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. […] 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). […] Most encopresis cases are due to constipation. […] 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. […] Instead, talk to your doctor for help to get through this challenging but treatable problem. […] Treatment happens in three phases: Emptying the rectum and colon of the hard poop. […] Helping your child begin having regular BMs.

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

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

  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. […] Treatment happens in three phases: […] Helping your child begin having regular BMs. […] Parents also will be asked to schedule potty times after meals (when the bowels are naturally stimulated). […] Keep in mind that relapses are normal, so don’t get discouraged. […] Patience is the key to treating encopresis. […] Diet and exercise are very important in keeping stools soft and BMs regular. […] Help your child drink plenty of liquids each day, especially water. […] Successful treatment of encopresis depends on the support a child gets. […] Don’t blame or yell it will only make your child feel bad and it won’t help manage the condition.

• #3 Encopresis Causes, Symptoms & Treatment

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

  Encopresis is a condition where a toilet-trained child has bowel movements when they are not on the toilet. […] You can prevent encopresis by avoiding constipation and creating positive toileting experiences for your child. You can do this by: Eating a diet high in fiber. Staying hydrated and drinking a lot of fluids. Making sure your child gets plenty of exercise. Scheduling times to use the toilet after meals. Making your child’s toilet training experience positive with encouragement and support. […] 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.

• #4 Encopresis Causes, Symptoms & Treatment

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

  Encopresis is a condition where a toilet-trained child has bowel movements when they are not on the toilet. […] You can prevent encopresis by avoiding constipation and creating positive toileting experiences for your child. You can do this by: Eating a diet high in fiber. Staying hydrated and drinking a lot of fluids. Making sure your child gets plenty of exercise. Scheduling times to use the toilet after meals. Making your child’s toilet training experience positive with encouragement and support. […] 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.

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

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

  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. […] Treatment happens in three phases: […] Helping your child begin having regular BMs. […] Parents also will be asked to schedule potty times after meals (when the bowels are naturally stimulated). […] Keep in mind that relapses are normal, so don’t get discouraged. […] Patience is the key to treating encopresis. […] Diet and exercise are very important in keeping stools soft and BMs regular. […] Help your child drink plenty of liquids each day, especially water. […] Successful treatment of encopresis depends on the support a child gets. […] Don’t blame or yell it will only make your child feel bad and it won’t help manage the condition.

• #6 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. […] To help prevent encopresis caused by chronic constipation, you can: Increase the amount of fiber in your child’s diet, by giving plenty of fruits, vegetables, and whole grains. […] Make sure your child drinks plenty of fluidswater is bestthroughout the day. […] Have your child sit on the toilet for 10 to 15 minutes twice each day, at the same times every day. Your child also should go to the toilet 10 to 15 minutes after every meal. […] Keep your child active. Exercise helps to get the intestines (bowels) moving, so that stool passes through more easily and quickly. […] Encourage and praise your child for each successful „clean” day without soiling. Never punish, shame or blame.

• #7 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. […] You may help prevent stool soiling if you avoid any emotional upsets while your child is toilet training. Children who have a negative experience using the toilet may avoid going to the bathroom. This leads to constipation and, over time, encopresis. […] You can also help your child have regular bowel movements by making some diet and lifestyle changes. Give your child high-fiber foods and limit high-fat and high-sugar foods. Make sure your child drinks plenty of fluids, such as water. And keep your child physically active. […] 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. If your child soils his or her underwear, don’t get angry or punish your child.

• #8 Child Bowel Control: Prevent Soiled Pants | Ask Dr Sears

  https://www.askdrsears.com/topics/parenting/discipline-behavior/bothersome-behaviors/soiling-pants/

  Soiling pants, medically known as encopresis, is not that unusual or always abnormal. It occurs at some point after the child has been toilet trained. […] By understanding why this unpleasant problem occurs, you can help your child master his bowel habits. […] First, you can always listen to what your bowel tells you. Instead of being so busy and not paying attention to your body, go to the toilet as soon as your bowel says, I’m full. […] If your diary detects a correlation between play and soiling, call this connection to your child’s attention. […] Some children are embarrassed about toileting. […] Impress upon your child that toileting is as normal and human as eating. […] Paradoxically, the most common medical cause of pant soiling that I see in my office is constipation. […] Stool softeners, such as natural fiber (psyllium husks, branlike flakes available at nutrition stores that you sprinkle on your child’s morning cereal), prune and pear juice, prune puree (if your child won’t eat prunes), and two extra glasses of water each day are natural stool softeners.

• #9 Encopresis: Causes, Symptoms, and Diagnosis

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

  Adopting a diet high in fiber will encourage the flow of bowel movements. […] For children ages 4 to 8, drinking five cups of water daily can help keep stools soft for easy passage. […] Employ behavioral techniques to reward your child for sitting on the toilet, eating high-fiber foods, and cooperating with treatments as recommended. […] If emotional distress or an underlying behavioral problem is present, your child may need psychological counseling. […] Adopt a healthy approach to toilet training your child. Don’t start toilet training until your child is ready. […] Other ways to prevent encopresis include: making certain your child eats high-fiber foods, encouraging your child to drink plenty of water, regularly exercising with your child.

• #10 Encopresis Causes, Symptoms & Treatment

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

  Encopresis is a condition where a toilet-trained child has bowel movements when they are not on the toilet. […] You can prevent encopresis by avoiding constipation and creating positive toileting experiences for your child. You can do this by: Eating a diet high in fiber. Staying hydrated and drinking a lot of fluids. Making sure your child gets plenty of exercise. Scheduling times to use the toilet after meals. Making your child’s toilet training experience positive with encouragement and support. […] 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.

• #11 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. […] To help prevent encopresis caused by chronic constipation, you can: Increase the amount of fiber in your child’s diet, by giving plenty of fruits, vegetables, and whole grains. […] Make sure your child drinks plenty of fluidswater is bestthroughout the day. […] Have your child sit on the toilet for 10 to 15 minutes twice each day, at the same times every day. Your child also should go to the toilet 10 to 15 minutes after every meal. […] Keep your child active. Exercise helps to get the intestines (bowels) moving, so that stool passes through more easily and quickly. […] Encourage and praise your child for each successful „clean” day without soiling. Never punish, shame or blame.

• #12

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

  If your child is experiencing poo accidents after the age of four years old, this is why it may be occurring and what you can do as a parent or carer to help them manage and prevent it. […] This article will give you more information on the reasons why soiling may be occurring in your child even after toilet training and what you can do to both prevent and manage the condition. […] 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.

• #13 Encopresis Causes, Symptoms & Treatment

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

  Parents should encourage and offer support to their child by creating a potty routine to keep up with good bowel habits including: Scheduling regular bathroom visits after meals. Praising or rewarding your child for using the toilet regularly. Not scolding or yelling at your child if accidents happen.

• #14 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. […] Non-urgent advice: See a GP if: your child is regularly pooing their pants (soiling). It’s important not to try to sort out soiling by yourself. […] 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. […] If your child is regularly pooing their pants (soiling), it can help to: set up a regular toilet routine for your child for example, they could sit on the toilet for 5 minutes every day after each meal and before going to bed.

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

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

  Your child’s doctor or nurse practitioner will often order medications to help keep your child’s bowel movements soft. […] There are certain dietary changes to consider when helping a child with constipation and / or soiling. […] Increasing the amount of exercise children get can also help. […] Encourage your child to sit on the toilet at least twice a day for three to five minutes, preferably 15-30 minutes after a meal. […] Until the lower colon regains muscle tone, children may still soil. Pre-school children may be able to wear disposable training pants until they regain bowel control. […] Talk to school teachers about your child’s need to be able to go to the bathroom at any time.

• #16 Encopresis – Stanford Medicine Children’s Health

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

  It may be helpful to have your child sit on the toilet twice a day for 10 minutes. This helps encourage regular bowel movements. Keeping a notebook or log of stool soiling accidents may also help. You and your child can see if there is a pattern to the accidents. Or you may find there are some triggers that can be controlled. Your child’s healthcare provider can also give helpful suggestions and medicines as needed. […] If your child’s encopresis is caused by another health problem, treating that condition may help.

• #17 Encopresis, Soiling and Constipation – Bristol Child Parent Support

  https://bristolchildparentsupport.co.uk/encopresis-soiling-and-constipation/

  Help them overcome their fears about the bathroom and toilet. […] Make it a relaxing place; let them read a book or listen to music, and feel more relaxed. […] Help them clean up. […] For younger children, this is not easy, but older children have a box with nice clean up things (such as friendly wipes, colourful pants, etc.). […] Remember, it is not your fault or theirs, and seek help if you need support.

• #18

  https://www.mumsnet.com/talk/parenting/5034502-almost-6-year-old-soiling-his-underwear

  Lots of children dont know until they go to the loo and see it in their pants. […] I was told it was a constipation/overflow issue. […] The professional advice we were given was to get them into a really good routine. So sit them on the toilet about half an hour after dinner. […] There’s a website called ERIC which is mainly aimed at wetting but Im sure has some poo advice too. […] A good way to tell if the colon has been stretched is if sometimes they have really big poos, thats why medication can be needed for a long time to allow soft stools passing regularly allowing it to go back to normal size. […] Frequent soiling is a good sign that theres impacting and a disimpaction regime can be required.

• #19 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. […] Encopresis can be frustrating for parents and embarrassing for the child. However, with patience and positive reinforcement, treatment for encopresis is usually successful. […] Help your child avoid constipation by providing a balanced diet that’s high in fiber and encouraging your child to drink enough water. […] Educate yourself on effective toilet training techniques. Avoid starting too early or being too forceful in your methods. Wait until your child is ready, and then use positive reinforcement and encouragement to help make progress. […] Early treatment, including guidance from your child’s doctor or mental health professional, can help prevent the social and emotional impact of encopresis. Regular follow-up visits with your doctor can help identify ongoing or recurring problems so that adjustments in treatment can be made as needed.

• #20 Encopresis Causes, Symptoms & Treatment

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

  Encopresis is a condition where a toilet-trained child has bowel movements when they are not on the toilet. […] You can prevent encopresis by avoiding constipation and creating positive toileting experiences for your child. You can do this by: Eating a diet high in fiber. Staying hydrated and drinking a lot of fluids. Making sure your child gets plenty of exercise. Scheduling times to use the toilet after meals. Making your child’s toilet training experience positive with encouragement and support. […] 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.

• #21 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. […] You may help prevent stool soiling if you avoid any emotional upsets while your child is toilet training. Children who have a negative experience using the toilet may avoid going to the bathroom. This leads to constipation and, over time, encopresis. […] You can also help your child have regular bowel movements by making some diet and lifestyle changes. Give your child high-fiber foods and limit high-fat and high-sugar foods. Make sure your child drinks plenty of fluids, such as water. And keep your child physically active. […] 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. If your child soils his or her underwear, don’t get angry or punish your child.

• #22 Encopresis |Understanding & Managing Encopresis In Children

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

  Negative toilet training practice can cause children to associate using the toilet with punishment. […] 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 first step to treating encopresis is to identify the cause behind the condition and seek medical advice from a pediatrician or GP. […] Behavioural modification with the assistance of a Psychologist is an integral treatment component for encopresis. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day.

• #23 How to Get Toddler to Stop Pooping Their Pants

  https://www.parents.com/how-to-stop-a-toddler-from-pooping-pants-8639424

  Try positive discipline techniques like a sticker chart or behavior chart to reward your child for pooping in the potty. […] Give your child the tools to help them be more independent in the bathroom. […] Most importantly, offer positive reinforcement, it can help your child feel encouraged to make using the toilet a habit.

• #24 need advice my 4 1/2 year old continually poo’s his pants:(

  https://www.netmums.com/coffeehouse/being-mum-794/children-4-11-years-60/689211-need-advice-my-4-1-2-year-old-continually-poos-his-pants.html

  I put a star chart blutacked on the toilet wall, also did a reward chart that was like a fireman’s ladder […] I tried not to get angry, but I encouraged him to help wash his pants in the sink […] I kept a little bowl for treats […] If he didn’t do it for say 3 days, then there were 3 treats at stake! […] I was wondering if you would find this section on netmums helpful- Childhood soiling – Netmums […] have you asked him why he does it? […] I definitely think a reward chart is the way to go with a reward every time he achieves it and like someone else said get him to help clean those dirty pants so he can see there are consequences too. […] I ended up going to the doctor who referred him to the hospital where a pediatrician gave us some movical for him to help him. […] The movical changed everything. […] I did a huge amount of research, and was led to something called 'Salicylates’ […] We embarked on the failsafe diet doing it 100%, within 5 days he was dry, and has been ever since!

• #25 Encopresis in Children and Adolescents – Society of Pediatric Psychology

  https://pedpsych.org/fact_sheets/encopresis/

  Encopresis is the voluntary or involuntary passage of stool in places other than toilets. […] The treatment approach with the best outcome data is usually referred to as Medical-Behavioral. Typically, this consists of the use of medication to address the child’s constipation (either oral medications and/or rectal) and implementation of behavioral modification strategies to promote and maintain appropriate defecation. […] During behavioral treatment, a regular toilet sit schedule is established and children are rewarded for appropriate defecation behaviors (e.g., sitting on the toilet, stooling in the toilet, cleaning up if soiled). […] Regardless of the treatment approach, there seems to be general agreement that treatment that prevents or quickly addresses the reappearance of constipation is necessary. […] There is no empirical evidence to support the use of punishment in the treatment of encopresis. Punishment of soiling may lead to more behavioral challenges and further delay of bowel control.

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

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

  Reducing use of the stool medicines. […] Diet and exercise are very important in keeping stools soft and BMs regular. […] Help your child drink plenty of liquids each day, especially water. […] Successful treatment of encopresis depends on the support a child gets. […] Don’t blame or yell it will only make your child feel bad and it won’t help manage the condition.

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

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

  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. […] Treatment happens in three phases: […] Helping your child begin having regular BMs. […] Parents also will be asked to schedule potty times after meals (when the bowels are naturally stimulated). […] Keep in mind that relapses are normal, so don’t get discouraged. […] Patience is the key to treating encopresis. […] Diet and exercise are very important in keeping stools soft and BMs regular. […] Help your child drink plenty of liquids each day, especially water. […] Successful treatment of encopresis depends on the support a child gets. […] Don’t blame or yell it will only make your child feel bad and it won’t help manage the condition.

• #28 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. […] Non-urgent advice: See a GP if: your child is regularly pooing their pants (soiling). It’s important not to try to sort out soiling by yourself. […] 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. […] If your child is regularly pooing their pants (soiling), it can help to: set up a regular toilet routine for your child for example, they could sit on the toilet for 5 minutes every day after each meal and before going to bed.

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

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

  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.

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

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

  To achieve this, his doctor may prescribe medication (laxatives), enemas, or rectal suppositories. Avoid using these methods (especially on a frequent basis) on your own unless prescribed by the doctor. After your childs bowels have been cleared, motivate him to adhere to regular bowel movements. Check with the doctor to see if the child needs a stool softener (e.g. lactulose and mineral oil) to help with bowel movements.

• #31 Constipation with Soiling – Hilliard Pediatrics

  https://www.hilliardpeds.com/constipation-with-soiling/

  By keeping up with daily use of the Miralax powder, this allows your child to keep the bowel movements up on a regular basis. […] The goal is to have your child have at least one soft, comfortably passed bowel movement every day or every other day WITH NO ACCIDENTS. […] If everything is going well and your child has had no accidents for months, if you stop the Miralax and the accidents return after a while, we will recommend you either go back to daily Miralax powder or first do another clean out (as above).

• #32 Encopresis (Fecal Soiling) – Harvard Health

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

  Check with your doctor before you give your child enemas or rectal suppositories. Also avoid using laxatives daily unless this is part of your child’s treatment plan. […] Remember, even after your child has become completely toilet trained, occasional accidents will happen. It is important that you remain calm and casual as you change your child’s soiled clothing.

• #33 Constipation in children – NHS

  https://www.nhs.uk/conditions/baby/health/constipation-in-children/

  If your child is over 1 year old, soiled pants can be another sign of constipation, as runny poo (diarrhoea) may leak out around the hard, constipated poo. This is called overflow soiling. […] Once your child’s constipation has been dealt with, it’s important to stop it coming back. A GP may advise that your child keeps taking laxatives for a while to make sure their poo stays soft enough to push out regularly. […] Getting constipated and soiling their clothes is not something your child is doing on purpose, so there’s no reason to get cross with them. […] Stay calm and reassuring, so that your child does not see going to the toilet as a stressful situation you want your child to see pooing as a normal part of life, not something to be ashamed of. […] If you’d like advice about taking the stress out of going to the toilet for your child, speak to a health visitor.

• #34 Encopresis – My top tips to help stop your kids pooing in their pants – NatureDoc

  https://naturedoc.com/encopresis-top-tips-to-help-stop-your-kids-pooing-in-their-pants/

  Firstly, build in fibrous foods and fluid that are going help lubricate the stool to pass through the colon more easily. This means eating more fruits and vegetables and drinking lots of water to help keep the stool easy to pass and prevent hard poo. […] Other considerations are food supplements which have been shown to help support gut health, motility and constipation. […] Once the bowels have been emptied, its essential to start supporting core strength and bowel tone to help prevent future episodes. […] The most important thing is you keep the stool very soft and this helps to reduce the pain when he passes a stool so it is less scary to go the supplements like PHGG, Bacillus Coagulans and magnesium can help the bowel movements to be easier to pass and the volume passed should also be increased.

• #35 Encopresis – My top tips to help stop your kids pooing in their pants – NatureDoc

  https://naturedoc.com/encopresis-top-tips-to-help-stop-your-kids-pooing-in-their-pants/

  Firstly, build in fibrous foods and fluid that are going help lubricate the stool to pass through the colon more easily. This means eating more fruits and vegetables and drinking lots of water to help keep the stool easy to pass and prevent hard poo. […] Other considerations are food supplements which have been shown to help support gut health, motility and constipation. […] Once the bowels have been emptied, its essential to start supporting core strength and bowel tone to help prevent future episodes. […] The most important thing is you keep the stool very soft and this helps to reduce the pain when he passes a stool so it is less scary to go the supplements like PHGG, Bacillus Coagulans and magnesium can help the bowel movements to be easier to pass and the volume passed should also be increased.

• #36 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. […] A well-balanced diet high in fibre and water is a good way to prevent encopresis. Preand probiotics are potentially helpful. […] Research has also demonstrated that probiotics can help increase stool movement and prevent constipation. Other basic healthy lifestyle factors include getting enough sleep and exercise, drinking enough water, managing stress levels, and eating healthily. […] The cycle of constipation and encopresis can be broken only by clearing the clogged stool from the bowel and ensuring that your child adheres to regular bowel movements. This allows his bowel to return to its normal size, which may take weeks or months.

• #37 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. […] A well-balanced diet high in fibre and water is a good way to prevent encopresis. Preand probiotics are potentially helpful. […] Research has also demonstrated that probiotics can help increase stool movement and prevent constipation. Other basic healthy lifestyle factors include getting enough sleep and exercise, drinking enough water, managing stress levels, and eating healthily. […] The cycle of constipation and encopresis can be broken only by clearing the clogged stool from the bowel and ensuring that your child adheres to regular bowel movements. This allows his bowel to return to its normal size, which may take weeks or months.

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

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

  Your child’s doctor or nurse practitioner will often order medications to help keep your child’s bowel movements soft. […] There are certain dietary changes to consider when helping a child with constipation and / or soiling. […] Increasing the amount of exercise children get can also help. […] Encourage your child to sit on the toilet at least twice a day for three to five minutes, preferably 15-30 minutes after a meal. […] Until the lower colon regains muscle tone, children may still soil. Pre-school children may be able to wear disposable training pants until they regain bowel control. […] Talk to school teachers about your child’s need to be able to go to the bathroom at any time.

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

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

  Your child’s doctor or nurse practitioner will often order medications to help keep your child’s bowel movements soft. […] There are certain dietary changes to consider when helping a child with constipation and / or soiling. […] Increasing the amount of exercise children get can also help. […] Encourage your child to sit on the toilet at least twice a day for three to five minutes, preferably 15-30 minutes after a meal. […] Until the lower colon regains muscle tone, children may still soil. Pre-school children may be able to wear disposable training pants until they regain bowel control. […] Talk to school teachers about your child’s need to be able to go to the bathroom at any time.

• #40 Soiling In Children | KidsHealth New Zealand’s Trusted Voice On Children’s Health

  https://www.kidshealth.org.nz/constipation/soiling-in-children

  Soiling is when your child does poo in their pants after the age when you would expect them to be toilet-trained. […] Soiling is usually caused by long-lasting constipation and an overloaded bowel. […] The treatment of constipation and soiling takes time – most tamariki need to take medicine for many months and often years to manage the problem. […] If your child is soiling, you should take them to a health professional. […] Treatment for soiling focuses on unblocking and emptying the bowel – usually with a bowel washout. […] Taking laxatives to help your child do a soft poo at least once a day – this keeps their bowel empty so that it returns to a normal size and may take a few months. […] It’s important to understand the cause and not to blame your child for soiling. […] Stay calm and be supportive of your child. Remember the poo is the problem, not your child. […] Talk to your child’s school about a separate toilet where your child can clean and change themselves when needed.

• #41 Encopresis – Help For Your ChildVisit our FacebookVisit our YouTube channelsearchcrosslinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-blankpinterestyoutubetwitterinstagram

  https://helpforyourchild.com/encopresis/

  Transfer all responsibility to your child for using the toilet. […] Stop all reminders about using the toilet. […] Give incentives for using the toilet. […] Use diapers and pull-ups as little as possible. […] Help your child change his clothes if he soils himself. […] Ask the preschool or day care staff to use the same strategy you are using. […] If your child has encopresis, humiliating or punishing him or her will only make matters worse. […] Successful treatment of encopresis depends on the support the child receives. […] Patience is the key to treating encopresis. […] Diet and exercise are extremely important in keeping stools soft and BMs regular. […] If obtaining frequent, soft and well-formed bowel movements continues to be a problem, the addition of stool softeners or laxatives may be considered.

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

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

  Your child’s doctor or nurse practitioner will often order medications to help keep your child’s bowel movements soft. […] There are certain dietary changes to consider when helping a child with constipation and / or soiling. […] Increasing the amount of exercise children get can also help. […] Encourage your child to sit on the toilet at least twice a day for three to five minutes, preferably 15-30 minutes after a meal. […] Until the lower colon regains muscle tone, children may still soil. Pre-school children may be able to wear disposable training pants until they regain bowel control. […] Talk to school teachers about your child’s need to be able to go to the bathroom at any time.

• #43 Encopresis |Understanding & Managing Encopresis In Children

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

  Negative toilet training practice can cause children to associate using the toilet with punishment. […] 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 first step to treating encopresis is to identify the cause behind the condition and seek medical advice from a pediatrician or GP. […] Behavioural modification with the assistance of a Psychologist is an integral treatment component for encopresis. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day.

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

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

  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.

• #45 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 is treatable and is curable. […] It is important to remember that your child: […] should not be punished or disciplined for soiling episodes. […] In the vast majority of cases, encopresis is the result of chronic (long-standing) constipation. […] Treatment for encopresis may include: […] Using laxatives daily to prevent stool impaction […] Scheduling toileting times […] Dietary changes such as increasing fiber and water intake […] Increasing physical activity. […] Counseling can help with the social and emotional impact of encopresis.

• #46 Encopresis |Understanding & Managing Encopresis In Children

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

  Negative toilet training practice can cause children to associate using the toilet with punishment. […] 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 first step to treating encopresis is to identify the cause behind the condition and seek medical advice from a pediatrician or GP. […] Behavioural modification with the assistance of a Psychologist is an integral treatment component for encopresis. […] Parents should encourage their child to sit on the toilet for 10 minutes after meals 2-3 times a day.

• #47 Psychosocial risks for constipation and soiling in primary school children

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7019639/

  Higher levels of behaviour problems were found in children with constipation plus soiling than constipation alone. […] Very little is known about the aetiology of non-retentive soiling, but psychological disturbance is thought to be a contributing factor. […] We found evidence that sleep problems at 3 years were associated with constipation and soiling at school age. […] Exposure to stressful events between 2 years and 3 years 11 months was associated with increased odds of constipation alone and constipation with soiling classes, but not soiling alone. […] An increased understanding of early risk factors for constipation and soiling could aid the identification of children who require treatment, and this might reduce the adverse impacts on health-related quality of life. […] Early assessment and treatment of psychological problems might improve treatment response in children with constipation and soiling.

• #48 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. […] Encopresis can be frustrating for parents and embarrassing for the child. However, with patience and positive reinforcement, treatment for encopresis is usually successful. […] Help your child avoid constipation by providing a balanced diet that’s high in fiber and encouraging your child to drink enough water. […] Educate yourself on effective toilet training techniques. Avoid starting too early or being too forceful in your methods. Wait until your child is ready, and then use positive reinforcement and encouragement to help make progress. […] Early treatment, including guidance from your child’s doctor or mental health professional, can help prevent the social and emotional impact of encopresis. Regular follow-up visits with your doctor can help identify ongoing or recurring problems so that adjustments in treatment can be made as needed.

• #49 Encopresis |Understanding & Managing Encopresis In Children

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

  A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis. […] Supporting your child’s self-esteem is essential. […] Encourage your child to drink lots of water, eat fiber rich foods such as fruits, vegetables and whole grains. […] If your child shows no improvement after 6 months they should be referred to a gastroenterologist for additional assessment.

• #50

  https://www.boystownpediatrics.org/knowledge-center/avoid-soiling-accidents

  Keep a journal of your child’s soiling accidents. Many children have soiling accidents because they are too busy playing and do not want to take time to use the bathroom. […] If you consistently use these three steps for a few weeks and the soiling episodes continue, there are some other general steps you can take as you work toward resolving the issue. […] Re-establish regular sit times. A good time to have your child sit on the toilet for a bowel movement would be 10-15 minutes after each meal. […] Check regularly for clean underwear. If your child is clean, praise him or her. If your child has had an accident, have him or her help clean up. […] If you follow these steps and your child continues to have difficulties, consult your child’s pediatrician.

• #51 Encopresis |Understanding & Managing Encopresis In Children

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

  A recent meta-analysis by Freeman, Riley, Duke Fu (2014) found that behavioural intervention is the most effective treatment for encopresis. […] Supporting your child’s self-esteem is essential. […] Encourage your child to drink lots of water, eat fiber rich foods such as fruits, vegetables and whole grains. […] If your child shows no improvement after 6 months they should be referred to a gastroenterologist for additional assessment.

• #52 Soiling | Children| Continence Health Australia (formerly the Continence Foundation of Australia)

  https://www.continence.org.au/incontinence/who-it-affects/children/soiling

  Seek medical advice. […] Make a diary of your child’s bowel actions and accidents for a couple of weeks and take this when you see the doctor. […] Provide a comfortable and supported toilet seat and environment. […] Punishing children for soiling can make things worse remember, children may not feel the need to poo or even be aware of soiling. […] A toileting program works best if carried out for at least 6-12 months under medical supervision. […] If this doesn’t resolve the problem, referral to a paediatrician or paediatric gastroenterologist for further testing and advice may be required. […] Your doctor is a good place to start if you are concerned about your child’s bowel habits or soiling.

• #53 Your ADHD Child Poops Pants? Here’s What To Do

  https://www.joonapp.io/post/adhd-child-poops-pants

  Most children have a poop accident from time to time. […] When children suffer from an out-of-the-ordinary number of accidents, what can you do as a parent? […] ADHD children may experience delays in potty training for several reasons. […] Potty training charts and being aware of signs that your child is ready for potty training can be helpful for parents in this situation. […] If you notice concerns like these in your child, there are things you can do. […] Research shows that children with ADHD are significantly more likely to experience both constipation and fecal incontinence. […] Extra discussion about how to know when to use the restroom and how important it is to listen to their body may be beneficial for some children with ADHD and related disorders. […] Before you assume, gently ask a child why their accident happened.

• #54 Help for child with autism who forgets to use toilet when distracted | Autism Speaks

  https://www.autismspeaks.org/expert-opinion/help-child-autism-who-forgets-use-toilet-when-distracted

  Here are some strategies you can try to help your child stop and use the toilet during highly stimulating activities: […] Make a trip to the bathroom a regular part of the “start-up” routine for these activities. So when your son asks to play a video game or watch a show, you let him know that he first needs to pee and try to poo. […] During the activity, place a visual reminder such as a “bathroom” card where your son can see it. […] Admittedly, it’s easy to “tune out” such reminders. So I suggest setting a timer and placing it next to – or just behind – the visual reminder. A good interval might be every half hour or so. You know your child best. […] Show your child how to pause a show or game and/or offer to pause it for him. Reassure him that it’s easy to continue the activity following each trip to the bathroom. […] Develop and maintain a clear “House Rule” regarding toilet breaks during screen time. For example, “We will pause our games and shows when we need to go to the toilet, so we don’t have accidents.” […] Set up a reward system to encourage your son to follow the rule. This can be as simple as praising him when you see him taking a break to use the toilet. […] Learn to recognize the signs of an impending accident – so you can prompt him. […] When, despite best efforts, your son has an accident during screen time, end the screen time and ask him to change and clean. […]

• #55 Your ADHD Child Poops Pants? Here’s What To Do

  https://www.joonapp.io/post/adhd-child-poops-pants

  Most children have a poop accident from time to time. […] When children suffer from an out-of-the-ordinary number of accidents, what can you do as a parent? […] ADHD children may experience delays in potty training for several reasons. […] Potty training charts and being aware of signs that your child is ready for potty training can be helpful for parents in this situation. […] If you notice concerns like these in your child, there are things you can do. […] Research shows that children with ADHD are significantly more likely to experience both constipation and fecal incontinence. […] Extra discussion about how to know when to use the restroom and how important it is to listen to their body may be beneficial for some children with ADHD and related disorders. […] Before you assume, gently ask a child why their accident happened.

• #56 Your ADHD Child Poops Pants? Here’s What To Do

  https://www.joonapp.io/post/adhd-child-poops-pants

  Most children have a poop accident from time to time. […] When children suffer from an out-of-the-ordinary number of accidents, what can you do as a parent? […] ADHD children may experience delays in potty training for several reasons. […] Potty training charts and being aware of signs that your child is ready for potty training can be helpful for parents in this situation. […] If you notice concerns like these in your child, there are things you can do. […] Research shows that children with ADHD are significantly more likely to experience both constipation and fecal incontinence. […] Extra discussion about how to know when to use the restroom and how important it is to listen to their body may be beneficial for some children with ADHD and related disorders. […] Before you assume, gently ask a child why their accident happened.

• #57 Fecal Incontinence (Soiling): Causes, Treatment and Prognosis | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/fecal-incontinence

  Fecal incontinence can be caused by medical conditions like chronic constipation or congenital conditions that may disrupt bowel control, including: spina bifida, anorectal malformations and Hirschsprung disease. […] Children with true fecal incontinence lack the ability to voluntarily have a bowel movement, so they require daily interventions to empty the colon of stool. […] Treatment is focused on preventing constipation and can be done through: Diet, Medications. […] Through a bowel management boot camp or surgery, children can successfully manage bowel movements and avoid soiling. […] Bowel management programs are tailored for each individual child and often require trial and error to determine which combination of interventions, diets and medications will work best. […] The typical approach is to use an enema to empty the colon and to train the bowel to stay quiet in between enemas.

• #58 Fecal Incontinence (Soiling): Causes, Treatment and Prognosis | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/fecal-incontinence

  Fecal incontinence can be caused by medical conditions like chronic constipation or congenital conditions that may disrupt bowel control, including: spina bifida, anorectal malformations and Hirschsprung disease. […] Children with true fecal incontinence lack the ability to voluntarily have a bowel movement, so they require daily interventions to empty the colon of stool. […] Treatment is focused on preventing constipation and can be done through: Diet, Medications. […] Through a bowel management boot camp or surgery, children can successfully manage bowel movements and avoid soiling. […] Bowel management programs are tailored for each individual child and often require trial and error to determine which combination of interventions, diets and medications will work best. […] The typical approach is to use an enema to empty the colon and to train the bowel to stay quiet in between enemas.

• #59 Fecal Incontinence (Soiling): Causes, Treatment and Prognosis | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/fecal-incontinence

  If the child soils after eating a newly introduced food, that food should be excluded from the diet. […] Loperamide may be given to help slow down the colon. […] For some children who have had surgery to correct an anorectal malformation, a repeat procedure may help improve their potential for bowel control. […] Most children who have undergone surgery to correct anorectal malformations or Hirshsprung disease will need some type of consistent dietary or medical intervention to prevent constipation or true fecal incontinence.

• #60 Fecal Incontinence (Soiling): Causes, Treatment and Prognosis | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/fecal-incontinence

  If the child soils after eating a newly introduced food, that food should be excluded from the diet. […] Loperamide may be given to help slow down the colon. […] For some children who have had surgery to correct an anorectal malformation, a repeat procedure may help improve their potential for bowel control. […] Most children who have undergone surgery to correct anorectal malformations or Hirshsprung disease will need some type of consistent dietary or medical intervention to prevent constipation or true fecal incontinence.

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

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

  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. […] Treatment happens in three phases: […] Helping your child begin having regular BMs. […] Parents also will be asked to schedule potty times after meals (when the bowels are naturally stimulated). […] Keep in mind that relapses are normal, so don’t get discouraged. […] Patience is the key to treating encopresis. […] Diet and exercise are very important in keeping stools soft and BMs regular. […] Help your child drink plenty of liquids each day, especially water. […] Successful treatment of encopresis depends on the support a child gets. […] Don’t blame or yell it will only make your child feel bad and it won’t help manage the condition.

• #62 Constipation with Soiling – Hilliard Pediatrics

  https://www.hilliardpeds.com/constipation-with-soiling/

  By keeping up with daily use of the Miralax powder, this allows your child to keep the bowel movements up on a regular basis. […] The goal is to have your child have at least one soft, comfortably passed bowel movement every day or every other day WITH NO ACCIDENTS. […] If everything is going well and your child has had no accidents for months, if you stop the Miralax and the accidents return after a while, we will recommend you either go back to daily Miralax powder or first do another clean out (as above).

• #63

  https://www.mumsnet.com/talk/parenting/5034502-almost-6-year-old-soiling-his-underwear

  Lots of children dont know until they go to the loo and see it in their pants. […] I was told it was a constipation/overflow issue. […] The professional advice we were given was to get them into a really good routine. So sit them on the toilet about half an hour after dinner. […] There’s a website called ERIC which is mainly aimed at wetting but Im sure has some poo advice too. […] A good way to tell if the colon has been stretched is if sometimes they have really big poos, thats why medication can be needed for a long time to allow soft stools passing regularly allowing it to go back to normal size. […] Frequent soiling is a good sign that theres impacting and a disimpaction regime can be required.

• #64 Constipation with Soiling – Hilliard Pediatrics

  https://www.hilliardpeds.com/constipation-with-soiling/

  By keeping up with daily use of the Miralax powder, this allows your child to keep the bowel movements up on a regular basis. […] The goal is to have your child have at least one soft, comfortably passed bowel movement every day or every other day WITH NO ACCIDENTS. […] If everything is going well and your child has had no accidents for months, if you stop the Miralax and the accidents return after a while, we will recommend you either go back to daily Miralax powder or first do another clean out (as above).

• #65 Encopresis – My top tips to help stop your kids pooing in their pants – NatureDoc

  https://naturedoc.com/encopresis-top-tips-to-help-stop-your-kids-pooing-in-their-pants/

  Encopresis is a condition where a child repeatedly soils their underwear with poo, often past the age when gastric control over bowel habits is typically expected. […] One of the key things to remember with encopresis is for the child to realise that it is not their fault, and these accidents rarely happen due to intended behaviour or attention seeking. […] Diet and practical changes can play an important role in preventing and managing encopresis. […] To take a holistic approach to encopresis, you need to firstly make it easier to poo and make it a more positive experience. Next, its important to clear the impacted stool and resolve the constipation. And finally, the last step is to restore the shape and integrity of the bowel so that you and your child can be confident that they can achieve full control.

• #66 Encopresis Causes, Symptoms & Treatment

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

  Encopresis is a condition where a toilet-trained child has bowel movements when they are not on the toilet. […] You can prevent encopresis by avoiding constipation and creating positive toileting experiences for your child. You can do this by: Eating a diet high in fiber. Staying hydrated and drinking a lot of fluids. Making sure your child gets plenty of exercise. Scheduling times to use the toilet after meals. Making your child’s toilet training experience positive with encouragement and support. […] 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 How to Deal With Encopresis

  https://health.clevelandclinic.org/encopresis-what-to-do-when-your-potty-trained-kid-is-soiling-their-underwear

  Encopresis happens in kids who have already been potty trained. […] Treating encopresis means treating chronic constipation. The first step, Dr. Kabbany says, is to remove the accumulated stool so things can move freely. […] The second step is to prevent more backups from forming. That typically involves three key changes: Better bathroom habits, such as sitting on the toilet after every meal. […] During that time, there’s a risk of symptoms recurring. But parents can help by promoting good bathroom habits, continuing diet changes and, yes, checking the toilet to make sure the poop is soft and regular. […] No child should be punished or penalized for soiling. Shaming is counterproductive, Dr. Kabbany says. Encourage your child, and praise any improvement, no matter how small. […] Most children eventually become regular, without needing to take laxatives long-term. The majority of these kids do get better, he says.

• #68 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. […] You may help prevent stool soiling if you avoid any emotional upsets while your child is toilet training. Children who have a negative experience using the toilet may avoid going to the bathroom. This leads to constipation and, over time, encopresis. […] You can also help your child have regular bowel movements by making some diet and lifestyle changes. Give your child high-fiber foods and limit high-fat and high-sugar foods. Make sure your child drinks plenty of fluids, such as water. And keep your child physically active. […] 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. If your child soils his or her underwear, don’t get angry or punish your child.

• #69 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. […] 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). […] Most encopresis cases are due to constipation. […] 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. […] Instead, talk to your doctor for help to get through this challenging but treatable problem. […] Treatment happens in three phases: Emptying the rectum and colon of the hard poop. […] Helping your child begin having regular BMs.

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

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

  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. […] Treatment happens in three phases: […] Helping your child begin having regular BMs. […] Parents also will be asked to schedule potty times after meals (when the bowels are naturally stimulated). […] Keep in mind that relapses are normal, so don’t get discouraged. […] Patience is the key to treating encopresis. […] Diet and exercise are very important in keeping stools soft and BMs regular. […] Help your child drink plenty of liquids each day, especially water. […] Successful treatment of encopresis depends on the support a child gets. […] Don’t blame or yell it will only make your child feel bad and it won’t help manage the condition.

• #71 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. […] Encopresis can be frustrating for parents and embarrassing for the child. However, with patience and positive reinforcement, treatment for encopresis is usually successful. […] Help your child avoid constipation by providing a balanced diet that’s high in fiber and encouraging your child to drink enough water. […] Educate yourself on effective toilet training techniques. Avoid starting too early or being too forceful in your methods. Wait until your child is ready, and then use positive reinforcement and encouragement to help make progress. […] Early treatment, including guidance from your child’s doctor or mental health professional, can help prevent the social and emotional impact of encopresis. Regular follow-up visits with your doctor can help identify ongoing or recurring problems so that adjustments in treatment can be made as needed.

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