Checking on reflux is a good idea. Also, if she is coughing so much at night and she's not having an exacerbation, perhaps post nasal drainage could be an issue.
As for the missing school, every child is different. If she is having tummy issues then, yes, it'd be normal to miss school. When your tummy hurts you can't function in class. This was my youngest's main problem.
Have you taken your daughter to see a GI? They are best to figure out what is going on. Like our CF doc would tell us, he specializes in the lungs and although it's all related to CF, the GI doc is most informed in that area. They can do a fat test on her stools, check and make sure she's not got an obstruction or partial or even if it's just heading in that direction. When she actually goes to the bathroom, does it appear to you to be a "normal" looking constipated stool? Or is it "fluffy", airy looking, and mucusy, yellow or greasy, floating or sinking? They will ask you all these questions. I would ask to see a GI doc, either ask your CF doc or your primary care doc/pediatrician. If you go to a children's hospital for CF clinic, ask them if they recommend any of the GI docs there or call up the GI clinic and ask which of the docs see's CF patients. You want one that is familiar with CF.
It's always best to get it checked out if she's having so many problems. It just doesn't sound right to me that she need to take Miralax to have a BM and not have been checked out by a GI (gastroenterologist).
I hope something here helps.
As for the missing school, every child is different. If she is having tummy issues then, yes, it'd be normal to miss school. When your tummy hurts you can't function in class. This was my youngest's main problem.
Have you taken your daughter to see a GI? They are best to figure out what is going on. Like our CF doc would tell us, he specializes in the lungs and although it's all related to CF, the GI doc is most informed in that area. They can do a fat test on her stools, check and make sure she's not got an obstruction or partial or even if it's just heading in that direction. When she actually goes to the bathroom, does it appear to you to be a "normal" looking constipated stool? Or is it "fluffy", airy looking, and mucusy, yellow or greasy, floating or sinking? They will ask you all these questions. I would ask to see a GI doc, either ask your CF doc or your primary care doc/pediatrician. If you go to a children's hospital for CF clinic, ask them if they recommend any of the GI docs there or call up the GI clinic and ask which of the docs see's CF patients. You want one that is familiar with CF.
It's always best to get it checked out if she's having so many problems. It just doesn't sound right to me that she need to take Miralax to have a BM and not have been checked out by a GI (gastroenterologist).
I hope something here helps.