Bowel Movements Every 5–7 in Pediatrics — 4yo Child | Pediatric Gastroenterology | SMLE Q#11121
SMLE Question #11121
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 4-year-old boy has had constipation since infancy with bowel movements every 5–7 days, progressive abdominal distension, and poor response to dietary measures and laxatives. Examination shows a distended abdomen with palpable stool. Digital rectal examination reveals an empty rectal vault followed by a sudden passage of stool and flatus. What is the most appropriate next step in management?
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