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Constipation with dry, hard stool. Passage of large stool that clogs or almost clogs the toilet. Avoidance of bowel movements. Long periods of time between bowel movements.
He or she may refer you to a doctor who specializes in digestive disorders in children (pediatric gastroenterologist) if needed or to a mental health professional if your child is distressed, very embarrassed, frustrated or angry because of encopresis.
Most cases of encopresis are the result of chronic constipation. In constipation, the child's stool is hard, dry and may be painful to pass. As a result, the child avoids going to the toilet \u2014 making the problem worse. The longer the stool remains in the colon, the more difficult it is for the child to push stool out.
Encopresis usually occurs after age 4, when a child has already learned to use a toilet. In most cases, soiling is a symptom of long-standing constipation. Far less frequently it occurs without constipation and may be the result of emotional issues.
Encopresis can occur for a number of reasons. Some children deal with trauma by withholding bowel movements. They may resist using the toilet because of a painful movement or may be apprehensive about using a public rest room.
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Any of the following warrants a visit to your child's primary care provider: Severe, persistent, or recurrent constipation. Pain during bowel movements. Reluctance to have bowel movements, including straining to hold stool in.
Many children who do not undergo treatment are able to resolve the problem on their own as they grow up, but this can take many years. The problem can persist into adulthood.
What is Encopresis? Children with encopresis, also called soiling, have bowel movements or leak a small amount of stool in their underclothes or on themselves. Soiling is very common, occurring in at least two out of 100 children.
Do a digital rectal exam to check for impacted stool by inserting a lubricated, gloved finger into your child's rectum while pressing on his or her abdomen with the other hand. Recommend an abdominal X-ray to confirm the presence of impacted stool.
Diagnosis of Encopresis Abdominal X-ray - a test to evaluate the amount of stool in the large intestine. Contrast enema - a test that checks the intestine for blockage, narrow areas and other abnormalities.

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