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]
Entire Body System
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Enuresis
The term was introduced in 1926 by Weissenberg to describe the fecal equivalent of enuresis. The most common reason for functional encopresis is retentive constipation with overflow incontinence. [pedsinreview.aappublications.org]
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]
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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]
Neurologic
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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]
Prevention
[…] toilet training may help prevent encopresis. [winchesterhospital.org]