,Patient Information
Name: Max Kings
Age: 4 years
Gender: Male
Race/Ethnicity: Caucasian
Setting: Outpatient pediatric clinic with access to X-ray, ECG, and
laboratory capabilities
Date of Encounter: July 16, 2025
Informant: Father
Chief Complaint
"My son has been soiling his underwear for the past three weeks
on and off despite being potty trained. It looks like streaks of
watery poop. He says it just comes out and he can’t stop it."
History of Present Illness (HPI)Max Kings is a 4-year-old Caucasian male
who presents to the clinic accompanied by his father with a complaint
, of involuntary stool leakage into his underwear for the past three
weeks. The father reports that Max has experienced intermittent
abdominal pain for approximately two years, which typically occurs
after eating and resolves within a few minutes. Over the past three
weeks, Max has had watery stools leaking into his underwear 2–3 times
per day, described as streaks of loose stool. The father notes that Max
has a history of constipation, with bowel movements occurring every
4–5 days, characterized by small, hard, pebble-like stools. Max strains
during defecation and reports pain with bowel movements. The father
denies any associated nausea, vomiting, fever, blood in the stool, or
headaches. Max is a picky eater, preferring fried foods and desserts,
drinks three cups of milk daily, and consumes inadequate water. The
family is undergoing a divorce, which may contribute to stress, though
Max’s behavior is reported as otherwise normal. Max is fully potty
trained.Past Medical History
No significant past medical history.
Name: Max Kings
Age: 4 years
Gender: Male
Race/Ethnicity: Caucasian
Setting: Outpatient pediatric clinic with access to X-ray, ECG, and
laboratory capabilities
Date of Encounter: July 16, 2025
Informant: Father
Chief Complaint
"My son has been soiling his underwear for the past three weeks
on and off despite being potty trained. It looks like streaks of
watery poop. He says it just comes out and he can’t stop it."
History of Present Illness (HPI)Max Kings is a 4-year-old Caucasian male
who presents to the clinic accompanied by his father with a complaint
, of involuntary stool leakage into his underwear for the past three
weeks. The father reports that Max has experienced intermittent
abdominal pain for approximately two years, which typically occurs
after eating and resolves within a few minutes. Over the past three
weeks, Max has had watery stools leaking into his underwear 2–3 times
per day, described as streaks of loose stool. The father notes that Max
has a history of constipation, with bowel movements occurring every
4–5 days, characterized by small, hard, pebble-like stools. Max strains
during defecation and reports pain with bowel movements. The father
denies any associated nausea, vomiting, fever, blood in the stool, or
headaches. Max is a picky eater, preferring fried foods and desserts,
drinks three cups of milk daily, and consumes inadequate water. The
family is undergoing a divorce, which may contribute to stress, though
Max’s behavior is reported as otherwise normal. Max is fully potty
trained.Past Medical History
No significant past medical history.
