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Encopresis

Stool Holding


Presentation

  • See Presentation for more detail.[emedicine.medscape.com]
  • This term is usually applied to children, and where the symptom is present in adults, it is more commonly known as fecal leakage (FL), fecal soiling or fecal seepage. [2] The term is from the Ancient Greek ἐγκόπρησις / egkóprēsis.[en.wikipedia.org]
Asymptomatic
  • Differences in toileting habits between children with chronic encopresis, asymptomatic siblings, and asymptomatic non-siblings, Journal of Developmental and Behavioral Pediatrics, 1999; 20:145-149. Borowitz SM, Cox DJ, Sutphen JL, Kovatchev B.[med.virginia.edu]
Suggestibility
  • No good prospective data suggest that encopresis is primarily a behavioral or psychological disorder. The behavioral difficulties associated with encopresis are most likely the result of the condition rather than its cause. Overflow incontinence.[emedicine.medscape.com]
  • There have been numerous studies of this subject in recent years, but information and practical suggestions on therapy are not readily available to the practitioner. Weissenberg, S. : Uber Enkopresis. Z. Kinderheilk. 40: 674, 1926.[journals.sagepub.com]
Negativism
  • . : Psychogenic megacolon in children: the implications of bowel negativism. Arch. Dis. Child. 33: 371, 1958. Google Scholar Crossref Medline ISI Davidson, M. : Constipation and fecal incontinence. Pediat. Clin. N. Amer. 5: 749, 1958.[journals.sagepub.com]
Overflow Incontinence
  • Overflow incontinence. Overflow incontinence. Encopresis, along with enuresis, is classified as an elimination disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5 ).[emedicine.medscape.com]
  • The most common reason for functional encopresis is retentive constipation with overflow incontinence.[pedsinreview.aappublications.org]
  • The DSM-IV recognizes two subtypes: with constipation and overflow incontinence, and without constipation and overflow incontinence.[en.wikipedia.org]
Behavior Problem
  • Instead, many behavioral problems develop because of the encopresis, and once the encopresis is treated, many of the behavioral problems may resolve.[med.virginia.edu]

Workup

  • The following studies may be helpful: Plain abdominal radiography Anorectal manometry Biopsy (either surgical or done by means of a suction device) See Workup for more detail.[emedicine.medscape.com]

Treatment

  • Treatment of Encopresis Since most cases of childhood encopresis result from constipation, treatment is similar.[med.virginia.edu]
  • […] or if your child passes blood with their stool Treatment Treatments will depend on the cause of soiling.[winchesterhospital.org]
  • Children with primary encopresis did not have an increased incidence of early constipation or invasive treatments compared with those with secondary encopresis.[insights.ovid.com]
  • Treatment [ edit ] Many pediatricians will recommend the following three-pronged approach to the treatment of encopresis associated with constipation: cleaning out using stool softening agents scheduled sitting times, typically after meals.[en.wikipedia.org]
  • In addition to long-term laxative therapy, modalities that have been proposed for the treatment of chronic encopresis include the following: Biofeedback therapy (efficacy not proved) Intensive behavioral program (effective adjunct to conventional medical[emedicine.medscape.com]

Epidemiology

  • […] which has been shown to be highly effective, is a motivational system such as a contingency management system. [5] In addition to this basic component, seven or eight other behavioral treatment components can be added to increase effectiveness. [6] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Prevention

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