Hard Stools Every 4–5 in Pediatrics — 5yo Child | Pediatric Gastroenterology | SMLE Q#12254
SMLE Question #12254
Pediatrics
Pediatric Gastroenterology
Objective: OBJ-289
Last updated: February 2026
A 5-year-old boy has 1 year of constipation with hard stools every 4–5 days and daily underwear soiling. He avoids using the toilet at school. Examination shows mild abdominal distention and a large, firm mass in the left lower quadrant; digital rectal examination finds the rectal vault full of hard stool. What is the most appropriate next step in management?
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