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Encopresis is the soiling of underwear with stool by children who are past the age of toilet training. Because each child achieves bowel control at their own rate, medical professionals do not consider stool soiling to be a medical condition unless the child is at least 4 years old. This stool or fecal soiling usually has a physical origin and is involuntary -- the child doesn't do it on purpose.

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Encopresis is also known as fecal soiling. It occurs when usually over the age of 4 has a bowel movement and soils their pants. This problem is most often linked to constipation. Constipation occurs when stool becomes backed up in the intestines. Treating constipation will typically eliminate soiling, though it may take time.

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The most common symptom of encopresis is soiled underpants. Constipation happens before encopresis, but may not be recognized.

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Your child may also experience shame and guilt as a result of soiling. They may even be teased at school if their classmates find out about the problem. As a result, some children may show s of secretive behavior around the issue. For example, they may hide their soiled underwear. This can cause bowel movements to be painful.

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In some cases, the intestines may become so enlarged from fecal blockage that your child loses the sensation of needing to poop. The problem may begin because of controllable situations, such as fear of using a public toilet or not wanting to be toilet trained, but it becomes involuntary over time.

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These include:. The reason for this difference is unknown. Encopresis is typically diagnosed based on the reported symptoms, a medical history, and a physical exam. The physical exam may involve an examination of the rectum. A psychological evaluation may be used to look for an underlying emotional cause for this problem. Such products may include:.

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Adopting a diet high in fiber will encourage the flow of bowel movements. Examples of high-fiber foods include:. For children ages 4 to 8, drinking five cups of water daily can help keep stools soft for easy passage. Restricting caffeine consumption can also help prevent dehydration.

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Daily exercise helps move materials through the intestines. Encourage your child to exercise regularly. Employ behavioral techniques to reward your child for sitting on the toilet, eating high-fiber foods, and cooperating with treatments as recommended. Avoid scolding your child for soiling. This can increase their anxiety about going to the bathroom.

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Instead, try to stay neutral after a soiling incident. If emotional distress or an underlying behavioral problem is present, your child may need psychological counseling.

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A counselor can help address related issues. They can help children develop coping skills and build self-esteem. They can also teach effective behavior modification techniques to parents. Adopt a healthy approach to toilet training your. If this happens, back off on toilet training for the time being and talk to their doctor about how to proceed and keep their stools soft. Eating too much fiber can cause bloating and other symptoms.

Learn how to counteract too much fiber and find relief.

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Some wetting is common in kids, but not after a certain age. Learn about overactive bladder in kids, from symptoms to causes, diagnosis, and treatment. A medical expert answers common questions about having children younger than 12 years old vaccinated against COVID Experts say there are many ways people can celebrate Halloween safely this year, but they still recommend parents consider taking the following….

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The tools of gentle parenting are connection, communication, and consistency. Here's how to practice gentle parenting with your. When it comes to what to give for upset stomach and vomiting, time, hydration, and a few simple remedies will usually do the trick. In kids, covid vaccine side effects are generally mild, and some children won't have any side effects at all. Health Conditions Discover Plan Connect. Medically reviewed by Karen Gill, M. Symptoms of encopresis. Other symptoms may include: a lack of appetite abdominal pain urinary tract infections Your child may also experience shame and guilt as a result of soiling.

What causes to develop encopresis? Other less common risk factors for encopresis include: health conditions causing constipation, such as diabetes or hypothyroidism sexual abuse emotional and behavioral disturbances a tissue tear in the rectum, which is usually the result of chronic constipation.

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How is encopresis diagnosed? How is encopresis treated? Such products may include: mineral oil enemas laxatives Lifestyle changes There are several lifestyle changes that can help your child overcome encopresis. Examples of high-fiber foods include: strawberries bran cereal beans grapes broccoli For children ages 4 to 8, drinking five cups of water daily can help keep stools soft for easy passage.

Behavior modification Employ behavioral techniques to reward your child for sitting on the toilet, eating high-fiber foods, and cooperating with treatments as recommended.

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Psychological counseling If emotional distress or an underlying behavioral problem is present, your child may need psychological counseling. How can I help my child avoid encopresis?

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Other ways to prevent encopresis include: making certain your child eats high-fiber foods encouraging your child to drink plenty of water regularly exercising with your. Parenthood Baby Child. Read this next. Medically reviewed by Natalie Butler, R. Medically reviewed by Mia Armstrong, MD. What Is Gentle Parenting? Medically reviewed by Carissa Stephens, R.