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]
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]
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]
Overflowincontinence. Overflowincontinence. 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]
Instead, many behavioralproblems develop because of the encopresis, and once the encopresis is treated, many of the behavioralproblems may resolve.[med.virginia.edu]
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 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 TreatmentTreatments 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]
[…] 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]