Intermittent Fecal Soiling in Pediatrics — 5yo Child | Pediatric Gastroenterology | SMLE Q#11841
SMLE Question #11841
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 5-year-old boy has constipation for several months, passing hard stools every 5–7 days with intermittent fecal soiling and crampy abdominal pain. Examination shows a firm lower abdominal mass. Digital rectal examination finds a large amount of hard stool in the rectal vault. What is the most appropriate next step in management?
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