Case history
Case history
Concerned parents of an embarrassed 7-year-old boy present with a complaint of frequent faecal soiling of his underwear for the past 6 months. The boy also experiences frequent bedwetting and has a large, painful bowel movement in the toilet only twice a week. The boy is otherwise well and active, and admits to not wanting to use the toilet at school or to stop playing video games to use the toilet at home.
Other presentations
A child may present with a history of surgical repair of Hirschsprung's disease or history of anorectal, spinal, or neurological abnormalities. Some children may have no history or clinical evidence of constipation, faecal impaction, or any underlying anatomical or physical abnormality.
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