"Anal Wink" is a medical term: The anal wink, anal reflex, perineal reflex, or anocutaneous reflex is the reflexive contraction of the external anal sphincter upon stroking of the skin around the anus.

A noxious or tactile stimuli will cause a wink contraction of the anal sphincter muscles and also flexion. The stimuli is detected by the nociceptors in the perineal skin to the pudendal nerve, where a response is integrated by the spinal cord sacral segments S1-S3.

The absence of this reflex indicates that there is an interruption of the reflex arc, which may be in the sensory afferent limb or the motor efferent limb. The synapse between the afferent and efferent limbs occurs in the lowest sacral segments of the spinal cord.

Hi,

I am a medical professional who is active in the autism and neurologically impaired children's community. A lot of parents are using Oxy-Powder (the one advertised on this site!) to help address problems of chronic constipation with their kids. They are having wonderful success as the product not only liquifies and softens impactions, it helps get the gut moving to push it out. Softer poo = easier passage. Some of the little kids (5 years and under) need 4 caps a day to normalize, so you do have to play with the dose a bit to find what will work with your son.

Miralax is well known to be a very very last resort. It's a fairly toxic product, and really has no place inside a human body, especially that of a child. You can do some searches on dangers of miralax if you want to be shocked. Oxy-Powder, otoh, is not toxic. Just make sure your son gets plenty of fluids, which is the case when there is any type of bowel problem.

Best of luck!

Caca Doodle Doo