ABSTRACT
A 15-year-old male with functional constipation and fecal incontinence since the age of 4 presents to your clinic. He typically has one large and hard bowel movement every 4–5 days and a small volume soiling daily. He has tried senna and lactulose regimens without success. He voids normally, has no urinary incontinence during the day or night, and has no history of urinary tract infections. He has a history of autism and is currently in the custody of a family friend. He has no past surgical history.
