Materiały źródłowe

• #1 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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. […] 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. […] 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 their pants.

• #2 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  Encopresis, also known as functional fecal incontinence or soiling, is when children pass stool (poop) into their underwear, in most cases accidentally. It occurs in children 4 years of age and older who have been toilet trained. The condition is more common in boys than girls. It affects 1% to 4% of children who are 4 years old, and the frequency of this condition decreases with older age. […] Children with encopresis often have the following symptoms: Not being able to hold their stool until they get to a toilet. Passing stool in their clothes. Hiding bowel movements (poop) or keeping them a secret. Hiding soiled clothes. Not having regular bowel movements. Feeling bloated or experiencing pain in their abdomen or stomach. Loss of appetite. […] The most common cause of encopresis is constipation. When a child experiences constipation, its difficult to have a bowel movement because their stool is dry and hard inside their colon and it can be painful to pass.

• #3 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  Encopresis, also known as functional fecal incontinence or soiling, is when children pass stool (poop) into their underwear, in most cases accidentally. It occurs in children 4 years of age and older who have been toilet trained. The condition is more common in boys than girls. It affects 1% to 4% of children who are 4 years old, and the frequency of this condition decreases with older age. […] Children with encopresis often have the following symptoms: Not being able to hold their stool until they get to a toilet. Passing stool in their clothes. Hiding bowel movements (poop) or keeping them a secret. Hiding soiled clothes. Not having regular bowel movements. Feeling bloated or experiencing pain in their abdomen or stomach. Loss of appetite. […] The most common cause of encopresis is constipation. When a child experiences constipation, its difficult to have a bowel movement because their stool is dry and hard inside their colon and it can be painful to pass.

• #4 Encopresis in Children – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-encopresis/

  Encopresis (or soiling) is a disorder in which a child over the age of four repeatedly poops in places other than the toilet, like their underwear or the floor. Some children with encopresis have problems with normal pooping, like constipation. Some children are afraid or anxious about pooping, so they try to hold it. In either case, not pooping for a long time makes it so the child can’t control it when they do finally poop. In some cases, when the encopresis is not because of constipation or holding it on purpose, it may be a sign of another psychiatric disorder. […] Encopresis is diagnosed when a child is over the age of four and often poops in places other than the toilet, like in their clothes or on the floor. […] Constipation is the most likely cause of encopresis. When a child becomes constipated then pooping can be painful and so the child tries not to poop at all. This causes the poop to get hard and then it’s even more painful for the child to defecate. This pattern causes the child to hold it to avoid the pain. After a while, the softer poop behind the hard poop leaks out at times and places the child can’t control.

• #5 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  Encopresis, also known as functional fecal incontinence or soiling, is when children pass stool (poop) into their underwear, in most cases accidentally. It occurs in children 4 years of age and older who have been toilet trained. The condition is more common in boys than girls. It affects 1% to 4% of children who are 4 years old, and the frequency of this condition decreases with older age. […] Children with encopresis often have the following symptoms: Not being able to hold their stool until they get to a toilet. Passing stool in their clothes. Hiding bowel movements (poop) or keeping them a secret. Hiding soiled clothes. Not having regular bowel movements. Feeling bloated or experiencing pain in their abdomen or stomach. Loss of appetite. […] The most common cause of encopresis is constipation. When a child experiences constipation, its difficult to have a bowel movement because their stool is dry and hard inside their colon and it can be painful to pass.

• #6 Faecal incontinence, soiling or encopresis | Raising Children Network

  https://raisingchildren.net.au/school-age/health-daily-care/toileting/faecal-incontinence

  Faecal incontinence is when children who are 4 years old or older cant control when and where they do a poo. This means that they regularly do poos in places other than the toilet, most often in their underwear. […] Faecal incontinence is also called encopresis or soiling. […] The main symptom of faecal incontinence is pooing in places other than the toilet, usually in underwear. This can range from skid marks to larger bits of poo. Its quite common for children to say that they cant feel or smell that theyve done a poo. […] Because the most common cause of faecal incontinence is constipation, you might see symptoms of constipation in children with faecal incontinence. These include pain when doing a poo, large or hard poos, or less frequent poos. Children might try to avoid doing a poo or have tummy pains. […] Some children with faecal incontinence also have daytime wetting or night-time wetting. […] And some children with faecal incontinence have emotional or behaviour difficulties too.

• #7 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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. […] 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. […] 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 their pants.

• #8 Soiling (Encopresis) | Dayton Children’s Hospital

  https://www.childrensdayton.org/kidshealth/a/encopresis

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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). […] Encopresis isn’t a disease. It’s a symptom that may have different causes. […] 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). […] Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] Parents can get upset when their child has poop accidents. But remember that kids cannot stop the accidents, and often feel ashamed and embarrassed by them. […] A good way to track your child’s progress is by keeping a daily poop calendar. […] 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.

• #9 Encopresis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/encopresis/symptoms-causes/syc-20354494

  Encopresis (en-ko-PREE-sis), sometimes called fecal incontinence or soiling, is the repeated passing of stool (usually involuntarily) into clothing. Typically it happens when impacted stool collects in the colon and rectum: The colon becomes too full and liquid stool leaks around the retained stool, staining underwear. Eventually, stool retention can cause stretching (distention) of the bowels and loss of control over bowel movements. […] Encopresis usually occurs after age 4, when a child has already learned to use a toilet. In most cases, soiling is a symptom of long-standing constipation. Far less frequently it occurs without constipation and may be the result of emotional issues. […] Signs and symptoms of encopresis may include: Leakage of stool or liquid stool on underwear, which can be mistaken for diarrhea.

• #10 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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. […] 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. […] 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 their pants.

• #11 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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. […] 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. […] 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 their pants.

• #12 Encopresis (Fecal Soiling) – Harvard Health

  https://www.health.harvard.edu/a_to_z/encopresis-fecal-soiling-a-to-z

  Encopresis is when a child who is toilet trained passes stool (bowel movements) into his or her underwear. […] In most children, encopresis is related to chronic constipation. […] When stool needs to be passed, it collects in the lower bowel (rectum). […] However, if the bowel wall is stretched for long periods without passing a bowel movement, the rectum loses its normal muscle tone and feeling. […] This makes it harder and harder to pass the hard stool collecting in the rectum. […] As newer stool continues to be made in the intestines, it leaks around the large chunk of hard stool. […] In almost all children with encopresis caused by constipation, this is not done on purpose. […] The first clue that the child has a problem may come when someone notices that the child smells bad.

• #13 Encopresis (Fecal Soiling) – Harvard Health

  https://www.health.harvard.edu/a_to_z/encopresis-fecal-soiling-a-to-z

  Encopresis is when a child who is toilet trained passes stool (bowel movements) into his or her underwear. […] In most children, encopresis is related to chronic constipation. […] When stool needs to be passed, it collects in the lower bowel (rectum). […] However, if the bowel wall is stretched for long periods without passing a bowel movement, the rectum loses its normal muscle tone and feeling. […] This makes it harder and harder to pass the hard stool collecting in the rectum. […] As newer stool continues to be made in the intestines, it leaks around the large chunk of hard stool. […] In almost all children with encopresis caused by constipation, this is not done on purpose. […] The first clue that the child has a problem may come when someone notices that the child smells bad.

• #14 Encopresis (Fecal Soiling) – Harvard Health

  https://www.health.harvard.edu/a_to_z/encopresis-fecal-soiling-a-to-z

  Encopresis is when a child who is toilet trained passes stool (bowel movements) into his or her underwear. […] In most children, encopresis is related to chronic constipation. […] When stool needs to be passed, it collects in the lower bowel (rectum). […] However, if the bowel wall is stretched for long periods without passing a bowel movement, the rectum loses its normal muscle tone and feeling. […] This makes it harder and harder to pass the hard stool collecting in the rectum. […] As newer stool continues to be made in the intestines, it leaks around the large chunk of hard stool. […] In almost all children with encopresis caused by constipation, this is not done on purpose. […] The first clue that the child has a problem may come when someone notices that the child smells bad.

• #15 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] 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). […] 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. […] 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. […] 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.

• #16 Soiling (Encopresis) | Dayton Children’s Hospital

  https://www.childrensdayton.org/kidshealth/a/encopresis

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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). […] Encopresis isn’t a disease. It’s a symptom that may have different causes. […] 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). […] Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] Parents can get upset when their child has poop accidents. But remember that kids cannot stop the accidents, and often feel ashamed and embarrassed by them. […] A good way to track your child’s progress is by keeping a daily poop calendar. […] 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.

• #17 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  While you might see some progress early in treatment, it usually takes months for your child to overcome encopresis. There will be accidents along the way. Parents must keep their reactions to accidents low-key and continue to support the child. Most children who receive treatment for encopresis eventually are free from constipation and become accident-free as they grow older. […] If you notice your child has symptoms of encopresis, visit their healthcare provider. It can be easier to treat encopresis and constipation early, at the first sign of a problem. If your child is not having any bowel movements, experiences pain or refuses to eat due to discomfort, visit your provider immediately. […] Sometimes children with encopresis lose the feeling in their body that tells them it is time to use the toilet. If they have constipation, the buildup of stool could stretch their colon, and they wont feel the need to go until there is a large amount of stool. Once your child begins treatment to loosen their stool, they will need to re-learn when their body tells them it is time to use the toilet. This process could take several months, but be patient with your child as they better understand their body.

• #18 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Encopresis (or faecal soiling) is one of the most frustrating difficulties of middle childhood, affecting approximately 1.5% of young school children (von Gontard, 2013). […] Encopresis is a common complaint amongst parents who visit the Quirky Kid Clinic as it often occurs in the context of other behavioural issues such as oppositional defiant disorder (ODD) or separation anxiety. […] According to the Diagnostic Statistical Manual (DSM-V) (American Psychiatric Association, 2013) encopresis (or otherwise known as Elimination Disorder) is essentially the repeated passing of stools into inappropriate places, after the age at which toilet training is expected to be accomplished. […] There are two basic categories of encopresis i) primary encopresis-which refers to children who have never attained bowel control, ii) secondary encopresis-which refers to soiling after successfully attaining toilet control usually brought upon by entering a stressful environment (such as family conflict).

• #19 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Encopresis (or faecal soiling) is one of the most frustrating difficulties of middle childhood, affecting approximately 1.5% of young school children (von Gontard, 2013). […] Encopresis is a common complaint amongst parents who visit the Quirky Kid Clinic as it often occurs in the context of other behavioural issues such as oppositional defiant disorder (ODD) or separation anxiety. […] According to the Diagnostic Statistical Manual (DSM-V) (American Psychiatric Association, 2013) encopresis (or otherwise known as Elimination Disorder) is essentially the repeated passing of stools into inappropriate places, after the age at which toilet training is expected to be accomplished. […] There are two basic categories of encopresis i) primary encopresis-which refers to children who have never attained bowel control, ii) secondary encopresis-which refers to soiling after successfully attaining toilet control usually brought upon by entering a stressful environment (such as family conflict).

• #20

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  Encopresis is one of the more frustrating disorders of middle childhood. It is the passing of stools into the underwear or pajamas, far past the time of normal toilet training. Encopresis affects about 1.5 percent of young school children and can create tremendous anxiety and embarrassment for children and their families. […] Encopresis is not a disease but rather a symptom of a complex relationship between the body and psychological/environmental stresses. […] Doctors divide cases of encopresis into two categories: primary and secondary. Children with the primary disorder have had continuous soiling throughout their lives, without any period in which they were successfully toilet trained. By contrast, children with the secondary form may develop this condition after they have been toilet trained, such as upon entering school or encountering other experiences that might be stressful.

• #21 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Encopresis (or faecal soiling) is one of the most frustrating difficulties of middle childhood, affecting approximately 1.5% of young school children (von Gontard, 2013). […] Encopresis is a common complaint amongst parents who visit the Quirky Kid Clinic as it often occurs in the context of other behavioural issues such as oppositional defiant disorder (ODD) or separation anxiety. […] According to the Diagnostic Statistical Manual (DSM-V) (American Psychiatric Association, 2013) encopresis (or otherwise known as Elimination Disorder) is essentially the repeated passing of stools into inappropriate places, after the age at which toilet training is expected to be accomplished. […] There are two basic categories of encopresis i) primary encopresis-which refers to children who have never attained bowel control, ii) secondary encopresis-which refers to soiling after successfully attaining toilet control usually brought upon by entering a stressful environment (such as family conflict).

• #22

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  Encopresis is one of the more frustrating disorders of middle childhood. It is the passing of stools into the underwear or pajamas, far past the time of normal toilet training. Encopresis affects about 1.5 percent of young school children and can create tremendous anxiety and embarrassment for children and their families. […] Encopresis is not a disease but rather a symptom of a complex relationship between the body and psychological/environmental stresses. […] Doctors divide cases of encopresis into two categories: primary and secondary. Children with the primary disorder have had continuous soiling throughout their lives, without any period in which they were successfully toilet trained. By contrast, children with the secondary form may develop this condition after they have been toilet trained, such as upon entering school or encountering other experiences that might be stressful.

• #23 Faecal incontinence, soiling or encopresis | Raising Children Network

  https://raisingchildren.net.au/school-age/health-daily-care/toileting/faecal-incontinence

  Faecal incontinence is when children who are 4 years old or older cant control when and where they do a poo. This means that they regularly do poos in places other than the toilet, most often in their underwear. […] Faecal incontinence is also called encopresis or soiling. […] The main symptom of faecal incontinence is pooing in places other than the toilet, usually in underwear. This can range from skid marks to larger bits of poo. Its quite common for children to say that they cant feel or smell that theyve done a poo. […] Because the most common cause of faecal incontinence is constipation, you might see symptoms of constipation in children with faecal incontinence. These include pain when doing a poo, large or hard poos, or less frequent poos. Children might try to avoid doing a poo or have tummy pains. […] Some children with faecal incontinence also have daytime wetting or night-time wetting. […] And some children with faecal incontinence have emotional or behaviour difficulties too.

• #24 Encopresis (Fecal Soiling) – Harvard Health

  https://www.health.harvard.edu/a_to_z/encopresis-fecal-soiling-a-to-z

  In most children with encopresis, the most obvious signs are: Soiled underpants, A foul body odor (the smell of stool). […] Other signs and symptoms may include: Periods of constipation (no bowel movements) alternating with very large bowel movements, Streaks of blood on the outside of stool, or on toilet tissue used to wipe after a bowel movement, Pain in the lower abdomen or rectum, Stool-stained clothes hidden in closets, under the bed or elsewhere, Bedwetting, probably related to pressure from the large chunk of stool in the rectum. […] In rarer cases, when encopresis is caused by serious psychological problems, a child may drop or smear stool on floors, walls or furniture. […] With treatment, most children will recover from encopresis. […] Almost all children with encopresis stop soiling by the time they reach their mid-teen years.

• #25 Encopresis in Children | Causes, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/e/encopresis

  Other things you may see in children who soil: They often cannot feel or even smell that they have soiled. […] Treatment for soiling will be guided by your child’s healthcare team with your and your child’s input. […] Your child’s doctor or nurse practitioner will often order medications to help keep your child’s bowel movements soft. This will help your child not hold in the poop and over time will allow the colon to return to its normal shape and function.

• #26

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  Some children develop constipation and encopresis because of unsuccessful toilet training as toddlers. They may have fought the toilet training process, been pushed too fast, or were punished for having accidents. […] Many parents are astonished that their child with encopresis may not even be conscious of the odor emanating from the stool in his pants. […] Encopresis can lead to a struggle within the family. As parents and siblings become increasingly frustrated and angry, family activities may be curtailed or the child with encopresis may be ostracized from them. […] Encopresis is a chronic, complex but solvable problem. However, the longer it exists, the more difficult it is to treat. […] Children with encopresis may have occasional relapses and failures during and after treatment; these are actually quite normal, particularly in the early phases. Ultimate success may take months or even years.

• #27 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  Encopresis, also known as functional fecal incontinence or soiling, is when children pass stool (poop) into their underwear, in most cases accidentally. It occurs in children 4 years of age and older who have been toilet trained. The condition is more common in boys than girls. It affects 1% to 4% of children who are 4 years old, and the frequency of this condition decreases with older age. […] Children with encopresis often have the following symptoms: Not being able to hold their stool until they get to a toilet. Passing stool in their clothes. Hiding bowel movements (poop) or keeping them a secret. Hiding soiled clothes. Not having regular bowel movements. Feeling bloated or experiencing pain in their abdomen or stomach. Loss of appetite. […] The most common cause of encopresis is constipation. When a child experiences constipation, its difficult to have a bowel movement because their stool is dry and hard inside their colon and it can be painful to pass.

• #28 Encopresis – Stanford Medicine Children’s Health

  https://www.stanfordchildrens.org/en/topic/default?id=encopresis-90-P01992

  Encopresis is when your child leaks stool into his or her underwear. It is also called stool soiling. It is most often because of long-term (chronic) constipation. Encopresis happens to children ages 4 and older who have already been toilet trained. […] In most cases, stool soiling happens by accident. Encopresis can be very embarrassing for your child. […] Over time, liquid stool can start to leak around the hard, dry, impacted stool. This soils your child’s clothing. […] Each child’s symptoms may vary. Symptoms may include: […] Needing to have a bowel movement with little or no warning, called involuntary stooling. Your child may soil underwear if he or she can’t get to the bathroom in time. […] Children with encopresis often feel upset by the accidents they have when they soil their clothes. In most cases they can’t control this stool leakage. This can affect how they feel about themselves, or their self-esteem. It can also affect how they deal with other people.

• #29 Encopresis: Definition, causes, symptoms, and treatments

  https://www.medicalnewstoday.com/articles/encopresis

  Eventually, liquid stool begins to leak around the hard stool, leading to stool soiling. […] Signs and symptoms of encopresis include: needing to pass stool suddenly, with little warning; avoiding bowel movements; loose, watery stools resembling diarrhea; constipation; stomach pain; passing very large, hard, dry stools; rubbing the anal area, due to pain; hiding soiled underwear; loss of appetite; feelings of stress, anxiety, or guilt. […] Most children with encopresis will overcome the condition with treatment and caregiver support. […] It may take several months for children to regain normal bowel function. […] During this time, relapses can be frequent.

• #30 Faecal incontinence, soiling or encopresis | Raising Children Network

  https://raisingchildren.net.au/school-age/health-daily-care/toileting/faecal-incontinence

  Faecal incontinence is when children who are 4 years old or older cant control when and where they do a poo. This means that they regularly do poos in places other than the toilet, most often in their underwear. […] Faecal incontinence is also called encopresis or soiling. […] The main symptom of faecal incontinence is pooing in places other than the toilet, usually in underwear. This can range from skid marks to larger bits of poo. Its quite common for children to say that they cant feel or smell that theyve done a poo. […] Because the most common cause of faecal incontinence is constipation, you might see symptoms of constipation in children with faecal incontinence. These include pain when doing a poo, large or hard poos, or less frequent poos. Children might try to avoid doing a poo or have tummy pains. […] Some children with faecal incontinence also have daytime wetting or night-time wetting. […] And some children with faecal incontinence have emotional or behaviour difficulties too.

• #31 Encopresis (Fecal Soiling) – Harvard Health

  https://www.health.harvard.edu/a_to_z/encopresis-fecal-soiling-a-to-z

  In most children with encopresis, the most obvious signs are: Soiled underpants, A foul body odor (the smell of stool). […] Other signs and symptoms may include: Periods of constipation (no bowel movements) alternating with very large bowel movements, Streaks of blood on the outside of stool, or on toilet tissue used to wipe after a bowel movement, Pain in the lower abdomen or rectum, Stool-stained clothes hidden in closets, under the bed or elsewhere, Bedwetting, probably related to pressure from the large chunk of stool in the rectum. […] In rarer cases, when encopresis is caused by serious psychological problems, a child may drop or smear stool on floors, walls or furniture. […] With treatment, most children will recover from encopresis. […] Almost all children with encopresis stop soiling by the time they reach their mid-teen years.

• #32 Soiling (child pooing their pants)

  https://www.nhs.uk/conditions/soiling-child-pooing-their-pants/

  Soiling is when a child regularly poos their pants. If they’re already potty-trained, the soiling is usually because they are badly constipated. Treatment from a GP can help. […] Soiling usually happens when a child is so constipated that a large, hard piece of poo becomes stuck at the end of their gut (rectum). […] Signs your child is badly constipated: If your child is constipated, they may have runny poo (you may mistake this for diarrhoea) or bits of hard poo appearing regularly in their pants, pain when they poo they may try to hold in their poos because of this, some bleeding during or after pooing, because their poo is large and hard, stomach pain that comes and goes, a poor appetite or stomach pain that improves after they poo, big, hard poos, or small poos like „rabbit droppings”, fewer than 3 poos a week.

• #33

  https://confidenceclub.com.au/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  The most common cause of soiling in children is chronic constipation. […] When a child is chronically constipated over a long period of time, poo will build up in their rectum. […] Essentially, the stretched rectum can also allow soft or liquid stool to overflow around the constipated stool without the children feeling it. […] The causes of hard stools and constipation can include: Lack of fibre and overall diet, Illness, Not drinking enough water and fluids, Fear of going to the toilet, Limited access to a toilet. […] Some children may also develop chronic constipation following stressful life events, such as bullying, divorce or the death of a relative. […] As mentioned, the main symptom of soiling is doing a poo in places other than the toilet, which is most often in the child’s underwear.

• #34 Soiling (child pooing their pants)

  https://www.nhs.uk/conditions/soiling-child-pooing-their-pants/

  Soiling is when a child regularly poos their pants. If they’re already potty-trained, the soiling is usually because they are badly constipated. Treatment from a GP can help. […] Soiling usually happens when a child is so constipated that a large, hard piece of poo becomes stuck at the end of their gut (rectum). […] Signs your child is badly constipated: If your child is constipated, they may have runny poo (you may mistake this for diarrhoea) or bits of hard poo appearing regularly in their pants, pain when they poo they may try to hold in their poos because of this, some bleeding during or after pooing, because their poo is large and hard, stomach pain that comes and goes, a poor appetite or stomach pain that improves after they poo, big, hard poos, or small poos like „rabbit droppings”, fewer than 3 poos a week.

• #35 Constipation and soiling (encopresis) in children

  https://www.aboutkidshealth.ca/zh-Hans/healthaz/gastrointestinal/constipation-zh-hans/?language=en

  Soiling occurs when your child is unable to control a bowel movement or is leaking liquid stool (poo). Constipation is the main cause of soiling. […] Constipation is the most common cause of soiling. Constipation leads to soiling by changing the way your child’s body sends messages to their brain. […] Children with soiling are often unaware they need to have a bowel movement or they have soiled. Most children cannot feel or smell the stool in their underwear as the brain also ignores this message. […] Soiling may get worse when treatment starts and can last for 12 to 24 months.

• #36 Encopresis: Definition, causes, symptoms, and treatments

  https://www.medicalnewstoday.com/articles/encopresis

  Encopresis is when toilet trained children leak stool into their underwear. Doctors also call it stool soiling. […] Estimates say that up to 3% of children under 12 years of age experience stool soiling. […] Stool soiling is usually involuntary and can cause feelings of anxiety, shame, and guilt for the child. […] Encopresis is repeated episodes of stool soiling in children who are more than 4 years old. […] For a diagnosis of encopresis, stool soiling must occur at least once a month for a minimum of 3 months. […] Doctors most commonly associate encopresis with chronic constipation and the withholding of a bowel movement. […] According to some research, 90-95% of children with the condition also experience constipation and stool retention. […] When stool is hard and difficult to pass, it can become impacted in the rectum and colon.

• #37 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Parents of children with encopresis often feel frustrated as they often believe that their children play an active role in controlling their bowel movements. […] While in some cases, soiling may be intentional, in other cases it may be involuntary and beyond the child’s control. […] Functional constipation (persistent constipation with incomplete defecation without evidence of a structural or biochemical explanation) is one of the main causes of encopresis, accounting for 90% of cases amongst children (Har Croffle, 2010). […] Children may withhold stools often because he/she is constipated and therefore experiences pain when there is a bowel movement. […] Chronic withholding of bowel movements causes children to lose the ability to defecate normally and causes partial bowel movements of which children are often unaware.

• #38 Encopresis: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/encopresis

  Encopresis is also known as fecal soiling. It occurs when a child (usually over the age of 4) has a bowel movement and soils their pants. This problem is most often linked to constipation. […] The most common symptom of encopresis is soiled underpants. Constipation happens before encopresis, but may not be recognized. If your child hasnt had a bowel movement in three days or passes hard, painful stools, they may be constipated. […] Your child may also experience shame and guilt as a result of soiling. They may even be teased at school if their classmates find out about the problem. As a result, some children may show signs of secretive behavior around the issue. For example, they may hide their soiled underwear. […] Fecal matter can become hard and difficult to pass if your child doesnt get enough fiber, water, or exercise, or if they hold in a bowel movement. This can cause bowel movements to be painful. Liquid fecal matter or a soft bowel movement can then leak around the hard stool in the rectum and into a childs underpants. The child cant consciously control this soiling.

• #39

  https://confidenceclub.com.au/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  The most common cause of soiling in children is chronic constipation. […] When a child is chronically constipated over a long period of time, poo will build up in their rectum. […] Essentially, the stretched rectum can also allow soft or liquid stool to overflow around the constipated stool without the children feeling it. […] The causes of hard stools and constipation can include: Lack of fibre and overall diet, Illness, Not drinking enough water and fluids, Fear of going to the toilet, Limited access to a toilet. […] Some children may also develop chronic constipation following stressful life events, such as bullying, divorce or the death of a relative. […] As mentioned, the main symptom of soiling is doing a poo in places other than the toilet, which is most often in the child’s underwear.

• #40

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  When encopresis occurs, it begins with stool retention in the colon. Many of these youngsters simply may not respond to the urge to defecate and thus withhold their stools. As the intestinal walls and the nerves within them stretch, nerve sensations in the area diminish. Also, the intestines progressively lose their ability to contract and squeeze the stools out of the body. Therefore, these children find it increasingly difficult to have a normal bowel movement. Most of these children are chronically constipated. […] With time, these retained stools become harder, larger and much more difficult to pass. Bowel movements then can be painful, which further discourages these children from passing the stools. […] Eventually, the sphincters (the muscular valves that normally keep stools inside the rectum) are no longer able to hold back all the stool. Large, hard feces may be retained in the colon (large intestine) and rectum, but liquid stool can begin to seep around this impacted mass, passing through the anus and staining the underwear. At other times, semiformed or partial bowel movements may pass into the underwear, and because of the decreased sensation, the child may not be aware of it.

• #41 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  Encopresis could be a symptom of an underlying medical condition. Possible conditions that have encopresis as a symptom include: Colonic inertia: The colon doesnt move stool as it should. Digestive tract nerve damage: Muscles at the end of the digestive tract (anus) dont close properly. Hirschsprung disease: Nerve endings in the bowel are missing, which causes a blockage of the intestine so stool cant pass. Infection or tear in the rectum. Dehydration (not drinking enough water). Malnutrition or diet consisting of too much fat and sugar. […] Encopresis could be the result of emotional stress, behavioral challenges or fear that affects the actions of your child. […] Treatment is unique to each child diagnosed with encopresis and could include: Removal of any stool ball. Taking stool softeners, laxatives or enemas to ensure regular, soft stools. Scheduled toilet sitting. Eating a diet high in fiber (fruits, whole grains, vegetables). Drinking plenty of water.

• #42 Encopresis – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/encopresis/symptoms-causes/syc-20354494

  The longer the stool remains in the colon, the more difficult it is for the child to push stool out. The colon stretches, ultimately affecting the nerves that signal when it’s time to go to the toilet. When the colon becomes too full, soft or liquid stool may leak out around the retained stool or loss of control over bowel movements may occur. […] Call your doctor if your child is already toilet trained and starts experiencing one or more of the symptoms listed above. […] Most cases of encopresis are the result of chronic constipation. In constipation, the child’s stool is hard, dry and may be painful to pass. As a result, the child avoids going to the toilet making the problem worse. […] Emotional stress may trigger encopresis. A child may experience stress from: Premature, difficult or conflict-filled toilet training. […] A child who has encopresis may experience a range of emotions, including embarrassment, frustration, shame and anger. If your child is teased by friends or criticized or punished by adults, he or she may feel depressed or have low self-esteem.

• #43 Encopresis: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/encopresis

  Just because encopresis is associated with psychological causes doesnt mean that the symptoms are under your childs control. Theyre most likely not soiling themselves on purpose. The problem may begin because of controllable situations, such as fear of using a public toilet or not wanting to be toilet trained, but it becomes involuntary over time. […] Encopresis is typically diagnosed based on the reported symptoms, a medical history, and a physical exam. The physical exam may involve an examination of the rectum. Your childs doctor will be looking for a large amount of dried and hard fecal matter. […] Your childs doctor might prescribe or recommend a product to remove the blockage and relieve constipation. […] Employ behavioral techniques to reward your child for sitting on the toilet, eating high-fiber foods, and cooperating with treatments as recommended.

• #44 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  Encopresis could be a symptom of an underlying medical condition. Possible conditions that have encopresis as a symptom include: Colonic inertia: The colon doesnt move stool as it should. Digestive tract nerve damage: Muscles at the end of the digestive tract (anus) dont close properly. Hirschsprung disease: Nerve endings in the bowel are missing, which causes a blockage of the intestine so stool cant pass. Infection or tear in the rectum. Dehydration (not drinking enough water). Malnutrition or diet consisting of too much fat and sugar. […] Encopresis could be the result of emotional stress, behavioral challenges or fear that affects the actions of your child. […] Treatment is unique to each child diagnosed with encopresis and could include: Removal of any stool ball. Taking stool softeners, laxatives or enemas to ensure regular, soft stools. Scheduled toilet sitting. Eating a diet high in fiber (fruits, whole grains, vegetables). Drinking plenty of water.

• #45 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #46 What Is Encopresis? – Child Mind Institute

  https://childmind.org/article/what-is-encopresis/

  If you suspect your child is having issues with their bowel movements, start keeping track of the soiling so you can bring this information to the doctor. […] To diagnose a child with encopresis, a doctor may conduct both a routine physical exam and a rectal exam to check for hardened, impacted stool. […] To treat symptoms, typically the doctor will: Clear out the hardened poop from the rectum and colon. This can be done with medications such as laxatives or rectal suppositories. […] A pediatrician will often prescribe stool softeners such as lactulose or mineral oil to make the passing of bowel movements more manageable. […] There are a variety of reasons why a child might develop chronic constipation and in turn, encopresis. Some are strictly health related, in which case the doctor will refer you to a neurologist or gastroenterologist, as the culprit may be a neurological or developmental issue involving digestion.

• #47 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #48 Encopresis | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/e/encopresis.html

  Encopresis is when your child leaks stool into their underwear. It’s also called stool soiling. It’s most often because of long-term (chronic) constipation. Encopresis happens to children ages 4 and older who have already been toilet trained. […] In most cases, stool soiling happens by accident. Encopresis can be very embarrassing for your child. […] Over time, liquid stool can start to leak around the hard, dry, impacted stool. This soils your child’s clothing. […] Each child’s symptoms may vary. Symptoms may include: […] Needing to have a bowel movement with little or no warning, called involuntary stooling. Your child may soil underwear if they can’t get to the bathroom in time. […] Children with encopresis often feel upset by the accidents they have when they soil their clothes. In most cases, they can’t control this stool leakage. This can affect how they feel about themselves, or their self-esteem.

• #49 What Is Encopresis? – Child Mind Institute

  https://childmind.org/article/what-is-encopresis/

  Regardless of how they might’ve developed the disorder, it’s important that kids aren’t made to feel ashamed or bad for soiling themselves. […] Having encopresis can take a toll on a child’s social, emotional, and mental health. […] This can lead to social isolation, low self-esteem, and social anxiety. So, if you start to notice that your child is withdrawing from you and/or their peers, it can be helpful to seek further mental health support.

• #50 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #51 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #52 Soiling (Encopresis) | Rady Children’s Hospital

  https://www.rchsd.org/health-article/soiling-encopresis/

  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 cant face the shame and guilt they feel about the condition. Some even try to hide their soiled underpants from their parents. […] Kids cant prevent this soiling nor do they have any idea its happening because the nerves arent sending the signals that regulate pooping. […] Call the doctor if your child has any of these symptoms of encopresis: poop or liquid stool in the underwear when your child isnt 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).

• #53

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  Some children develop constipation and encopresis because of unsuccessful toilet training as toddlers. They may have fought the toilet training process, been pushed too fast, or were punished for having accidents. […] Many parents are astonished that their child with encopresis may not even be conscious of the odor emanating from the stool in his pants. […] Encopresis can lead to a struggle within the family. As parents and siblings become increasingly frustrated and angry, family activities may be curtailed or the child with encopresis may be ostracized from them. […] Encopresis is a chronic, complex but solvable problem. However, the longer it exists, the more difficult it is to treat. […] Children with encopresis may have occasional relapses and failures during and after treatment; these are actually quite normal, particularly in the early phases. Ultimate success may take months or even years.

• #54

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  Some children develop constipation and encopresis because of unsuccessful toilet training as toddlers. They may have fought the toilet training process, been pushed too fast, or were punished for having accidents. […] Many parents are astonished that their child with encopresis may not even be conscious of the odor emanating from the stool in his pants. […] Encopresis can lead to a struggle within the family. As parents and siblings become increasingly frustrated and angry, family activities may be curtailed or the child with encopresis may be ostracized from them. […] Encopresis is a chronic, complex but solvable problem. However, the longer it exists, the more difficult it is to treat. […] Children with encopresis may have occasional relapses and failures during and after treatment; these are actually quite normal, particularly in the early phases. Ultimate success may take months or even years.

• #55 Kids Soiling Accidents | Pelvic Health Melbourne

  https://www.pelvichealth.melbourne/kids-accidents-and-soiling

  Soiling / Poo Accidents (Faecal Incontinence) […] This can cause significant embarrassment for children who are sometimes bullied or made fun of and can be both frustrating and distressing for families to manage. We are here to help. […] Bowel soiling most commonly occurs due to constipation, where a solid poo is stuck somewhere in your child’s bowel and the softer stool pushes past this hard lump making their soiling grainy or clay-like. Soiling is not something your child can control, usually, they have lost all feeling and they truly cannot feel the accidents. […] Signs and symptoms? Is your child refusing to sit on the toilet? Is your child too distracted/busy to go to the toilet? Has your child had an experience of painful poo so is anxious to pass a poo? Is your child having frequent accidents (soiling) without realising it? Does your child suffer from chronic constipation?

• #56 Soiling (Encopresis) | Rady Children’s Hospital

  https://www.rchsd.org/health-article/soiling-encopresis/

  Encopresis is not a behavioral issue or a simple lack of self-control. […] Keep in mind that relapses are normal, so dont get discouraged. Your child might get constipated again or soil their pants during treatment, especially when being weaned off of the stool softeners. […] 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.

• #57 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] 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). […] 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. […] 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. […] 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.

• #58 Soiling (child pooing their pants)

  https://www.nhs.uk/conditions/soiling-child-pooing-their-pants/

  Non-urgent advice: See a GP if your child is regularly pooing their pants (soiling). […] Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if your child is pooing their pants (soiling), has a swollen tummy and is being sick, your child is soiling and has numbness or weakness in both legs. […] If your child is pooing their pants (soiling) because they’re constipated, a GP can prescribe laxatives to clear out the hard poo and get your child pooing regularly and comfortably again. […] The soiling may get worse before it gets better.

• #59 Encopresis: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/encopresis

  Just because encopresis is associated with psychological causes doesnt mean that the symptoms are under your childs control. Theyre most likely not soiling themselves on purpose. The problem may begin because of controllable situations, such as fear of using a public toilet or not wanting to be toilet trained, but it becomes involuntary over time. […] Encopresis is typically diagnosed based on the reported symptoms, a medical history, and a physical exam. The physical exam may involve an examination of the rectum. Your childs doctor will be looking for a large amount of dried and hard fecal matter. […] Your childs doctor might prescribe or recommend a product to remove the blockage and relieve constipation. […] Employ behavioral techniques to reward your child for sitting on the toilet, eating high-fiber foods, and cooperating with treatments as recommended.

• #60

  https://confidenceclub.com.au/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  If your child is constipated you may notice that they strain or feel pain when they poo, have stomach pains, or they having less frequent bowel movements. […] Other signs your child is experiencing soiling can include: They experience a sudden urge to have a bowel movement and can’t get to the bathroom in time, Itching or rubbing the anal region because its been irritated by watery or hard stools, Emotionally and socially withdrawing from family and friends, Hiding their worn/dirty underwear. […] Your first port of call, if you notice your child is experiencing soiling, is to visit their GP. […] Ensuring your child receives a professional medical assessment means they’ll receive the appropriate treatment and avoid the condition worsening. […] A medical assessment can include: Using a stethoscope to listen to sounds coming from the abdomen, Checking the abdomen for swelling, tenderness or pain, masses or lumps using gentle hand pressure, Checking blood pressure, temperature and heart rate, Checking for signs of dehydration, A rectal exam.

• #61

  https://confidenceclub.com.au/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  During the medical assessment, the doctor may also decide on a blood test, stool test, and/or an X-ray or ultrasound of the abdomen. […] While your child is undergoing treatment, its recommended you make their school aware so they can receive adequate support should they experience any faecal incontinence during school hours. […] Diet, exercise and other lifestyle factors can play a significant part in preventing constipation in children, which can therefore help prevent soiling incidents. […] Here are some things you can do at home to help prevent soiling: Make sure your child is eating enough fibre in their diet and drinking plenty of water to keep hydrated, Encourage your child to be physically active every day, for at least half an hour.

• #62 What Is Encopresis? – Child Mind Institute

  https://childmind.org/article/what-is-encopresis/

  If you suspect your child is having issues with their bowel movements, start keeping track of the soiling so you can bring this information to the doctor. […] To diagnose a child with encopresis, a doctor may conduct both a routine physical exam and a rectal exam to check for hardened, impacted stool. […] To treat symptoms, typically the doctor will: Clear out the hardened poop from the rectum and colon. This can be done with medications such as laxatives or rectal suppositories. […] A pediatrician will often prescribe stool softeners such as lactulose or mineral oil to make the passing of bowel movements more manageable. […] There are a variety of reasons why a child might develop chronic constipation and in turn, encopresis. Some are strictly health related, in which case the doctor will refer you to a neurologist or gastroenterologist, as the culprit may be a neurological or developmental issue involving digestion.

• #63 Encopresis in Children – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-encopresis/

  A child must be at least the age of four and poop in places like their underwear or the floor. It must happen at least once a month for at least three months. Before making a diagnosis of encopresis, a doctor will rule out things like food allergies or medicines that act as laxatives. […] There are a few steps to treating encopresis: First, a doctor will give the child something like a laxative to help get out built-up poop. Then, the child will take a smaller daily dose of a medicine to keep their poop soft so that it doesn’t hurt when they go. The third part of treatment is teaching the child to poop normally. This usually means having them sit on the toilet for 10–15 minutes at the same time every day (usually after eating), to get them used to pooping in a regular way that doesn’t hurt. The doctor might also recommend changes in the child’s diet. If the child has feelings of shame or guilt about their encopresis, a therapist can help them deal with those feelings and learn ways of pooping normally. […] Kids with encopresis are often teased by siblings and classmates. Parents should watch out for low self-esteem and depression in children with encopresis.

• #64 Encopresis: Symptoms, Mental Health, and Treatment

  https://psychcentral.com/disorders/encopresis-symptoms

  When a child is soiling themselves, either on purpose or by accident, its known as encopresis. […] Encopresis refers to when a child empties their bowels anywhere but the toilet. It can be voluntary or involuntary. Your child may do this in their clothes, on the floor, or elsewhere. […] Children with encopresis may also complain that their stomach hurts. This happens because constipation can cause: abdominal pain, bloating, cramping. […] A medical professional will diagnose your child with encopresis if they have bowel movements in inappropriate places, have inappropriate bowel movements at least once a month for at least 3 months, are at least 4 years old, aren’t on any medication that causes the soiling. […] The root cause of encopresis is chronic constipation. Chronic constipation can happen for several reasons, including because a child holds their bowel movements in.

• #65 Encopresis in Children – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-encopresis/

  A child must be at least the age of four and poop in places like their underwear or the floor. It must happen at least once a month for at least three months. Before making a diagnosis of encopresis, a doctor will rule out things like food allergies or medicines that act as laxatives. […] There are a few steps to treating encopresis: First, a doctor will give the child something like a laxative to help get out built-up poop. Then, the child will take a smaller daily dose of a medicine to keep their poop soft so that it doesn’t hurt when they go. The third part of treatment is teaching the child to poop normally. This usually means having them sit on the toilet for 10–15 minutes at the same time every day (usually after eating), to get them used to pooping in a regular way that doesn’t hurt. The doctor might also recommend changes in the child’s diet. If the child has feelings of shame or guilt about their encopresis, a therapist can help them deal with those feelings and learn ways of pooping normally. […] Kids with encopresis are often teased by siblings and classmates. Parents should watch out for low self-esteem and depression in children with encopresis.

• #66 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  Encopresis could be a symptom of an underlying medical condition. Possible conditions that have encopresis as a symptom include: Colonic inertia: The colon doesnt move stool as it should. Digestive tract nerve damage: Muscles at the end of the digestive tract (anus) dont close properly. Hirschsprung disease: Nerve endings in the bowel are missing, which causes a blockage of the intestine so stool cant pass. Infection or tear in the rectum. Dehydration (not drinking enough water). Malnutrition or diet consisting of too much fat and sugar. […] Encopresis could be the result of emotional stress, behavioral challenges or fear that affects the actions of your child. […] Treatment is unique to each child diagnosed with encopresis and could include: Removal of any stool ball. Taking stool softeners, laxatives or enemas to ensure regular, soft stools. Scheduled toilet sitting. Eating a diet high in fiber (fruits, whole grains, vegetables). Drinking plenty of water.

• #67 Encopresis in Children – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-encopresis/

  A child must be at least the age of four and poop in places like their underwear or the floor. It must happen at least once a month for at least three months. Before making a diagnosis of encopresis, a doctor will rule out things like food allergies or medicines that act as laxatives. […] There are a few steps to treating encopresis: First, a doctor will give the child something like a laxative to help get out built-up poop. Then, the child will take a smaller daily dose of a medicine to keep their poop soft so that it doesn’t hurt when they go. The third part of treatment is teaching the child to poop normally. This usually means having them sit on the toilet for 10–15 minutes at the same time every day (usually after eating), to get them used to pooping in a regular way that doesn’t hurt. The doctor might also recommend changes in the child’s diet. If the child has feelings of shame or guilt about their encopresis, a therapist can help them deal with those feelings and learn ways of pooping normally. […] Kids with encopresis are often teased by siblings and classmates. Parents should watch out for low self-esteem and depression in children with encopresis.

• #68 Encopresis in Children – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-encopresis/

  A child must be at least the age of four and poop in places like their underwear or the floor. It must happen at least once a month for at least three months. Before making a diagnosis of encopresis, a doctor will rule out things like food allergies or medicines that act as laxatives. […] There are a few steps to treating encopresis: First, a doctor will give the child something like a laxative to help get out built-up poop. Then, the child will take a smaller daily dose of a medicine to keep their poop soft so that it doesn’t hurt when they go. The third part of treatment is teaching the child to poop normally. This usually means having them sit on the toilet for 10–15 minutes at the same time every day (usually after eating), to get them used to pooping in a regular way that doesn’t hurt. The doctor might also recommend changes in the child’s diet. If the child has feelings of shame or guilt about their encopresis, a therapist can help them deal with those feelings and learn ways of pooping normally. […] Kids with encopresis are often teased by siblings and classmates. Parents should watch out for low self-esteem and depression in children with encopresis.

• #69 Encopresis – Kids Tummies Website

  https://kidstummies.org/encopresis/

  Encopresis, also known as fecal soiling is the soiling of underwear with stool by children who are pass the age of toilet training and are at least 4 years old or older. […] Encopresis in most cases is involuntary which means they have no control over soiling their underwear. […] Symptoms of encopresis are different for every child and may include: loose, watery poops, No urge to pass a poop before soiling of underwear, involuntary soiling of underwear with poop that happens during the day, Large poops that plug the toilet, Hiding of underwear. […] When children hold in their poop in, their lower bowel begins to fill up. […] Symptoms of encopresis may look like other conditions or medical problems. […] Encopresis is diagnosed by: A history and physical assessment by your doctor Imaging tests may also be done to evaluate the intestine and rule out other health problems. […] Treatment for encopresis may include: Initial cleanout involves clearing the bowel of the impacted stool with medications such as pico-salax or PEG 3350.

• #70 Encopresis in Children – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-encopresis/

  A child must be at least the age of four and poop in places like their underwear or the floor. It must happen at least once a month for at least three months. Before making a diagnosis of encopresis, a doctor will rule out things like food allergies or medicines that act as laxatives. […] There are a few steps to treating encopresis: First, a doctor will give the child something like a laxative to help get out built-up poop. Then, the child will take a smaller daily dose of a medicine to keep their poop soft so that it doesn’t hurt when they go. The third part of treatment is teaching the child to poop normally. This usually means having them sit on the toilet for 10–15 minutes at the same time every day (usually after eating), to get them used to pooping in a regular way that doesn’t hurt. The doctor might also recommend changes in the child’s diet. If the child has feelings of shame or guilt about their encopresis, a therapist can help them deal with those feelings and learn ways of pooping normally. […] Kids with encopresis are often teased by siblings and classmates. Parents should watch out for low self-esteem and depression in children with encopresis.

• #71 Encopresis in Children | Causes, Diagnosis & Treatment

  https://www.cincinnatichildrens.org/health/e/encopresis

  Other things you may see in children who soil: They often cannot feel or even smell that they have soiled. […] Treatment for soiling will be guided by your child’s healthcare team with your and your child’s input. […] Your child’s doctor or nurse practitioner will often order medications to help keep your child’s bowel movements soft. This will help your child not hold in the poop and over time will allow the colon to return to its normal shape and function.

• #72 Soiling (Encopresis) | Dayton Children’s Hospital

  https://www.childrensdayton.org/kidshealth/a/encopresis

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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). […] Encopresis isn’t a disease. It’s a symptom that may have different causes. […] 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). […] Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] Parents can get upset when their child has poop accidents. But remember that kids cannot stop the accidents, and often feel ashamed and embarrassed by them. […] A good way to track your child’s progress is by keeping a daily poop calendar. […] 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.

• #73 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #74 Encopresis in Children – A Quick Guide – Child Mind Institute

  https://childmind.org/guide/quick-guide-to-encopresis/

  A child must be at least the age of four and poop in places like their underwear or the floor. It must happen at least once a month for at least three months. Before making a diagnosis of encopresis, a doctor will rule out things like food allergies or medicines that act as laxatives. […] There are a few steps to treating encopresis: First, a doctor will give the child something like a laxative to help get out built-up poop. Then, the child will take a smaller daily dose of a medicine to keep their poop soft so that it doesn’t hurt when they go. The third part of treatment is teaching the child to poop normally. This usually means having them sit on the toilet for 10–15 minutes at the same time every day (usually after eating), to get them used to pooping in a regular way that doesn’t hurt. The doctor might also recommend changes in the child’s diet. If the child has feelings of shame or guilt about their encopresis, a therapist can help them deal with those feelings and learn ways of pooping normally. […] Kids with encopresis are often teased by siblings and classmates. Parents should watch out for low self-esteem and depression in children with encopresis.

• #75 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #76

  https://confidenceclub.co.uk/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  Ensuring your child receives a professional medical assessment means they’ll receive the appropriate treatment and avoid the condition worsening. […] A toileting program or schedule may be prescribed for your child and could involve them taking laxatives if necessary. Changes to diet and lifestyle factors may also be suggested to help both manage and prevent further constipation. […] Diet, exercise and other lifestyle factors can play a significant part in preventing constipation in children, which can therefore help prevent soiling incidents.

• #77

  https://confidenceclub.com.au/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  During the medical assessment, the doctor may also decide on a blood test, stool test, and/or an X-ray or ultrasound of the abdomen. […] While your child is undergoing treatment, its recommended you make their school aware so they can receive adequate support should they experience any faecal incontinence during school hours. […] Diet, exercise and other lifestyle factors can play a significant part in preventing constipation in children, which can therefore help prevent soiling incidents. […] Here are some things you can do at home to help prevent soiling: Make sure your child is eating enough fibre in their diet and drinking plenty of water to keep hydrated, Encourage your child to be physically active every day, for at least half an hour.

• #78 Encopresis: Causes, Symptoms, and Diagnosis

  https://www.healthline.com/health/encopresis

  If emotional distress or an underlying behavioral problem is present, your child may need psychological counseling. A counselor can help address related issues. They can help children develop coping skills and build self-esteem. […] Adopt a healthy approach to toilet training your child. Dont start toilet training until your child is ready. Typically, children arent ready for training until after they turn 2 years old. Watch closely for any hard or painful stools or any signs theyre withholding stools or afraid to use the toilet. If this happens, back off on toilet training for the time being and talk to their doctor about how to proceed and keep their stools soft.

• #79 What Is Encopresis? – Child Mind Institute

  https://childmind.org/article/what-is-encopresis/

  Regardless of how they might’ve developed the disorder, it’s important that kids aren’t made to feel ashamed or bad for soiling themselves. […] Having encopresis can take a toll on a child’s social, emotional, and mental health. […] This can lead to social isolation, low self-esteem, and social anxiety. So, if you start to notice that your child is withdrawing from you and/or their peers, it can be helpful to seek further mental health support.

• #80 What Is Encopresis? – Child Mind Institute

  https://childmind.org/article/what-is-encopresis/

  Regardless of how they might’ve developed the disorder, it’s important that kids aren’t made to feel ashamed or bad for soiling themselves. […] Having encopresis can take a toll on a child’s social, emotional, and mental health. […] This can lead to social isolation, low self-esteem, and social anxiety. So, if you start to notice that your child is withdrawing from you and/or their peers, it can be helpful to seek further mental health support.

• #81 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] 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). […] 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. […] 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. […] 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.

• #82 Soiling (Encopresis) | Dayton Children’s Hospital

  https://www.childrensdayton.org/kidshealth/a/encopresis

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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). […] Encopresis isn’t a disease. It’s a symptom that may have different causes. […] 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). […] Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] Parents can get upset when their child has poop accidents. But remember that kids cannot stop the accidents, and often feel ashamed and embarrassed by them. […] A good way to track your child’s progress is by keeping a daily poop calendar. […] 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.

• #83 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] 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). […] 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. […] 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. […] 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.

• #84 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  While you might see some progress early in treatment, it usually takes months for your child to overcome encopresis. There will be accidents along the way. Parents must keep their reactions to accidents low-key and continue to support the child. Most children who receive treatment for encopresis eventually are free from constipation and become accident-free as they grow older. […] If you notice your child has symptoms of encopresis, visit their healthcare provider. It can be easier to treat encopresis and constipation early, at the first sign of a problem. If your child is not having any bowel movements, experiences pain or refuses to eat due to discomfort, visit your provider immediately. […] Sometimes children with encopresis lose the feeling in their body that tells them it is time to use the toilet. If they have constipation, the buildup of stool could stretch their colon, and they wont feel the need to go until there is a large amount of stool. Once your child begins treatment to loosen their stool, they will need to re-learn when their body tells them it is time to use the toilet. This process could take several months, but be patient with your child as they better understand their body.

• #85 Encopresis Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/17849-encopresis-soiling

  While you might see some progress early in treatment, it usually takes months for your child to overcome encopresis. There will be accidents along the way. Parents must keep their reactions to accidents low-key and continue to support the child. Most children who receive treatment for encopresis eventually are free from constipation and become accident-free as they grow older. […] If you notice your child has symptoms of encopresis, visit their healthcare provider. It can be easier to treat encopresis and constipation early, at the first sign of a problem. If your child is not having any bowel movements, experiences pain or refuses to eat due to discomfort, visit your provider immediately. […] Sometimes children with encopresis lose the feeling in their body that tells them it is time to use the toilet. If they have constipation, the buildup of stool could stretch their colon, and they wont feel the need to go until there is a large amount of stool. Once your child begins treatment to loosen their stool, they will need to re-learn when their body tells them it is time to use the toilet. This process could take several months, but be patient with your child as they better understand their body.

• #86 Encopresis – Stanford Medicine Children’s Health

  https://www.stanfordchildrens.org/en/topic/default?id=encopresis-90-P01992

  You may help prevent stool soiling if you avoid any emotional upsets while your child is toilet training. […] Making changes in your child’s diet and activity level may help prevent constipation and stool soiling. But solving encopresis may be harder for some children. […] Your child may still have accidents and soil underwear from time to time. This will happen until the intestine and rectum get their muscle tone back again. […] Encopresis can cause both physical and emotional problems. […] It can be very embarrassing for your child.

• #87 Encopresis in Children | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/encopresis

  Children who have never been toilet trained and refuse to have a bowel movement on the toilet are also at risk of developing encopresis. […] After a child passes an impacted stool, it’s important to develop a good routine to ensure that stool does not get backed up again. The child may still have problems with leakage until the intestine and rectum return to their normal size.

• #88 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] 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). […] 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. […] 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. […] 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.

• #89 Soiling (Encopresis) | Rady Children’s Hospital

  https://www.rchsd.org/health-article/soiling-encopresis/

  Encopresis is not a behavioral issue or a simple lack of self-control. […] Keep in mind that relapses are normal, so dont get discouraged. Your child might get constipated again or soil their pants during treatment, especially when being weaned off of the stool softeners. […] 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.

• #90 Soiling (Encopresis) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/encopresis.html

  Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] 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). […] 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. […] 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. […] 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.

• #91 Soiling (Encopresis) | Dayton Children’s Hospital

  https://www.childrensdayton.org/kidshealth/a/encopresis

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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). […] Encopresis isn’t a disease. It’s a symptom that may have different causes. […] 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). […] Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] Parents can get upset when their child has poop accidents. But remember that kids cannot stop the accidents, and often feel ashamed and embarrassed by them. […] A good way to track your child’s progress is by keeping a daily poop calendar. […] 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.

• #92

  https://confidenceclub.co.uk/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  Ensuring your child receives a professional medical assessment means they’ll receive the appropriate treatment and avoid the condition worsening. […] A toileting program or schedule may be prescribed for your child and could involve them taking laxatives if necessary. Changes to diet and lifestyle factors may also be suggested to help both manage and prevent further constipation. […] Diet, exercise and other lifestyle factors can play a significant part in preventing constipation in children, which can therefore help prevent soiling incidents.

• #93 Encopresis (Fecal Soiling) – Harvard Health

  https://www.health.harvard.edu/a_to_z/encopresis-fecal-soiling-a-to-z

  Call your doctor if your child is older than age four and consistently soils his pants with stool. […] Call your doctor immediately if your child begins to intentionally drop or smear stool anywhere, including around the home or school. […] Most children with encopresis either outgrow the problem or respond to treatment.

• #94 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #95

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  One of the most important tasks of parents is to seek early treatment for this problem. Many mothers and fathers feel ashamed and unsupported when their child has encopresis. But parents should not just wait for it to go away. They should consult their doctor and make a persistent effort to solve the problem. If the symptoms are allowed to linger, the child’s self-esteem and social confidence may be damaged even more. […] The treatment goals will probably be four fold: To establish regular bowel habits in the child, To reduce stool retention, To restore normal physiological control over bowel function, To defuse conflicts and reduce concerns within the family brought on by the child’s symptoms.

• #96 Encopresis |Understanding & Managing Encopresis In Children

  https://www.childpsychologist.com.au/resources/encopresis-soiling-in-school-aged-children

  Other medical causes such as spinal cord damage, celiac disease or damage to the bowel can result in encopresis. […] Encopresis can have a severe effect on the child, family and school environment. […] Studies have shown that encopresis children experience a greater amount of anxiety and depression symptoms, difficulties with attention, more social problems, disruptive behaviours and lower levels of academic performance (Mosca Schatz, 2014). […] While encopresis is a chronic and complex problem amongst many families, it is treatable. […] The majority of children with encopresis can be effectively treated with a combination of medical, psychological and dietary interventions. […] In order for this to be effective, family tension regarding the symptom should be reduced and a non-punitive atmosphere should be established. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day. […] A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis.

• #97 Soiling (Encopresis) | Dayton Children’s Hospital

  https://www.childrensdayton.org/kidshealth/a/encopresis

  If your child has bowel movements (BMs) in places other than the toilet, you know how frustrating it can be. […] 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). […] Encopresis isn’t a disease. It’s a symptom that may have different causes. […] 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). […] Kids can’t prevent this soiling and sometimes dont know it’s happening because the nerves aren’t sending the signals that regulate pooping. […] Parents can get upset when their child has poop accidents. But remember that kids cannot stop the accidents, and often feel ashamed and embarrassed by them. […] A good way to track your child’s progress is by keeping a daily poop calendar. […] 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.

• #98

  https://confidenceclub.com.au/blogs/news/soiling-in-children-why-it-occurs-what-to-do

  During the medical assessment, the doctor may also decide on a blood test, stool test, and/or an X-ray or ultrasound of the abdomen. […] While your child is undergoing treatment, its recommended you make their school aware so they can receive adequate support should they experience any faecal incontinence during school hours. […] Diet, exercise and other lifestyle factors can play a significant part in preventing constipation in children, which can therefore help prevent soiling incidents. […] Here are some things you can do at home to help prevent soiling: Make sure your child is eating enough fibre in their diet and drinking plenty of water to keep hydrated, Encourage your child to be physically active every day, for at least half an hour.

• #99 Managing Encopresis in Schools | Show Me School Health

  https://showmeschoolhealth.org/resources/managing-encopresis-in-schools/

  Encopresis, also known as fecal incontinence or soiling, refers to the repetitive, voluntary or involuntary, passage of stool in inappropriate places by children four years of age and older, at which time a child may be reasonably expected to have completed toilet training and exercise bowel control (Sood, 2023) in the absence of overt neuromuscular anorectal dysfunction (Sood, 2023). […] It is not uncommon for a student with encopresis to deny both the visible and olfactory signs of soiling of their underwear. The student may appear unaware or unconcerned about the problem, even though it may cause the student to be teased by their peers. For some students, the episodes appear to be triggered by emotional stress. Some students may have abdominal pain associated with their fecal incontinence but it is not always an associated symptom.

• #100 Soiling (Encopresis) | Rady Children’s Hospital

  https://www.rchsd.org/health-article/soiling-encopresis/

  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 cant face the shame and guilt they feel about the condition. Some even try to hide their soiled underpants from their parents. […] Kids cant prevent this soiling nor do they have any idea its happening because the nerves arent sending the signals that regulate pooping. […] Call the doctor if your child has any of these symptoms of encopresis: poop or liquid stool in the underwear when your child isnt 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).

• #101 Encopresis (Fecal Soiling) – Harvard Health

  https://www.health.harvard.edu/a_to_z/encopresis-fecal-soiling-a-to-z

  Call your doctor if your child is older than age four and consistently soils his pants with stool. […] Call your doctor immediately if your child begins to intentionally drop or smear stool anywhere, including around the home or school. […] Most children with encopresis either outgrow the problem or respond to treatment.

• #102 My Child Poops in His Pants – Positive Parenting

  https://mypositiveparenting.org/2018/12/23/my-child-poops-in-his-pants/

  Faecal incontinence or soiling (also called encopresis), is the involuntary repeated passing of stool into clothing. It occurs among toilet-trained children aged 4 years and above. […] Encopresis is related to continued constipation which clogs the rectum. Newer stool is more liquid and can leak past the weakened, over-stretched rectum and stain the childs clothing. […] Evidence of stool or liquid stool on underwear/clothing […] Constipation with dry/hard and pellet-type stool […] Large stools that are difficult to flush down the toilet […] Child avoids bowel movements […] Long periods of time between bowel movements […] Lack of appetite […] Abdominal pain […] Bedwetting (enuresis) […] Frequent bladder infections (particularly in girls). […] Check with your childs paediatrician if he: Is older than four and consistently soils his pants

• #103 Soiling (child pooing their pants)

  https://www.nhs.uk/conditions/soiling-child-pooing-their-pants/

  Non-urgent advice: See a GP if your child is regularly pooing their pants (soiling). […] Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if your child is pooing their pants (soiling), has a swollen tummy and is being sick, your child is soiling and has numbness or weakness in both legs. […] If your child is pooing their pants (soiling) because they’re constipated, a GP can prescribe laxatives to clear out the hard poo and get your child pooing regularly and comfortably again. […] The soiling may get worse before it gets better.

• #104

  https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx

  One of the most important tasks of parents is to seek early treatment for this problem. Many mothers and fathers feel ashamed and unsupported when their child has encopresis. But parents should not just wait for it to go away. They should consult their doctor and make a persistent effort to solve the problem. If the symptoms are allowed to linger, the child’s self-esteem and social confidence may be damaged even more. […] The treatment goals will probably be four fold: To establish regular bowel habits in the child, To reduce stool retention, To restore normal physiological control over bowel function, To defuse conflicts and reduce concerns within the family brought on by the child’s symptoms.

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