Constipation.
It turned out that "My bottom hurts" meant that she urgently needed to move her bowels, but was restricting because the movement would be painful.
When I first discovered the problem, I had to wear gloves and apply pressure around the opening of the rectum to force out the dry hard marbles... she screamed but it was necessary.
Thus began a week or two of medications to soften her stools... until diarrhea occurred.
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