<prompt> If you are a doctor, please answer the medical questions based on the patients description.My three year old daughter has had problems with constipation. She just passed what looks like a round piece of tissue with a hole in it. It is about the size of a marble and has a skin like texture. It has a small hole in it which seems to be bleeding. Help!  <response>: Hi dear, I had gone through your question and understand your concern. Constipation is usually occurring due next conditions:- lack fibers in diet;-symbiosis Klebsiela pneumonia, Candida albicans;-spicy food;- hypothyroidism etc. I suggest following diet, enriched with fibersmango, gourds,carrots, beets, raw salads, pumpkin, olive oil, fresh Dali till 3 days;-Dual 1_-2 teaspoons daily for 1 month;-Darla 1 capsule daily for 1 month for normal flora,-Zirconia 5 ml for 1 month;-Apply Pile on the anus, it seems she has fissured, because blood on the stool. If it does not work, then you start giving Definite 8 mgkgdose once a day for 5 days. Hope it helps 