Intense urge to poop, difficult to make happen

Anonymous
What could be going on with my 10 year old? He is not constipated. (Assessed by a GI.) But he is having crazy urges to go, and it can be very uncomfortable to the point where he needs to sit on the toilet for ages. It can take a long time to actually come out. Please help with diagnosis.
Anonymous
If you took him to a GI, what did the GI think?
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