Problem Statement on case Esteban Soto

Esteban is a 4-year-old male who complains of intermitted abdominal pain following meals and hard stools for the past two years. He has been having bowel movements every 2-3 days and his father states that it is "like balls". For the past three weeks, he has been leaking stool in his underwear. His father states that Esteban states that he "can't help it" and "it just comes out". Esteban has poor dietary habits. Physical examination is significant for diffuse abdominal tenderness on palpation.

Patient is a 4-year-Old Caucasian male child visited the clinic with his father with a complaint of leaking stools in his underwear for the past 3-weeks. Father states that patient had intermittent abdominal pain for 2 years and had experienced hard stools as well. He also states that his child started having watery stools, 2-3 times in a day for the past 3-weeks. Father reports that the abdominal pain usually starts after eating and gets better a few minutes.