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How to resolve stool retention in a child. Underwear soiling is not a behavior problem

G C Griffin1, S D Roberts, G Graham

  • 1Utah Valley Regional Medical Center, Provo, USA. ggriffin@micron.net

Postgraduate Medicine
|January 30, 1999
PubMed

Insights

Many children suffer from undetected stool retention, a condition often missed by parents. Early recognition of symptoms like abdominal pain and soiling, followed by proper management, is crucial for effective treatment and preventing recurrence.

Area of Science:

  • Pediatric Gastroenterology
  • Child Health
  • Digestive Health

Background:

  • Stool retention is frequently unrecognized by parents during pediatric office visits.
  • Key indicators include vague abdominal pain, urinary incontinence, and large stools.
  • This condition often stems from issues like difficult toilet access, constipation, or painful elimination.

Purpose of the Study:

  • To highlight the commonality of unrecognized stool retention in children.
  • To provide guidance on identifying and managing fecal impaction and stool retention.
  • To educate healthcare providers and parents on effective diagnostic and therapeutic strategies.

Main Methods:

  • Clinical observation and diagnosis based on patient history and symptoms.
  • Rectal examination to confirm fecal impaction.
  • Management strategies including disimpaction, softening stool, and dietary modifications.

Main Results:

  • A rectal examination is typically sufficient for diagnosis.
  • Initial disimpaction, often with magnesium citrate, is necessary.
  • Long-term management involves stool softening (mineral oil) and dietary adjustments (fiber, fluids).

Conclusions:

  • Parental education is vital, emphasizing that stool soiling is involuntary and should not lead to punishment.
  • Sustained efforts are required to normalize rectal capacity and prevent recurrence.
  • Ongoing follow-up is essential due to the high likelihood of recurrence.

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