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The Classification of Soiling and Encopresis and a Possible Treatment Protocol

Shona Murphy1, Terri Carney1

  • 1Ward 1A, Level 1, West, Crosshouse Hospital, Kilmarnock, Ayrshire KA2 0BE, Scotland.

Child and Adolescent Mental Health
|August 16, 2020
PubMed

Insights

A new classification for pediatric bowel elimination disorders distinguishes soiling from encopresis. This functional approach guides effective treatment pathways, clarifying the roles of medical and psychological interventions.

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology

Background:

  • Effective treatment of pediatric bowel elimination disorders relies on accurate classification.
  • Current classifications may not adequately differentiate conditions like soiling and encopresis.

Purpose of the Study:

  • To propose a functional classification system for pediatric bowel elimination disorders.
  • To differentiate the etiologies and management of soiling and encopresis.

Main Methods:

  • Separating the terms 'soiling' and 'encopresis'.
  • Clearly defining the underlying causes (aetiologies) for each condition.
  • Developing a theoretical model for treatment pathways.

Main Results:

  • Encopresis may primarily require psychological management.
  • Soiling, often linked to constipation, necessitates medical management and may or may not need psychological input.
  • A clear distinction in management strategies emerges based on the functional classification.

Conclusions:

  • A functional classification system clarifies treatment protocols for pediatric bowel elimination disorders.
  • This approach enhances the understanding of medical and psychological service roles in managing soiling and encopresis.
  • Implementing this classification can lead to more targeted and effective patient care.
Abstract

Keywords:
Encopresisclassificationsoilingtreatment protocol

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