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Encopresis

 

Encopresis is a disorder where children over the age of being able to control bowel movements, are unable to do so, and leak stool in their underwear.

Causes

  • Chronic constipation
  • Fear and anxiety of using the toilet due to inappropriate toilet training
  • A painful fissure in the rectum causing reluctance to use the toilet

Symptoms

  • Soiled underwear
  • Leaking of watery stool
  • Constipation followed by large bowel movements
  • Blood streaked stool
  • Bedwetting due to pressure from a full rectum
  • Loss of appetite
  • Abdominal pain

Treatment

  • Laxatives
  • Enemas
  • Rectal suppositories
  • Stool softeners like mineral oil
  • Appropriate toilet training for regular bowel movements

Prevention

  • Avoid constipation
  • Balanced diet
  • Plenty of fluid intake
  • Appropriate toilet training that does not cause stress or anxiety to the child