Functional Constipation And Encopresis In A Preschool Child:

FUNCTIONAL CONSTIPATION AND ENCOPRESIS IN A PRESCHOOL CHILD: EVIDENCE-BASED EVALUATION, DIFFERENTIAL DIAGNOSIS, AND MANAGEMENT IN PRIMARY CARE (2026 UPDATE) SOAP NOTEPatient Information Name: J.M. Age: 4 years Gender: Male Ethnicity: Hispanic Source: Mother (reliable historian) Date: 2026 Setting: Pediatric Primary Care Clinic S - Subjective Chief Complaint (CC) "My son keeps having stool accidents in his underwear and says his tummy hurts." History of Present Illness (HPI) J.M. is a 4-year-old male brought in by his mother for evaluation of stool accidents occurring over the past 3 months. Mother reports: Child was fully toilet trained for urine and stool at age 3. Over the last 3 months, he has had 3-4 stool accidents per week. Stools are described as large, hard, and painful when passed. Child strains and sometimes cries during bowel movements. Mother reports foul-smelling stool leakage in underwear between bowel movements. Child reports intermittent abdominal pain, especially before accidents. Bowel movements occur approximately once every 4-5 days. Mother notes he holds it in and crosses his legs when he feels urge to defecate. No blood in stool. No vomiting. No weight loss. No fever. No urinary symptoms. No recent illness. Diet low in vegetables and fiber; high in