My ten year old pops his pants There are times

Patient : My ten year old pops his pants. There are times he doesn't but he does and he hides his messy pants or throws them away but he tells me he feels it but he didn't want to stop what he's doing. He lutes about it as well. I've tried everything. He's had a colonoscopy at age 5. Three years in his colon. They put him on a fiber diet which didn't work Could this be a issue? Does he need another Dr visit?
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