I'm so sorry to hear that a child is going through such pain. My daughter and I struggle with the same problem(constipation). Our doc gave us MIRA LAX, which is supposed to carry water to the bowels to prevent dry, hard stools. It works, but I'd rather use natural stuff. Whenever we have a problem, we use the Mira Lax, but I try to give both my daughter and I a daily diet that prevents constipation. I think there are instructions somewhere on the curezone site about doing a liver cleanse for a child. Our appendix is also in that area that she was having some pain, hopefully its not compacted with stools, usually you have to have it out, if thats the case. I pray that its not. I hope you and your daughter will figure out whats best to do right now. My daughter and I also take a good liquid acidophilus. This helps with bacteria.