Retentive Fecal Incontinence In A 4-Year-Old Male: Comprehensiv

RETENTIVE FECAL INCONTINENCE IN A 4-YEAR-OLD MALE: COMPREHENSIVE SOAP CASE STUDY WITH CLINICAL GUIDELINES AND TREATMENT STRATEGIES (2026) Functional Constipation with Encopresis in a 4-Year-Old MalePATIENT DEMOGRAPHICS Field Data Full Name Jackson Thomas "Jack" Reynolds Age 4 years, 2 months (4/ years) Date of Birth December 5, 2021 Sex Male Race/Ethnicity Caucasian/Non-Hispanic Preferred Language English Date of Encounter February 18, 2026 Day of Week Wednesday Time of Encounter 10:45 AM Location University Pediatric Clinic - Primary Care PCP Dr. Sarah Chen, MD Insurance Private (Blue Cross Blue Shield) Accompanied By Mother (Sarah Reynolds)CHIEF COMPLAINT (Verbatim) Mother's Statement: "He keeps leaking stool in his underwear. It's been going on for months, and we don't know what to do anymore. His preschool teacher called us yesterday because he had another accident and the other kids made fun of him." HISTORY OF PRESENT ILLNESS (HPI) Complete Narrative Jack Reynolds is a 4-year-2-month-old male brought to the pediatric clinic by his mother, Mrs. Sarah Reynolds, for evaluation of chronic, progressive stool soiling. The mother reports that the problem began approximately 5 months ago (around September 2025) but has significantly worsened over the past 6-8 weeks, prompting this visit. Chronological Timeline Time Period Events September