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Encopresis.

D R Patel1, H D Pratt

  • 1Michigan State University Kalamazoo Centre for Medical Studies, USA.

Indian Journal of Pediatrics
|May 8, 2000
PubMed
Summary
This summary is machine-generated.

Encopresis, or fecal soiling, is common in children aged 3-7 and linked to constipation. Management involves education, disimpaction, laxatives, and toilet training, with 50-60% achieving bowel control within a year.

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Area of Science:

  • Pediatrics
  • Gastroenterology
  • Child Health

Background:

  • Encopresis, characterized by fecal soiling, frequently co-occurs with functional constipation in children.
  • This condition is most prevalent in children aged 3 to 7 years.
  • Infants and preschoolers may exhibit constipation and stool withholding, while older children might present with a longer history of constipation and soiling.

Purpose of the Study:

  • To outline the management strategies for childhood encopresis.
  • To describe the typical presentation and associated conditions of encopresis.
  • To report the success rates of current treatment protocols.

Main Methods:

  • Management begins with comprehensive family education.
  • Key interventions include disimpaction to clear the rectum and prevent stool reaccumulation.

Related Experiment Videos

  • Pharmacological support with laxatives and stool softeners is crucial, followed by gradual weaning and toilet training.

    • Main Results:

    • Successful bowel control, free of soiling, is achieved in up to 50-60% of children within one year of treatment.
    • Relapses are possible, necessitating ongoing management and support.
    • Associated conditions like enuresis and urinary tract infections may be present in some cases.

    Conclusions:

    • A structured approach combining education, disimpaction, pharmacological support, and toilet training is effective for managing childhood encopresis.
    • Long-term success rates are encouraging, though vigilance for relapses is important.
    • Early intervention and consistent management are key to improving outcomes for children with encopresis.