The Case of the 7 Year Impacted Bowel
January 2018: Katie is 7 years old. She came to see me with a chronic issue of constipation and withholding her stools since she was a tiny baby. She was under the care of an incontinence team and a few months ago had to undergo a dis-impaction procedure that involved a week off school and frequent daily doses of strong laxatives. Not pleasant for Katie or her Mum. She had very large stools and until she was put on a daily dose of Movicol she was only going once a week, which