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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
Summary
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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