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Related Experiment Videos

Encopresis.

Vera Loening-Baucke1

  • 1Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, University of Iowa, Iowa City, 52242-1083, USA. vera-loening-baucke@uiowa.edu

Current Opinion in Pediatrics
|September 28, 2002
PubMed
Summary
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Encopresis treatment, involving education and behavioral changes, significantly improves symptoms in children. Recovery rates are high, with substantial improvement seen within five years.

Area of Science:

  • Pediatrics
  • Gastroenterology

Background:

  • Encopresis, or fecal incontinence, can be challenging to differentiate from other causes of fecal soiling.
  • Functional constipation often underlies encopresis in children, necessitating a tailored treatment approach.

Purpose of the Study:

  • To outline diagnostic and therapeutic strategies for managing encopresis in children.
  • To emphasize the importance of a comprehensive treatment plan for successful outcomes.

Main Methods:

  • Differentiating encopresis from organic causes through detailed history and physical examination.
  • Employing a treatment regimen combining education, behavioral interventions, and medical therapy (laxatives when indicated).

Main Results:

  • Most children with encopresis, with or without constipation, benefit from minimal laboratory workup.

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  • Successful management requires consistent adherence to the treatment plan by both child and parents.
  • Dramatic improvement in encopresis symptoms is commonly observed.
  • Conclusions:

    • Effective encopresis management relies on a multi-faceted approach, including behavioral modification and, when necessary, laxative therapy.
    • High recovery rates are achievable, with significant long-term improvement reported within five years of treatment.