My son was born with imperforate anus (high). I expected to have issues with constipation and/or incontinence. Potty training has so far been a success over the years. I know small children sometimes grow curious with their feces and will touch or play with it. The difference in my child is that no matter the amount of time, talking, disciplining, teaching, and talking to the pediatrician, he has not outgrown this behavior, but begun to hide it. He goes in the toilet most of the time and has some issues with wiping correctly and sometimes holding it long enough to get to the bathroom. Other times and not very often, he will hide, squat, poop, and play with it, meaning he will draw with it or wipe it on the bed or walls where he can easily hide it. He understands that it has germs and can make people sick and has on two occasions made his baby sister sick because she found it and put it in his mouth. He's a smart boy, but has a short attention span. I have come to find over the years that he has severe anxiety over some things if it's not done how he likes it or isn't in the order that he prefers and MUST fix them as soon as possible. It takes him about 5 minutes to put his socks and shoes on because he pays extreme attention to detail with them. He's always been good at memorizing patterns and routines like when as an 18 month old to 2 years old I locked him out of my phone with a pattern and pin password so he couldn't mess with it and can get to things on a computer without knowing how to read even though he has trouble recognizing and retaining knowledge of letters and numbers. He knows the difference between the two, but cannot tell a 2 from 6 or L from U. Video games also come to him easily. He's outgoing and loves making new friends and gets along with others just fine and loves anything to do with school and daycare. Please help, he'll soon be starting regular school. Does my child need therapy? Could he have some sort of high functioning autism?