The Problem of a Child Frequently Wiping Their Pants

A seven-year-old boy has been consistently wiping his pants with feces for over a year. Despite seeing a doctor and undergoing anal and ultrasound examinations, no abnormalities were found. The boy frequently complaints of abdominal pain and has experienced exacerbation of symptoms such as vomiting at school. Sometimes he seems very urgent, but when prompted to use the bathroom, he always says he’s not in a hurry until he can’t hold it anymore. Despite trying various methods, including scolding and gentle communication, there has been no effect. Is this a physical or psychological issue?
One minute to read