Home

Encopresis treatment at home. Effective Home Treatment for Encopresis: Diagnosis and Management Strategies

How is encopresis diagnosed. What are the main treatment approaches for encopresis. Can dietary changes help manage encopresis. What role does behavior modification play in treating encopresis. How can parents support a child with encopresis at home.

Содержание

Understanding Encopresis: Causes and Diagnostic Procedures

Encopresis is a condition characterized by the involuntary passage of feces in inappropriate places, typically affecting children who have already been toilet trained. To diagnose encopresis, healthcare providers employ several methods:

  • Thorough physical examination
  • Discussion of symptoms, bowel movements, and eating habits
  • Digital rectal exam to check for impacted stool
  • Abdominal X-ray to confirm the presence of impacted stool
  • Psychological evaluation if emotional issues are suspected

Early diagnosis and treatment of encopresis are crucial for effective management. Is there a specific age group most commonly affected by encopresis? While it can occur at any age, encopresis is most frequently observed in children between the ages of 4 and 10 years old.

Clearing the Colon: Initial Steps in Encopresis Treatment

The first phase of encopresis treatment focuses on clearing the colon of retained, impacted stool. Healthcare providers may recommend one or more of the following methods:

  1. Specific laxatives
  2. Rectal suppositories
  3. Enemas

Close follow-up is essential to monitor the progress of colon clearing. How long does it typically take to clear the colon in encopresis cases? The duration can vary depending on the severity of impaction, but it generally takes between 3 to 7 days for initial clearing, with ongoing management thereafter.

Promoting Healthy Bowel Movements: Long-term Encopresis Management

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

  • Dietary modifications to increase fiber intake
  • Ensuring adequate fluid consumption
  • Gradual discontinuation of laxatives as bowel function normalizes
  • Training the child to respond promptly to the urge for bowel movements
  • Temporary elimination of cow’s milk if intolerance is suspected

Are there specific foods that can help prevent encopresis recurrence? Indeed, foods high in fiber such as fruits, vegetables, whole grains, and legumes can promote regular bowel movements and help prevent constipation, a common precursor to encopresis.

Behavior Modification Techniques in Encopresis Treatment

Behavior modification, also known as bowel retraining, plays a crucial role in encopresis treatment. This approach may involve:

  • Establishing a regular toileting schedule
  • Using positive reinforcement for successful bowel movements
  • Teaching relaxation techniques to ease anxiety around defecation
  • Addressing any emotional issues related to toileting

How effective is behavior modification in treating encopresis? When combined with medical management, behavior modification techniques have shown significant success rates, with many children achieving regular bowel control within 3 to 6 months of consistent implementation.

The Role of Psychotherapy in Encopresis Management

In some cases, psychotherapy may be recommended as part of the encopresis treatment plan, particularly if:

  • Emotional issues are contributing to the condition
  • The child experiences shame, guilt, or low self-esteem due to encopresis
  • There are signs of depression or anxiety related to the condition

Can psychotherapy alone cure encopresis? While psychotherapy is rarely used as a standalone treatment for encopresis, it can be a valuable component of a comprehensive management plan, addressing the emotional aspects of the condition and supporting overall treatment success.

Home Care Strategies for Managing Encopresis

Parents and caregivers play a crucial role in managing encopresis at home. Some effective strategies include:

  • Providing a fiber-rich diet
  • Encouraging adequate fluid intake
  • Establishing regular toilet times
  • Using a footstool to improve positioning during defecation
  • Maintaining a consistent management routine
  • Offering positive reinforcement and emotional support

How important is parental involvement in encopresis treatment? Parental involvement is paramount to the success of encopresis treatment. Consistent implementation of home care strategies and emotional support can significantly improve treatment outcomes and prevent relapses.

Dietary Considerations in Encopresis Management

Diet plays a crucial role in managing encopresis and preventing its recurrence. Key dietary considerations include:

  • Increasing fiber intake through fruits, vegetables, and whole grains
  • Ensuring adequate hydration
  • Monitoring dairy consumption, especially if cow’s milk intolerance is suspected
  • Avoiding foods that may contribute to constipation

What are some high-fiber foods that can help manage encopresis? Excellent sources of dietary fiber include apples, pears, berries, broccoli, carrots, beans, lentils, oatmeal, and whole grain bread. These foods can help promote regular bowel movements and prevent constipation.

Creating a Balanced Meal Plan for Children with Encopresis

A well-balanced meal plan for children with encopresis should focus on:

  1. Including a variety of colorful fruits and vegetables in each meal
  2. Incorporating whole grains such as brown rice, quinoa, and whole wheat pasta
  3. Providing lean proteins like chicken, fish, and legumes
  4. Offering healthy fats from sources like avocados, nuts, and olive oil
  5. Limiting processed foods and sugary snacks

How can parents encourage children to eat more fiber-rich foods? Making meals colorful and visually appealing, involving children in meal preparation, and gradually introducing new foods can help increase acceptance of fiber-rich options. Additionally, setting a good example by eating these foods yourself can positively influence your child’s eating habits.

The Importance of Hydration in Encopresis Management

Proper hydration is essential for managing encopresis and preventing constipation. Adequate fluid intake helps:

  • Soften stools, making them easier to pass
  • Promote regular bowel movements
  • Support overall digestive health

How much fluid should a child with encopresis consume daily? While individual needs may vary, a general guideline is to encourage children to drink at least 6-8 cups (48-64 ounces) of water per day. This can be adjusted based on factors such as age, activity level, and climate.

Creative Ways to Increase Fluid Intake

For children who struggle to drink enough water, consider these strategies:

  1. Infusing water with fresh fruits for added flavor
  2. Offering homemade fruit popsicles
  3. Providing water-rich fruits and vegetables as snacks
  4. Using fun, colorful water bottles
  5. Setting up a reward system for meeting hydration goals

Are there any fluids that should be avoided when managing encopresis? While water is the best choice for hydration, it’s advisable to limit or avoid caffeinated beverages, sugary drinks, and excessive amounts of milk, as these can potentially contribute to constipation or interfere with nutrient absorption.

Establishing a Consistent Toileting Routine

A regular toileting routine is crucial for managing encopresis and promoting healthy bowel habits. Key elements of an effective routine include:

  • Scheduling toilet visits at consistent times each day
  • Encouraging sitting on the toilet for 5-10 minutes after meals
  • Creating a relaxed and comfortable bathroom environment
  • Using positive reinforcement for toilet-sitting, regardless of outcome
  • Maintaining the routine even when away from home

How long does it typically take to establish a new toileting routine? While individual responses may vary, most children begin to show improvements within 2-4 weeks of consistently following a new toileting routine. However, it’s important to maintain the routine for several months to solidify the habit and prevent relapses.

Addressing Resistance to Toileting Routines

Some children may resist new toileting routines. To overcome this challenge:

  1. Explain the importance of the routine in age-appropriate terms
  2. Involve the child in creating a reward system for following the routine
  3. Use a timer or fun app to make toilet-sitting time more engaging
  4. Consider reading books or playing quiet games during toilet time
  5. Be patient and consistent, avoiding punishments for accidents

What role does stress play in encopresis, and how can it be managed? Stress can exacerbate encopresis by causing tension in the pelvic and anal muscles, making it difficult to pass stool. Managing stress through relaxation techniques, regular exercise, and maintaining a supportive, non-judgmental environment can help alleviate this aspect of the condition.

Monitoring Progress and Preventing Relapses

Ongoing monitoring and maintenance are essential for long-term success in managing encopresis. This involves:

  • Keeping a log of bowel movements and any accidents
  • Regularly assessing dietary intake and fluid consumption
  • Maintaining open communication with healthcare providers
  • Gradually reducing dependence on laxatives under medical supervision
  • Being alert to early signs of constipation or bowel withholding

How often should follow-up appointments be scheduled for a child with encopresis? Initially, follow-up appointments may be scheduled every 2-4 weeks. As the condition improves, these can be spaced out to every 3-6 months, or as recommended by the healthcare provider based on the child’s progress.

Strategies for Maintaining Long-Term Success

To prevent relapses and ensure continued progress:

  1. Continue to emphasize a high-fiber diet and adequate hydration
  2. Maintain regular physical activity to promote bowel health
  3. Address any emerging emotional or psychological issues promptly
  4. Adjust the management plan as the child grows and develops
  5. Celebrate milestones and progress to maintain motivation

What are some signs that encopresis is improving? Positive indicators include a decrease in soiling incidents, more regular and comfortable bowel movements, increased awareness of the need to defecate, and improved overall mood and confidence in the child.

Supporting the Emotional Well-being of Children with Encopresis

The emotional impact of encopresis on children can be significant. Supporting their emotional well-being is crucial and may involve:

  • Maintaining a positive and supportive attitude
  • Avoiding blame or punishment for accidents
  • Encouraging open communication about feelings and concerns
  • Helping the child develop coping strategies for social situations
  • Educating family members and caregivers about the condition

How can parents help build their child’s self-esteem during encopresis treatment? Parents can boost their child’s self-esteem by focusing on their strengths in other areas, praising efforts rather than just outcomes, and helping them understand that encopresis is a medical condition that can be managed, not a personal failing.

Addressing Bullying and Social Challenges

Children with encopresis may face social challenges or bullying. To address these issues:

  1. Teach the child simple explanations for accidents if questioned by peers
  2. Work with school staff to ensure understanding and support
  3. Encourage participation in activities that boost confidence
  4. Consider joining support groups for families dealing with encopresis
  5. Seek professional help if bullying persists or causes significant distress

Can encopresis affect a child’s academic performance? Yes, encopresis can potentially impact academic performance due to factors such as anxiety, embarrassment, or frequent bathroom visits. Working closely with teachers to develop a supportive classroom environment and addressing any learning gaps caused by the condition is important for maintaining academic progress.

Preparing for Medical Appointments

Effective communication with healthcare providers is crucial for managing encopresis. To prepare for medical appointments:

  • Keep a detailed log of symptoms, bowel movements, and dietary intake
  • List all medications, including over-the-counter products and supplements
  • Note any major stresses or life changes that may affect the child
  • Prepare questions about treatment options, side effects, or concerns
  • Bring a support person if needed to help remember information

What information is most helpful for healthcare providers in assessing encopresis? Detailed records of bowel movement frequency, consistency, and any associated pain or discomfort are particularly valuable. Additionally, information about dietary habits, fluid intake, and any behavioral changes related to toileting can provide crucial insights for treatment planning.

Questions to Ask Your Healthcare Provider

Consider asking the following questions during medical appointments:

  1. What are the potential causes of my child’s encopresis?
  2. Are there any underlying conditions we should be aware of?
  3. What treatment options are available, and what are their pros and cons?
  4. How long should we expect treatment to take?
  5. Are there any lifestyle changes we should implement?
  6. What signs should prompt us to seek immediate medical attention?

How can parents effectively communicate their child’s progress or concerns between appointments? Many healthcare providers offer patient portals or email communication for non-urgent questions or updates. Keeping a detailed log and sharing summaries of progress or setbacks can help healthcare providers make informed decisions about ongoing treatment.

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.

Once a year

0%

Half a year

0%

Every 3 months

0%

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

8:00 Breakfast Oatmeal with water with apple, tea
12:00 Snack Fruit or yogurt
14:00 Lunch Soup, chicken cutlet, vegetables, porridge, compote
17:00 Snack Compote, crouton, cottage cheese with fruit
20:00 Dinner Fish, vegetables, porridge, yogurt 9033 2

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.

Related videos:

Fecal incontinence (encopresis) in children

We treat children according to the principles of evidence-based medicine: we choose only those diagnostic and treatment methods that have proven their effectiveness. We will never prescribe unnecessary examinations and medicines!

Make an appointment via WhatsApp

Video

Prices

Doctors

The first children’s clinic of evidence-based medicine in Moscow

No unnecessary examinations and drugs! We will prescribe only what has proven effective and will help your child.