How is encopresis diagnosed in children. What are the main treatment approaches for encopresis. How can parents help manage encopresis at home. What dietary changes can improve bowel movements in children with encopresis. When should parents seek professional help for encopresis.

Understanding Encopresis: Causes and Diagnosis

Encopresis is a condition in children characterized by the involuntary passage of stool, often associated with chronic constipation. To diagnose encopresis, healthcare providers employ several methods:

• Physical examination and discussion of symptoms
• Digital rectal exam to check for impacted stool
• Abdominal X-ray to confirm stool impaction
• Psychological evaluation if emotional factors are suspected

Early diagnosis and treatment of encopresis are crucial for effective management. Parents should be aware of the signs and seek medical attention if they suspect their child may be experiencing this condition.

What are the common signs of encopresis in children?

Common signs of encopresis include:

• Soiling underwear or bedding with liquid or solid stool
• Constipation and infrequent bowel movements
• Large, hard stools that may clog the toilet
• Lack of appetite
• Abdominal pain or bloating
• Avoiding social activities due to embarrassment

Comprehensive Treatment Approaches for Encopresis

Treating encopresis involves a multi-faceted approach aimed at clearing impacted stool and promoting healthy bowel movements. The treatment plan typically includes:

1. Clearing the colon of impacted stool
2. Encouraging regular bowel movements
3. Implementing behavioral modifications
4. Addressing any underlying psychological issues

How is impacted stool removed in encopresis treatment?

Healthcare providers may recommend one or more of the following methods to clear impacted stool:

• Certain laxatives prescribed by a doctor
• Rectal suppositories
• Enemas under medical supervision

It’s important to note that these methods should only be used under the guidance of a healthcare professional. Parents should avoid using over-the-counter enemas or laxatives without consulting their child’s doctor first.

Promoting Healthy Bowel Movements in Children with Encopresis

After clearing the colon, the focus shifts to maintaining regular bowel movements. This phase of treatment may include:

• Dietary changes to increase fiber intake
• Ensuring adequate fluid consumption
• Gradual discontinuation of laxatives as bowel function normalizes
• Toilet training techniques
• Evaluating potential cow’s milk intolerance

How does fiber intake affect bowel movements in children with encopresis?

Increasing fiber intake can significantly improve bowel movements in children with encopresis. Fiber helps form soft, bulky stools that are easier to pass, reducing the risk of constipation. Good sources of fiber include:

• Fresh fruits and vegetables
• Whole grains
• Legumes
• Nuts and seeds

Parents should gradually increase their child’s fiber intake to avoid gastrointestinal discomfort and ensure they drink plenty of water to help the fiber work effectively.

Behavioral Modification Techniques for Encopresis Management

Behavioral modification plays a crucial role in treating encopresis. These techniques aim to establish regular toilet habits and promote positive associations with bowel movements. Key strategies include:

• Scheduled toilet sitting times, especially after meals
• Positive reinforcement for successful bowel movements
• Creating a comfortable and relaxed toilet environment
• Using a footstool to improve posture during defecation
• Maintaining a consistent routine

How can parents effectively implement toilet training for children with encopresis?

Effective toilet training for children with encopresis involves:

1. Establishing a regular schedule for toilet sitting, typically 5-10 minutes after meals
2. Encouraging the child to respond promptly to the urge to have a bowel movement
3. Creating a relaxed atmosphere in the bathroom
4. Providing positive reinforcement for efforts and successes
5. Using a reward system to motivate consistent toilet use

It’s important for parents to remain patient and supportive throughout this process, as it may take several months to establish new habits and improve bowel function.

The Role of Diet in Managing Encopresis

Dietary modifications play a significant role in managing encopresis. A well-balanced diet can help prevent constipation and promote regular bowel movements. Key dietary recommendations include:

• Increasing fiber intake through fruits, vegetables, and whole grains
• Ensuring adequate hydration
• Limiting constipating foods such as processed snacks and dairy products
• Introducing probiotic-rich foods to support gut health

Can eliminating cow’s milk help in treating encopresis?

In some cases, cow’s milk intolerance may contribute to constipation and encopresis. Healthcare providers might recommend a short trial of eliminating cow’s milk from the child’s diet to see if it improves symptoms. However, it’s important to note that:

• Dairy products are an important source of nutrients, especially calcium
• Any dietary changes should be made under medical supervision
• If cow’s milk is eliminated, alternative sources of calcium and other nutrients should be provided

Parents should consult with their child’s doctor to determine the appropriate amount of dairy in their child’s diet and discuss potential alternatives if needed.

Psychological Aspects of Encopresis Treatment

Encopresis can have significant psychological impacts on children, including feelings of shame, guilt, and low self-esteem. Addressing these emotional aspects is crucial for comprehensive treatment. Psychological interventions may include:

• Cognitive-behavioral therapy to address negative thought patterns
• Family therapy to improve communication and support
• Stress management techniques
• Building self-esteem and coping skills

How can parents support their child’s emotional well-being during encopresis treatment?

Parents play a vital role in supporting their child’s emotional well-being during encopresis treatment. Key strategies include:

1. Maintaining a positive and supportive attitude
2. Avoiding blame, criticism, or punishment for accidents
3. Encouraging open communication about feelings and concerns
4. Celebrating small successes and progress
5. Normalizing the condition and reassuring the child that it’s treatable

By addressing both the physical and emotional aspects of encopresis, parents can help their child overcome this challenging condition and regain confidence.

When to Seek Professional Help for Encopresis

While many cases of encopresis can be managed at home with guidance from a healthcare provider, there are situations where professional help is necessary. Parents should consider seeking additional support if:

• Home management strategies are not effective after several months
• The child shows signs of significant emotional distress
• There are concerns about underlying medical conditions
• The encopresis is affecting the child’s social life or academic performance

What specialists might be involved in treating complex cases of encopresis?

In complex cases of encopresis, a multidisciplinary approach may be necessary. Specialists who might be involved include:

• Pediatric gastroenterologists
• Child psychologists or psychiatrists
• Pediatric nutritionists
• Occupational therapists specializing in pelvic floor dysfunction

These specialists can work together to create a comprehensive treatment plan tailored to the child’s specific needs, addressing both the physical and emotional aspects of encopresis.

Preparing for Medical Appointments Related to Encopresis

When preparing for a medical appointment to discuss encopresis, parents can take several steps to ensure a productive consultation:

1. Keep a detailed record of the child’s symptoms, including frequency and nature of soiling incidents
2. Note any dietary changes or stressful life events that may have coincided with the onset of symptoms
3. Prepare a list of all medications, supplements, and dietary habits
4. Write down any questions or concerns to discuss with the healthcare provider

What information should parents provide to the doctor during an encopresis consultation?

During an encopresis consultation, parents should be prepared to provide the following information:

• A detailed history of the child’s bowel habits and any changes
• Information about the child’s diet, including fiber intake and fluid consumption
• Any medications or supplements the child is taking
• Family history of gastrointestinal issues
• The child’s toileting routine and any behavioral concerns
• Impact of encopresis on the child’s social and emotional well-being

By providing comprehensive information, parents can help healthcare providers make an accurate diagnosis and develop an effective treatment plan.

Managing encopresis requires patience, consistency, and a multifaceted approach. By combining medical interventions, dietary changes, behavioral modifications, and emotional support, parents can help their children overcome this challenging condition. Remember that every child’s journey with encopresis is unique, and it’s essential to work closely with healthcare providers to tailor the treatment plan to your child’s specific needs. With the right support and strategies, children with encopresis can achieve regular bowel habits and improved quality of life.

Encopresis – Diagnosis & treatment

Diagnosis

To diagnose encopresis, your child’s doctor may:

• Conduct a physical exam and discuss symptoms, bowel movements and eating habits to rule out physical causes for constipation or soiling
• 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
• Suggest that a psychological evaluation be done if emotional issues are contributing to your child’s symptoms

More Information

Treatment

Generally, the earlier that treatment begins for encopresis, the better. The first step involves clearing the colon of retained, impacted stool. After that, treatment focuses on encouraging healthy bowel movements. In some cases, psychotherapy may be a helpful addition to treatment.

Clearing the colon of impacted stool

There are several methods for clearing the colon and relieving constipation. Your child’s doctor will likely recommend one or more of the following:

• Certain laxatives
• Rectal suppositories
• Enemas

Your child’s doctor may recommend close follow-up to check the progress of the colon clearing.

Encouraging healthy bowel movements

Once the colon is cleared, it’s important to encourage your child to have regular bowel movements. Your child’s doctor may recommend:

• Dietary changes that include more fiber and drinking adequate fluids
• Laxatives, gradually discontinuing them once the bowel returns to normal function
• Training your child to go to the toilet as soon as possible when the urge to have a bowel movement occurs
• A short trial of going off cow’s milk or checking for cow’s milk intolerance, if indicated

Behavior modification

Your child’s doctor or mental health professional can discuss techniques for teaching your child to have regular bowel movements. This is sometimes called behavior modification or bowel retraining.

Your child’s doctor may recommend psychotherapy with a mental health professional if the encopresis may be related to emotional issues. Psychotherapy may also be helpful if your child feels shame, guilt, depression or low self-esteem related to encopresis.

More Information

Self care

Avoid using enemas or laxatives — including herbal or homeopathic products — without first talking to your child’s doctor.

Once your child has been treated for encopresis, it’s important that you encourage regular bowel movements. These tips can help:

• Focus on fiber. Feed your child a balanced diet that includes plenty of fruits, vegetables, whole grains and other foods high in fiber, which can help form soft stools.
• Encourage your child to drink water. Drinking enough water helps keep stool from hardening. Other fluids may help, but watch the calories.
• Arrange toilet time. Have your child sit on the toilet for 5-10 minutes at regular times every day. This is best done after meals because the bowel becomes more active after eating. Praise your child for sitting on the toilet as requested and trying.
• Put a footstool near the toilet. This may make your child more comfortable, and changing the position of his or her legs can put more pressure on the abdomen, making a bowel movement easier.
• Stick with the program. It may take months to resume normal bowel sensation and function and develop new habits. Sticking with the program can also reduce relapses.
• Be encouraging and positive. As you help your child overcome encopresis, be patient and use positive reinforcement. Don’t blame, criticize or punish your child if he or she has an accident. Instead, offer your unconditional love and support.
• Limit cow’s milk if that’s what the doctor recommends. In some cases, cow’s milk may contribute to constipation, but dairy products also contain important nutrients, so ask the doctor how much dairy your child needs each day.

Preparing for your appointment

You’ll likely first bring up your concerns with your child’s doctor. 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.

What you can do

It’s a good idea to be prepared for your child’s appointment. Ask if there’s anything you need to do in advance, such as modify your child’s diet. Before your appointment, make a list of:

• Your child’s symptoms, including how long they’ve been occurring
• Key personal information, such as any major stresses or recent life changes
• All medications, including over-the-counter medications and any vitamins, herbs or other supplements that your child is taking, and the doses
• What your child eats and drinks on a typical day, including the amount and types of dairy products, types of solid foods, and the amount of water and other fluids
• Questions to ask your child’s doctor

Some basic questions to ask the doctor include:

• What’s the most likely cause of my child’s symptoms?
• Are there other possible causes for these symptoms?
• What kinds of tests does my child need? Do these tests require any special preparation?
• How long might this problem last?
• What treatments are available, and which do you recommend?
• What side effects can be expected with this treatment?
• Are there alternatives to the primary approach that you’re suggesting?
• Are there any dietary changes that might help?
• Would more physical activity help my child?
• Are there any brochures or other printed material that I can have?
• What websites do you recommend?

What to expect from your doctor

Your child’s doctor will have questions for you. Be ready to answer them to reserve time to go over any points you want to focus on. Questions may include:

• How long has your child been toilet trained?
• Did your child experience any problems with toilet training?
• Does your child have hard, dry stools that sometimes clog the toilet?
• How often does your child have a have a bowel movement?
• Does your child take any medications?
• Does your child regularly resist the urge to use the toilet?
• Does your child experience painful bowel movements?
• How often do you notice stains or fecal matter in your child’s underwear?
• Have there been any significant changes in your child’s life? For instance, has he or she started a new school, moved to a new town, or experienced a death or divorce in the family?
• Is your child embarrassed or depressed by this condition?
• How have you been managing this issue?
• If your child has siblings, how was their toilet training experience?

Soiling (Encopresis) (for Parents) – Nemours KidsHealth

What Is Encopresis?

If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. Parents might assume that kids who soil their pants are misbehaving or too lazy to use the bathroom when they have the urge to go.

But many kids beyond the age of toilet teaching (generally older than 4 years) who soil their underwear have a condition known as encopresis (en-kah-PREE-sis). They have a problem with their bowels that dulls the normal urge to go to the bathroom. So they can’t control the accidents that usually follow.

Encopresis isn’t a disease. It’s a symptom that may have different causes.

What Are the Signs & Symptoms of Encopresis?

At first, parents may think their child has a simple case of diarrhea. But when it keeps happening, it’s clear that there’s another problem, especially because the child isn’t sick.

As the buildup of stool stretches the colon, the nerves have trouble telling the brain that it’s time for a BM. If untreated, the soiling will get worse. Then, kids may lose their appetites or complain of stomach pain.

A large, hard poop may also cause a tear in the skin around the anus that will leave blood on the stools, the toilet paper, or in the toilet.

Parents can get frustrated if their child seems unfazed by the poop accidents, which happen mostly during waking hours. Denial may be one reason for a child seeming calm — kids can’t face the shame and guilt they feel about the condition. Some even try to hide their soiled underpants from their parents.

Another reason may be more scientific: Because the brain gets used to the smell of poop, the child may no longer notice the odor.

What Causes Encopresis?

Most encopresis cases are due to constipation. Stool (poop) is hard, dry, and difficult to pass when a person is constipated. Many kids “hold” their BMs to avoid the pain they feel when they go to the bathroom, which sets the stage for having a poop accident.

About Constipation

There’s a wide range when it comes to “normal” pooping. One kid might have one or two BMs per day while another goes only three or four times a week.

A child who passes a soft, medium-sized BM without any problems every 3 days is not constipated. But a child who passes a hard BM (small or large) every other day is. So are other kids who may go every day, but only pass hard little balls and always have poop left behind in the rectum.

Causes of hard poop can include:

• diet
• illness
• not drinking enough liquids
• fear of the toilet during potty training
• limited access to a toilet or a toilet that’s not private (like at school)

Some kids may develop chronic constipation after stressful life events such as a divorce or the death of a close relative.

Rectal surgery or birth defects such as Hirschsprung disease and spina bifida can cause constipation or encopresis without constipation, but this is uncommon.

What Happens With Encopresis?

When a child holds in BMs, the poop starts building up in the rectum and may back up into the colon — and a frustrating cycle begins.

The colon’s job is to remove water from the poop before it’s passed. The longer the poop is stuck there, the more water is removed — and the harder it is to push the large, dry poop out. The large poop also stretches out the colon, weakening the muscles there and affecting the nerves that tell a child when it’s time to go to the bathroom.

Then, the colon can’t easily push the hard poop out, and it’s painful to pass. So the child continues to avoid having a BM, often by dancing, crossing the legs, making faces, or walking on tiptoes.

In time, the rectum and lower part of the colon get so full that it’s hard for the sphincter (the muscular valve that controls the passage of feces out of the anus) to hold the poop in. Partial BMs may pass through, causing the child to soil his or her pants. Softer poop may also leak out around the large mass of feces and stain the child’s underwear when the sphincter relaxes.

Kids can’t prevent this soiling — nor do they have any idea it’s happening — because the nerves aren’t sending the signals that regulate pooping.

How Is Encopresis Diagnosed?

Call the doctor if your child has any of these symptoms of encopresis:

• poop or liquid stool in the underwear when your child isn’t ill
• hard poop or pain when having a BM
• toilet-clogging BM
• belly pain
• loss of appetite
• blood on the toilet paper when wiping or dripping into the toilet bowl

Soiling and constipation are a top reason that kids go to see pediatric gastroenterologists (doctors who diagnose and treat disorders of the stomach and intestines).

How Is Encopresis Treated?

Encopresis is not a behavioral issue or a simple lack of self-control. Punishing or humiliating a child with encopresis will only make matters worse.

Instead, talk to your doctor for help to get through this challenging but treatable problem. The doctor also might recommend that your child see a gastroenterologist.

Treatment happens in three phases:

1. Emptying the rectum and colon of the hard poop.  Depending on the child’s age and other things, the doctor may recommend medicines, including a stool softener, laxatives, and/or enemas. Give laxatives and enemas only under the supervision of a doctor. Never give these treatments at home without first checking with your doctor.
2. Helping your child begin having regular BMs. This is done with the aid of stool-softening agents. It’s important to continue using the stool softeners/laxatives to give the bowels a chance to shrink back to normal size. The muscles of the intestines are stretched out, so they need time to recover.

   Parents also will be asked to schedule potty times after meals (when the bowels are naturally stimulated). The child will sit on the toilet for about 5 to 10 minutes. This helps kids learn to pay attention to the urges to go.

3. Reducing use of the stool medicines. As regular BMs happen, the doctor will decrease a child’s use of stool softeners and/or laxatives.

Keep in mind that relapses are normal, so don’t get discouraged. Your child might get constipated again or soil their pants during treatment, especially when being weaned off of the stool softeners.

A good way to track your child’s progress is by keeping a daily poop calendar. Make sure to note the frequency, consistency (hard, soft, dry), and size (large, small) of the BMs.

Patience is the key to treating encopresis. It can take several months to a year for the stretched-out colon to return to its normal size and for the nerves in the colon to become effective again.

The Importance of Diet and Exercise

Diet and exercise are very important in keeping stools soft and BMs regular. Make sure your child gets plenty of fiber-rich foods. Serve fresh fruits, dried fruits like prunes and raisins, dried beans, vegetables, and high-fiber bread and cereal.

Try these creative ways to add it to your child’s diet:

• Bake cookies or muffins using whole-wheat flour instead of regular flour. Add raisins, chopped or pureed apples, or prunes to the mix.
• Add bran to baking items such as cookies and muffins, or to meatloaf or burgers, or sprinkled on cereal. (The trick is not to add too much bran or the food will taste like sawdust.)
• Serve apples topped with peanut butter.
• Create tasty treats with peanut butter and whole-wheat crackers.
• Top ice cream, frozen yogurt, or regular yogurt with high-fiber cereal for some added crunch.
• Serve bran waffles topped with fruit.
• Make pancakes with whole-grain pancake mix and top with peaches, apricots, or grapes.
• Top high-fiber cereal with fruit.
• Sneak some raisins or pureed prunes or zucchini into whole-wheat pancakes.
• Add shredded carrots or pureed zucchini to spaghetti sauce or macaroni and cheese.
• Add lentils to soup.
• Make bean burritos with whole-grain soft-taco shells.

Help your child drink plenty of liquids each day, especially water. Diluted 100% fruit juice (like pear, peach, or prune) is an option if your child isn’t drinking enough water. Also, limiting your child’s daily dairy intake (including milk, cheese, and yogurt) may help.

What Else Should I Know?

Successful treatment of encopresis depends on the support a child gets. Some parents find that positive reinforcement helps to encourage the child throughout treatment. For instance, put a star or sticker on the poop calendar for having a BM (or even for trying to), sitting on the toilet, or taking medicines.

Don’t blame or yell — it will only make your child feel bad and it won’t help manage the condition. With lots of love, support, and reassurance that they’re not the only one in the world with this problem, your child can overcome encopresis.

Medically reviewed by: Jolanda M. Denham, MD

Date reviewed: July 2018

Encopresis in children: causes, symptoms and treatments

Contents

• 1 Encopresis in children: causes, symptoms and treatments
  • 1. 1 Causes, symptoms and treatments for encopresis in children
  • 1.2 What is encopresis in children?
  • 1.3 Causes of encopresis in children
  • 1.4 Symptoms of encopresis in children
  • 1.5 Diagnosis of encopresis in children
  • 1.6 Treatments for encopresis in children
  • effective?
  • 1.8 Massage for encopresis in children: how it works
    • 1.8.1 What is encopresis?
    • 1.8.2 How massage works for encopresis
    • 1.8.3 How to massage
  • 1.9 Marmont comb: use for encopresis in children
  • 1.10 Other treatments for encopresis in children 90 008
  • 1.11 How to prevent encopresis in children?
  • 1.12 When should I seek medical attention if my child has encopresis?
  • 1.13 Q&A:
    • • 1.13.0.1 What are the causes of encopresis in children?
      • 1.13.0.2 What are the symptoms of encopresis in children?
      • 1.13.0.3 What are the treatments for encopresis in children?
      • 1. 13.0.4 How long can encopresis treatment last in children?
      • 1.13.0.5 How is encopresis diagnosed in children?
      • 1.13.0.6 What are the consequences of encopresis in children if left untreated?
  • 1.14 Related video:

Encopresis is a stool disorder in children that often occurs due to reduced intestinal muscle tone. The article will talk about the causes, symptoms and methods of treatment of this disease.

Encopresis is a problem with bowel movements in children. This problem is more common in children than in adults. Parents often do not pay attention to this condition of their child and shift the solution of the problem to later. But it can lead to serious health problems.

What are the causes of encopresis in children? Several factors can cause this problem, including poor diet, lack of exercise, stress, and even thyroid disease. But most often, difficulty in defecation in children is caused by constipation, which can be prevented by adhering to a proper diet and controlling the intake of sweets and starchy foods.

What symptoms indicate problems with bowel movements in a child? One of the most obvious signs is the difficulty or interruption of the act of defecation. Also, the child may complain of pain in the abdomen or rectum, anal itching and bloody stools. If you notice these signs in your child, see your doctor for advice.

Causes, symptoms, and treatments for encopresis in children

Encopresis is a child’s lack of desire to empty their bowels on their own. This can be due to various reasons, such as hidden gastrointestinal diseases, psychological problems, or wrong habits. The child may also experience pain or discomfort during bowel movements, leading to encopresis.

Symptoms of encopresis may vary depending on the age of the child. Infants may experience an inability to have a bowel movement, loss of appetite, and weight problems. In older children, symptoms may include infrequent stools, increased strain during bowel movements, pain, and bleeding.

Treatment for encopresis can include both medical and non-medical treatments. It is important to offer the child a healthy and balanced diet, ensure regular walks and exercise, and include time for bowel movements in the child’s regimen. In some cases, medical treatment may be required, such as taking laxatives or using an enema.

• Diversify baby food to include more vegetables, fruits and grains.
• Try to make sure that the child goes to the toilet regularly and does not delay the process.
• Use relaxation techniques, such as tummy massage, to help your child deal with painful bowel movements.
• If necessary, see a doctor for professional advice and treatment.

Regardless of cause or symptom, encopresis can be treated with the right regimen and care. Follow the above tips and tricks to help your child find health and comfort.

What is encopresis in children?

Encopresis is a violation of the functional bowel system, in which the child cannot completely empty the intestines.

In this case, the stool becomes dry and hard, which complicates its exit from the rectum. This can cause not only physical, but also psychological problems in a child, especially if he cannot control the process of defecation.

The causes of encopresis in children can vary from malnutrition to psychological causes. Symptoms may also differ depending on age and degree of impairment. Treatment of encopresis in children should be comprehensive and carried out under the supervision of specialists.

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Causes of encopresis in children

Violation of the diet. Malnutrition, glut of fatty and sugary foods, irregular meals and lack of water can lead to encopresis in children.

Lack of physical activity. Lack of movement, sedentary lifestyle and lack of physical activity are detrimental to bowel function, which can lead to encopresis.

Psychological reasons. Severe stress, negative emotions and psychological discomfort can also cause encopresis in children. This is due to the fact that stress affects the work of intestinal motility.

Medical reasons. Certain diseases can cause encopresis in children, such as various bowel disorders (eg, constipation, diarrhea), thyroid disease, hypertension, cerebral palsy, etc.

Heredity. Some children may be predisposed to encopresis due to hereditary factors.

Symptoms of encopresis in children

Encopresis is an intestinal disorder characterized by stool retention and frequent constipation. In children, this disease is quite common and is manifested by several symptoms:

• Increased tension and anxiety – the child becomes excessively irritable, sleeps poorly, cannot concentrate on school or play.
• Pain in the abdomen – the child often complains of pain in the abdomen or back, which may worsen after eating or when trying to defecate.
• Urinary incontinence – violation of bowel movements can lead to urinary incontinence, especially with constipation, which for a long time impairs pressure on the bladder.
• Fever – encopresis may be accompanied by fever due to infectious complications.
• Irregular shape and consistency of feces – the stool becomes hard, dry and may have an irregular shape, which is associated with delayed defecation and bowel strain.

Diagnosis of encopresis in children

Diagnosis of encopresis in children involves several steps. First, you need to conduct a medical examination. The doctor will ask questions about the stool and ask the parents about the symptoms and duration of the illness. The stool is then analyzed for occult blood.

If the fecal occult blood test is positive, an additional examination is necessary – gastroscopy or colonoscopy. Gastroscopy allows you to examine the condition of the esophagus, stomach and duodenum. A colonoscopy is done to examine the colon and rectum.

Your doctor may also order an abdominal ultrasound to rule out possible complications of the disease.

Treatments for encopresis in children

There are several treatments for encopresis in children that focus on the symptoms and causes of the disorder.

1. Proper nutrition: The diet should include foods rich in fiber and water, such as fresh fruits, vegetables, cereals, oat bran, etc. It is necessary to exclude from the diet fatty, salty, sweet foods, as well as quickly digested foods.
2. Regular exercise: regular exercise, exercise at home or outdoors will help speed up the digestion process and improve bowel function.
3. Medications: Mild laxatives may be prescribed for encopresis in children, but only after consulting a doctor.
4. Physiotherapy: abdominal massage, heating pad, general physiotherapy will help to speed up the process of motility of the colon and get rid of the stool.
5. Psychological help: in some cases, the help of a psychologist or psychotherapist is needed to help the child relax and open up. This is especially true in cases where encopresis occurs due to stressful situations or psychological discomfort.

What are the most effective treatments for encopresis?

Encopresis in children should be treated by a qualified pediatrician. Depending on the causes of the disease, individual treatment will be selected. Main methods of treatment:

• Proper nutrition . A balanced diet with normal amounts of fiber and water contributes to normal bowel function.
• Massage . Massage of the abdomen helps to improve blood circulation and thereby reduces the tension of the smooth muscles of the intestine.
• Drug therapy . For encopresis, fortifying agents, lactulose preparations, probiotics, and other medications may be prescribed.
• Physiotherapy . It is possible to use electrical stimulation of the rectum or laser therapy to normalize intestinal tone.

However, before starting any treatment, it is necessary to undergo an examination followed by a consultation with a pediatrician. You should not self-medicate and take medicines without a doctor’s prescription. With timely access to a doctor, the chances of a complete recovery of the child increase.

Massage for encopresis in children: how it works

What is encopresis?

Encopresis is when a child has problems with bowel movements. This may be due to physical or psychological causes such as hernias, poor nutrition, or stress. When children develop encopresis, massage may be required as one of the treatments.

Encopresis massage principle

Encopresis massage for children works on the principle of stimulation of nerve endings and muscle tissues of the gastrointestinal tract. Gentle and circular motions help to reduce tension and improve blood circulation in the abdomen, which can help facilitate easier bowel movements. This massage can also help in reducing pain and discomfort in the child.

How to massage

Massage for encopresis in children should be done very gently and carefully so as not to cause pain. Massage should not be done on a full stomach, so it is best to do it one hour after eating. To begin with, the child needs to sit comfortably on his back, in a slight slope. With gentle and light circular movements, you need to massage the stomach clockwise around the navel. Massage is best done for at least 5 minutes, but no more than 10 minutes a day. If the child experiences pain or discomfort, the massage should be stopped.

• Encopresis massage benefits:
  • Reduced pain and discomfort.
  • Stimulation of the gastrointestinal tract.
  • Improvement of blood circulation in the abdomen.
• It is important to remember that the massage should be gentle and should not hurt your child. It is best to carry out massage under the supervision of a specialist or after consulting a pediatrician.

Marmont Comb: use in pediatric encopresis

Marmont’s Comb is a herbal preparation that has a laxative effect and can be used for encopresis in children. It contains senna leaf extract, which stimulates intestinal peristalsis and accelerates the removal of feces from the body.

Marmont’s comb helps improve symptoms of encopresis in children such as constipation, tenesma and abdominal pain. However, before using the drug, you should consult a pediatrician and read the instructions for use.

Comb Marmont is available in tablet and syrup form. For young children, syrup is usually preferred. However, do not use the drug without a doctor’s prescription and do not exceed the dosage indicated in the instructions.

Marmont’s comb usually takes a few hours to show its effects, so it’s best to take it in the evening to avoid discomfort during the day.

• Marmont’s Comb is a herbal preparation that can be used for encopresis in children.
• The use of the Marmont Comb helps to improve the symptoms of encopresis such as constipation, tenesma and abdominal pain.
• Before using the drug, you should consult your doctor and read the instructions.
• Marmont’s Comb is available in tablet and syrup form, but should not be taken without a doctor’s prescription and should not be overdosed.
• The Marmont Comb usually takes several hours to show its effects, so it is best to take it in the evening.

Other treatments for encopresis in children

In addition to medication, there are other treatments for encopresis in children.

• Diet. Avoiding constipating foods is one way to improve bowel function. For example: vegetables, fruits, greens, whole grains and a mandatory diet.
• Physical procedures. Abdominal massage, pelvic muscle training and exercise therapy can help improve intestinal motility.
• Hygiene skills. Creating certain conditions for the act of defecation, creating conditions for a comfortable environment in the toilet, setting the regime – all this is very important for the child.
• Psychological help. Talking to a psychologist, psychotherapy, and using relaxation techniques can help identify psychological factors that cause constipation.

Do not forget that each case is individual and requires an individual approach. Therefore, be sure to consult a specialist.

How to prevent encopresis in children?

Maintain a regular diet . Meals should be regular, relaxed and not hasty. It is recommended to feed the baby at the same time and in the same place. Eliminate fatty, spicy, sweet foods from your child’s diet. Give preference to vegetables, fruits and fiber-rich foods.

Maintain a moderate level of activity . Regular walks in the fresh air, playing sports will help increase intestinal tone and improve the frequency of stools in a child.

Maintain adequate hygiene . Do not forget to wash the props of toys, use only freshly prepared products, and keep linen and dishes clean.

Monitor your child’s mental and emotional health . Often the cause of bowel problems is stress and nervous tension. Help your child choose activities that bring him pleasure, encourage their hobbies.

• It is important to note that in case of any changes in the bowels of the child, it is necessary to consult a doctor.
• Do not self-medicate, as the wrong medicines can make the situation worse.

Diet example for a child Time Meal Meal

When to seek medical attention if your child has encopresis?

Encopresis is a serious condition in children that can lead to negative consequences if not treated promptly. Therefore, it is important to know when to seek medical attention if your child has symptoms of this disease.

First of all, if the child has a stool retention for more than 48 hours, it is necessary to consult a doctor. You should also seek help if your child has pain with bowel movements, bleeding, heavy rectal discharge, or other unusual symptoms. If a child suffers from encopresis for more than two months, you should immediately contact a specialist.

Certain medical problems in children can cause encopresis. Therefore, if your child has diseases such as diabetes, hypothyroidism, neurodermatitis, anemia, and others, consult a doctor to assess possible risks.

• Result: If you notice signs of encopresis in your child, it is important not to put off seeing a doctor. The sooner the disease is detected and treated, the less likely it is to develop serious complications.

Q&A:

What are the causes of encopresis in children?

Encopresis in children can be caused by many causes, including intestinal dysbiosis, functional disorders, lack of physical activity, changes in diet, psycho-emotional problems, impaired functionality of the intestinal wall, and heredity.

What are the symptoms of encopresis in children?

Symptoms of encopresis in children may include constipation, pain in the abdomen and intestines, bad breath, increased fatigue, changes in appetite, slower growth and development of the baby, as well as sleep disturbance and a violation of the general psycho-emotional state of the child.

What are the treatments for encopresis in children?

Treatments for encopresis in children may include dietary and dietary management, exercise and physical activity, medications, propionic acid bacteria, enemas, and psychotherapy and mental health management.

How long can encopresis treatment last in children?

The duration of treatment for encopresis in children depends on the cause of the disease, the age of the patient, the presence of concomitant diseases and other factors. Treatment can last from several weeks to several months.

How is encopresis diagnosed in children?

Diagnosis of encopresis in children includes a doctor’s examination, medical history, biochemical blood and urine tests, fecal occult blood tests, colonoscopy, sigmoidoscopy and other diagnostic methods.

What are the consequences of encopresis in children if left untreated?

If left untreated, encopresis in children can develop serious complications such as intestinal intussusception, intestinal ruptures, bleeding, intestinal pneumatosis, malnutrition and other diseases.

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