52 year old Patrick visits Dr Pixie about problems with anal leakage. Dr Pixie refers him to a consultant surgeon to find out what the cause is. The consultant discovers that Patrick has a limited diet which is very low in fibre, causing severe constipation. He is then referred to a dietician for advice on improving his situation by changing what he eats. Specifically the dietician recommends Patrick eats more fibre and drinks more fluids. On his return to the clinic he tells Dr Pixie there has been a big difference and he is able to do more than he used to.