I am so sorry that your daughter is so ill with this disease. She is so young to be this sick. I do not have the asnwers to the spotting, it is hard to tell but perhaps someone else may have info on this.
10 seems young to me so if you are suspecting some bleeding you may want to talk with her physician. Just my 2 cents worth.Gentle hugs.Kitt
I'm sorry your daughter is so ill. How horrible for her, and for you. I, like you, am worried about the vaginal spotting. Unfortunately, this could be a sign of a rectovaginal fistula (or, much less common, a colovaginal fistula), in which feces and/or blood can pass from the rectum or the colon into the vagina. At age 10, that might be more likely than starting her period, unless she is a very early developer, and is already showing signs of puberty.