Doctor insights on:
Does The Clean Kid Manual Work For Kids With Encopresis
Talk to a specialist: Encopresis can be an especially trying and difficult disorder to treat. The specialists in treating it usually are either behavioral and developmental pediatricians or pediatric GI doctors. They will be familiar with various approaches, probably including the clean kid manual. You need to have someone you trust with whom you can work towards a longterm solution. ...Read more
Yes: Quite a few studies have shown that it may work well in certain kids with encopresis. ...Read more
Can you actually clean all of the bacteria and feces from underwear and pants of a kid with encopresis or will you need to buy new clothes all of the time?
Why not: Bleach is very effective. As are many of the "oxygenated, " non-bleach, laundry additives. Very hot water also helps. ...Read more
Encopresis is soiling beyond that "desired." that is, in the toilet or diaper. A psychiatric problem is only a problem when it is a problem! if the voices in your head are nice and helpful, should I treat them?
That said, if your child is soiling himself only during exercise, i would seriously seek medical attention. It is very likely that there is a physical cause contributing to this problem. ...Read more
God made food: Encopresis is not psychological! it is evidence of brain irritability, commonly induced by poor diet, particularly all that sweet "junk" that prevails in america. If the natural food had not been here when we arrived on earth, we would not have survived. Even milk is abnormal since it was "invented" for cows, not humans. ...Read more
Causes of encopresis my daughter has not suffered any abuse so please don't use that answer there must be other causes
Common problem: Various degrees of stool retention are common in childhood.It can be triggered simply if a kid decides not to poo when nature calls & then has a painful one the next day.Kids may begin retaining stools to avoid pain & gradually change their intestinal structure.Parents often fail to treat long enough to fix the problem & encopresis by school age can result. ...Read more
See pedi GI or: A developmental pediatrician. These kids often need a combination of education & bowel retraining after an evaluation of their lower digestive tract. Sometimes a year or more must be devoted to the process & the kid must be a willing participant for it to be successful. Short term fixes invariably lead to early relapse & disappointment. ...Read more
Rule out neurologic: Problem which can impair sphincter, bladder and bowel function. Enuresis alone usually does not require behavior therapy. Encopresis, in the absence of any neurologic deficit may well benefit from behavior therapy. Thus most children with combined enuresis & encopresis usually require some form of behavior therapy. ...Read more
Encopresis: Is inability to control bowel movements, hence dooming self. Can occur in low intelligence ones or from illnesses of intestinal tract or result of medications that cause excess bowel activity or central nervous system abnormality or psychological reasons, etc. Remedy is treating the cause. ...Read more
No.: No, assuming dementias are not present. Encopresis : theterm is usually applied to children, and where the symptom is present in adults, it is more commonly known as fecal leakage (fl), fecal soiling or fecal seepage. Pregnancy and other factors unique to females make it more common in women. ...Read more
Need a laxative: Most people with encopresis(backed up stool) need to take a laxative and clean the colon(intetine) of backed up stool. Following that a change in diet to include fiber, roughage and plenty of fluids coupled with setting a specific time to empty ones bowels , ususally once daily is helpful in establishing a bathroom routine that encourages regular evacuation of stool. ...Read more
Kids with encores is tend to have a long history of hard stools and problems having bowel movements.
As kids learn to "hold" their bowl movements as they cause a great amount of pain, the rectal vaul distends and kids become impacted. What you see is " tracks" or soiling in the underwear, that is stool that seeps through. You need to look at diet, and be patient, it takes time, always see your dr. ...Read more
Sometimes: You can have both or just one or the other. See your doctor if you have either or both for an evaluation and treatment options. ...Read more
The log jam: Encopresis will often occur in those with chronic stool retention/constipation. The retention of firm, thick and or bulky stool overt time removes the sensation of stool leaking from the anus. The more liquid stool entering the colon from above swirls around the "log jam" and leaks out. You could also leak if you thought you were passing gas, but passed stool instead. ...Read more
Unlikely: In decades of treating both i find no correlation between add meds like methylphenidate and new onset encopresis. Most encopresis can be traced back to slow transit elimination patterns as early as infancy and intermittant problems from then forward.By school age it becomes aggravated by the kids decision to avoid empting at school.Management of both issues by a behavioral ped is helpful. ...Read more
I have a step son who is 10yrs old & he poops in his underwear.I looked up on line & apparently theres a condition called (encopresis)is this a real?
Real problem: Speak to your pediatrician to determine if there is a medical problem such as megacolon. If no medical cause is found, a referral for psychological evaluation may help. ...Read more
If your son is 8yo and has encopresis, is there a type of diaper I can buy in order to prevent the smell?
I just woke up to encopresis while sleeping and had diarrhea and vomiting upon waking. Feel find now, but I have a 20+ year h/o Crohn's with no flare ?
Best be safe and...: ...see your doctor for exam and simple lab work (e.g. check inflammatory markers and stool for occult blood, at the very least) to be sure you are not manifesting with early signs of a Crohn's recurrence/flare. When was the last time you had an abdominal x-ray and colonoscopy? ...Read more