My daughter is pancreatic sufficient, her fecal elastase tests in the normal range and she does not take enzymes. She's always just a little constipated - her poop is always very firm, she seems to strain to poop, it hurts some (but not overwhelmingly), it's always neat little nuggets and never soft and messy. Is this something I should be concerned about? She also has very low appetite, is it possible that being mildly constipated makes her feel fuller? If she poops 5-6x a week, I shouldn't be putting her on miralax, right?