text_1: 13-year-old, former shaken baby with resultant spastic quadriplegia and cortically blind.  The concern is that after a suppository he gets red in the face and squeezes out all these little pebbles.  "Is an unprovoked stool every 3 days that bad?"  Does it lead to perforation?
text_2: How common are surgical complications in disabled adolescents with constipation?