Chapter 15 ENCOPRESIS Theodore X. O’Connell General Discussion Encopresis refers to the involuntary loss of formed, semiformed, or liquid stool into the child’s underwear after the child has reached the age of 4 years. Encopresis most commonly occurs in the presence of functional constipation, which is constipation not due to organic and anatomic causes or intake of medication. Encopresis also may occur when fecal retention is not a primary etiologic component. Various terms have been used to describe this problem, including functional encopresis, primary nonretentive encopresis, and stool toileting refusal. These children may be further divided into at least four subgroups: (1) those who fail to obtain initial bowel training, (2) those who exhibit toilet “phobia,” (3) those who use soiling to manipulate their environment, and (4) those who have irritable bowel syndrome (IBS). In these cases, constipation is not contributory but rather represents the child refusing the toilet-training process. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Diarrhea, acute Abnormal head size and shape Musculoskeletal pain Seizures Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Pediatrics Jun 18, 2016 | Posted by admin in PEDIATRICS | Comments Off on Encopresis Full access? Get Clinical Tree
Chapter 15 ENCOPRESIS Theodore X. O’Connell General Discussion Encopresis refers to the involuntary loss of formed, semiformed, or liquid stool into the child’s underwear after the child has reached the age of 4 years. Encopresis most commonly occurs in the presence of functional constipation, which is constipation not due to organic and anatomic causes or intake of medication. Encopresis also may occur when fecal retention is not a primary etiologic component. Various terms have been used to describe this problem, including functional encopresis, primary nonretentive encopresis, and stool toileting refusal. These children may be further divided into at least four subgroups: (1) those who fail to obtain initial bowel training, (2) those who exhibit toilet “phobia,” (3) those who use soiling to manipulate their environment, and (4) those who have irritable bowel syndrome (IBS). In these cases, constipation is not contributory but rather represents the child refusing the toilet-training process. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Diarrhea, acute Abnormal head size and shape Musculoskeletal pain Seizures Stay updated, free articles. Join our Telegram channel Join Tags: Instant Work-ups A Clinical Guide to Pediatrics Jun 18, 2016 | Posted by admin in PEDIATRICS | Comments Off on Encopresis Full access? Get Clinical Tree
