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Related Experiment Videos

Is combination therapy for encopresis nutritionally safe?

H J McClung1, L J Boyne, T Linsheid

  • 1Division of Pediatric Gastroenterology, Ohio State University, Columbus.

Pediatrics
|March 1, 1993
PubMed
Summary

This study shows that a combined therapy of fiber, laxatives, and lubricants is safe and effective for treating encopresis in children. It significantly reduces fecal soiling and improves bowel regularity without negatively impacting nutritional status.

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Area of Science:

  • Pediatric Gastroenterology
  • Childhood Constipation Management

Background:

  • Chronic constipation is common in pediatric primary care.
  • Severe cases can lead to encopresis and a flaccid colon.
  • Current therapies include laxatives, lubricants, and fiber, but raise patient anxiety.

Purpose of the Study:

  • To evaluate the safety and efficacy of a combined high-fiber, laxative, and lubricant therapy for encopresis in children.
  • To assess the impact of this regimen on bowel movement frequency, fecal soiling, and nutritional status over six months.

Main Methods:

  • A 6-month study involving children with encopresis.
  • Evaluation of blood chemistry, dietary intake, defecation patterns, and psychological profiles before and after therapy.
  • Combined therapy included bowel cleanout, increased fiber, laxatives, and mineral oil.

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Main Results:

  • Nutritional status (biochemical and anthropometric indicators) was not adversely affected.
  • 75% of children achieved freedom from soiling.
  • The remaining children experienced a significant reduction in soiling frequency.

Conclusions:

  • Combined high-fiber, laxative, and lubricant therapy is safe for children with encopresis.
  • This regimen effectively reduces fecal soiling and improves bowel regularity.
  • The treatment approach is well-tolerated and does not cause negative nutritional effects.