Encopresis is a gastrointestinal problem in children. It causes the stool to hold and not pass through the intestines. The impacted stool can cause pain, abdominal discomfort and loss of appetite. If you have this gastrointestinal problem, you should contact a physician as soon as possible. A pediatric gastroenterologist can provide you with medical treatment options. You may also have to make changes to your diet and other lifestyle behaviors to control the condition.
Children with encopresis suffer from pain and frustration as they try to pass stools. They may be afraid of the discomfort they feel and become reluctant to go to the bathroom. This can affect their self-image and their confidence. There are many different causes for encopresis, including developmental problems, constipation and anxiety.
Parents of a child with encopresis should not punish their child for soiling their underwear. The child’s inability to pass a bowel movement can lead to shame and depression. These feelings can be addressed through psychotherapy or other forms of treatment.
Many parents worry about how encopresis symptoms will affect their child’s self-image and self-esteem. Some children are able to control their bowel movements for a year or more, while others are not able to.
Although encopresis symptoms can be embarrassing, if you are willing to address the issue, the condition can be managed. Treatment will usually involve positive reinforcement and encouragement for successful bowel movements. For some kids, surgery can be necessary to help ease the symptoms. Other treatments will include enema to flush out the impacted stool, or a fiber supplement.
Often, encopresis in children develops during the toileting years. However, some children do not develop this symptom until they are older. Typical symptoms for children with encopresis include leaking stools at night or during sleep, or having to pass large stools in underwear.
In order to diagnose encopresis, doctors must rule out other illnesses or diseases that could cause the symptoms. They also need to be sure the child is not taking laxatives. While these medications can help loosen the stool and prevent future episodes, they should not be used unless recommended by a physician. Likewise, herbal laxatives should be avoided, as they are not advised for children.
Encopresis in children is generally diagnosed when a child experiences fecal incontinence on a monthly basis for at least three months. Encopresis is more likely to occur in boys than girls, and it is most common between the ages of 4 and 7. But there are other causes, such as anxiety, stress, dietary issues or developmental problems.
A pediatric gastroenterologist can help you manage encopresis in your child. He or she will teach you how to make changes to your child’s diet and lifestyle, and help you implement those changes at home. Your child may also need a referral to a mental health provider. Psychotherapy can be helpful for children who are feeling guilt or shame about the problem.
Although encopresis in children is not uncommon, it is important to know that proper treatment can cure the problem. Behavioral therapies focus on reinforcing alternative bowel movement behaviors, reorganizing the environment, and teaching your child how to control his or her bowels.
