What is Encopresis ?

How is Encopresis Diagnosed e1561794680117 - What is Encopresis ?

Encopresis is a condition known as fecal incontinence. It usually occurs when fecal incontinence occurs during bowel movement in children over 4 years of age. This problem is most often associated with constipation and constipation occurs when the feces are backed up in the intestines. Treatment of constipation can usually take time, but prevention of constipation eliminates fecal incontinence in a short time.

Encopresis symptoms

The most common symptom of encopresis is underwear contamination from feces and constipation occurs before this condition, but may not be identified. Constipation may occur if the child has not had bowel movement within three days or if there is hard, painful defecation. Other symptoms may include: 
• Anorexia 
• Abdominal pain 
• Urinary tract infections The 
child may also experience shame and guilt due to incontinence. If classmates find out about this problem, it could even make a mockery at school. As a result, some children may show signs of hidden behavior. For example, they can hide their dirty laundry.

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Causes of Child Encopresis

Causes of Child Encopresis e1561794141932 - What is Encopresis ?If the child does not get enough fiber, water or exercise, bowel movements do not occur and the passage of fecal matter can be difficult and painful. This may cause bowel movements to be painful. Liquid fecal matter or soft bowel movement may leak around the hard stool in the rectum and into the child‘s panties. The child cannot consciously control this contamination. In some cases, the intestines may become so enlarged from fecal occlusion that the child loses the need to poop. Common causes of constipation that cause encopresis include: 
• No bowel movement at least every three days 
• Low-fiber diet 
• Very little exercise 
• Lack of water 
• Very early toilet training
Less common psychological causes may include: 
• Behavioral problems such as behavior disorder 
• Effects of family, school, and other stress sources 
• Anxiety, fear feeding The 
association of encopresis with psychological causes does not mean that the symptoms are under the control of the child and they probably do not knowingly pollute themselves. The problem may begin due to controllable situations such as fear of using public toilets or not wanting to receive toilet training, but may become involuntary over time.

Factors Increasing the Risk of Child Encopresis

Some common risk factors increase the chances of the child developing encopresis. These risks are: 
• Repetition of constipation 
• Changing the child’s toilet routine 
• Poor toilet training 
According to Stanford Child Health, boys are six times more likely to develop fecal incontinence than girls. The reason for this difference is unknown. Other less common risk factors for this condition include: 
• Constipation-causing health conditions such as diabetes or hypothyroidism 
• Sexual abuse 
• Emotional and behavioral disorders 
• A tissue rupture in the rectum, usually a result of chronic constipation

How is Encopresis Diagnosed?

How is Encopresis Diagnosed - What is Encopresis ?Symptoms typically reported for encopresis are diagnosed based on medical history and physical examination. A physical examination may require a rectal examination. The child’s doctor will screen for the amount of dried and hard stool material. An abdominal radiograph is sometimes used to help determine the amount of fecal build-up, but it is usually not necessary or recommended. Psychological assessment can be used to find an emotional cause of this problem.

How is encopresis treated?

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Removing  a blockage : The child’s doctor may recommend a product to relieve the blockage and prevent constipation. Some of these products are as follows: 
• Mineral oil 
• Enema 
• Caxatives 
Lifestyle changes:  There are several lifestyle changes that can help relieve the child’s encopresis. 
Nutritional style: The  adoption of a fiber diet promotes the flow of bowel movements. Examples of high fiber foods: 
• Strawberries 
• Bran flakes 
• Beans 
• Grapes 
• Broccoli
For children aged 4-8, drinking five glasses of water a day can help keep the stools soft for easy passage. Restricting caffeine consumption can also help prevent dehydration. Daily exercise helps the materials pass through the intestines and should therefore be encouraged to exercise regularly. Limiting media time may increase the child’s activity level. 
Behavior change: Behavioral techniques such as placing the child in the toilet, eating high-fiber foods, and rewarding them for collaboration with recommended treatments should be used. Prizes can range from positive praise to concrete objects, as long as they are consistent. Scolding the child for contaminating his underwear should be avoided. This may raise concerns about going to the bathroom. Instead, try to remain neutral after contaminating the gold.

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Psychological Counseling

How to Help Protect a Child from Encopresis e1561794063818 - What is Encopresis ?If there is emotional distress or an underlying behavior problem, the child may need psychological counseling. A consultant can help address relevant issues. They can help children develop their ability to cope with problems and develop self-confidence. They can also teach parents effective behavior change techniques.

How to Help Protect a Child from Encopresis

A healthy approach should be adopted in the toilet training of the child and toilet training should not be started until it is ready. Typically, children are not ready for training until they are 2 years old. Symptoms that they are afraid of using hard or painful defecation, trying to stop defecation or using the toilet should be closely monitored. In this case, toilet training should be returned and the doctor should be consulted on how to keep and keep their faeces soft. Other ways to prevent encopresis include: 
• Ensure that the child is eating high-fiber foods 
• Encourage the 
child to drink plenty of water • Exercise regularly with the child.

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Bibliography:
stanfordchildrens.org
kidshealth.org
mayoclinic.org
eatright.org

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