The goal of a recent study published in The American Journal of Emergency Medicine was to determine the diagnostic evaluation undertaken for constipation and to assess the association of evaluation with final emergency department (ED) disposition. This was a retrospective chart review of 512 children presenting to the pediatric ED of a quaternary care childrens hospital with abdominal pain who received a soap suds enema therapy. It was found that 27% of these patients underwent a digital rectal exam (DRE), 22.8% had bloodwork performed, 43% had urinalysis, 77.5% had abdominal radiographs, 23.4% had abdominal ultrasounds, and 3.5% had computed tomography scans. It was noted that children who had a DRE had a younger median age, and were less likely to undergo radiologic imaging, but did not display increased odds of being discharged. It was also observed that those with an abdominal radiograph were less likely to be discharged. Thus, diagnostic evaluation of children diagnosed with fecal impaction in the ED varied. It was stated that abdominal imaging may be avoided if children receive a DRE. The results suggested that children presenting to the ED with abdominal pain, for whom an abdominal radiograph was taken, were more likely to be hospitalized.