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As her father, I believe that you have a right to phone the doctor and raise concern. There are tests that can be done to evaluate this further. If mom refuses to have her treated or evaluated medically, then I believe that you have reason to call child protective services to make sure she is being evaluated and followed medically. The hygiene issue is as simple as this - wipe front to back, not back to front. Not a whole lot of teaching needs to be done there. Is she wearing soiled underwear? Does she spend any considerable time visiting you? Do these recurrences happen only in mother's care, or in your care as well? I'd call the doctor, raise your concerns there, and see what he/she says.
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