A 5-year-old boy has hard stools twice weekly and painful defecation. He withholds stool at preschool. Growth is normal, rectal tone and neurologic

Question

A 5-year-old boy has hard stools twice weekly and painful defecation. He withholds stool at preschool. Growth is normal, rectal tone and neurologic examination are normal, and there is no delayed meconium history. Which of the following is the most likely diagnosis?

Accepted Answer

Functional constipation

Answer

Hirschsprung disease

Answer

Pyloric stenosis

Answer

Celiac crisis

Answer

Intussusception

Functional constipation — USMLE Step 3 MCQ

A 5-year-old boy has hard stools twice weekly and painful defecation. He withholds stool at preschool. Growth is normal, rectal tone and neurologic examination are normal, and there is no delayed meconium history. Which of the following is the most likely diagnosis?