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Chronic constipation can cause the rectum to become stretched and enlarged (sometimes called a megarectum). When this happens, the rectum loses some of its normal tone and the signals that tell the brain it’s time to poop become weaker. This is one reason children with chronic constipation may stop feeling the urge to go - stool can build up without triggering that “time to poop” signal. But there is good news! With proper treatment and time, the rectum can slowly regain its tone and normal sign
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