and more frequently. I can't tell if it's just a little bit of poop being diluted with urine or something's wrong with her poop. She goes every day, twice a day on average.
I've googled pics and looked at many Bristol stool charts and can't figure it out. Any insight or experience would be helpful. We have Gastro appointment coming up, but I want to gather more information to support a push for further imaging because this poor kid has been suffering for too long with no answers.