Not sure I understand... A stage direction at this point in the play says he's 's***ting himself helplessly'. Early scenes emphasize the tremendous formality of the King's relationship with Pitt - Pitt having to walk backwards down that very long corridor, bowing - and this is one of those scenes which emphasizes the breakdown of this formality (or even of the sort of formality which characterizes most people's lives) because of the King's dementia.
There were a lot of physical symptoms that accompanied the King's attack of porphyria: one of the reasons he was always tearing off his clothes was because his skin became hyper-sensitive. Another symptom was him losing control over his bowels.
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