• A. Repeated passage of feces into inappropriate places (e.g., clothing, floor), whether involuntary or intentional.

AND

• B. At least one such event occurs each month for at least 3 months.

AND

• C. Chronological age is at least 4 years (or equivalent developmental level).

AND

• D. The behavior is not attributable to the physiological effects of a substance (e.g., laxatives) or another medical condition except through a mechanism involving constipation.

Specify whether:

• With constipation and overflow incontinence: There is evidence of constipation on physical examination or by history.

• Without constipation and overflow incontinence: There is no evidence of constipation on physical examination or by history.