Constipation should have resolved with the laxative and enema as long as he pooped. Did he?
I wonder about the rash. Gluten and rashes could be correlated, so some testing might be suggested. Easy test is the gene test that can be done quickly and privately via enterolab. Results are typically returned in about 2 weeks time.
Check to see if dairy is an issue. In some it can cause diarrhea, but in a large majority it can cause pain and constipation. In others, just bloating and pain.
Was a typical blood test done that included liver and pancreatic enzyme levels? As strange as it might sound, pancreatic issues can be found in children and the belly button can be a significant location for that issue.
Thanks for your response
He describes the pain as right at his belly button.
He does not appear to be constipated.
Bowel movements do not relieve the pain.
It seemly comes and goes on its own.
The pediatric doctor have suggested the constipation and put him on laxatives for a week.
And the enema at the beginning of the week.
Should the laxatives not relieved any build up at least a little bit?
Gluten Free eating was suggested by both the Family doctor and Naturopath. No known family history.
Only other issue he has had was a rash on his face for about 3 months.
It has since gone away and not returned.
Thought was that it may have been related to his football chin guard.
Other then that his health is good.
Is the pain located below the bellybutton about an inch or so? Does he have constipation, hard stools or large stools? The location below the bellybutton could suggest the pain is at the turn where the sigmoid colon makes a sharp 'curve' to become the rectum, and in some that are constipated spasms in that area can really make things miserable.
Why was no gluten tried? Are there members in the family with celiac or gluten intolerance? Any with food intolerances at all?
Does he have any other symptoms at all that may not seem like they're related to the GI tract - joint pain, headaches, or?