Encopresis in children

, medical expert
Last reviewed: 20.11.2021

All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.

We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.

If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.

Encopresis - this is an arbitrary or involuntary bowel movement in unsuitable places for a child over 4 years old.

Encopresis is the repeated incontinence of stool in children older than 4 years old, who have no organic reasons for this. It occurs in about 3% of 4-year-olds and 1% of 5-year-olds. Stool retention and incontinence due to overflow of the rectum due to chronic constipation are the most common cause; the probability of encopresis is highest during the period of the child's training to the toilet or his admission to school. At the same time occasionally encopresis develops without delay of feces or constipation.

In most cases, the reasons are obvious from the history and physical examination data; in their absence, the survey, as a rule, is not shown.

trusted-source[1], [2], [3], [4], [5], [6], [7], [8], [9]

Treating encopresis

Initially, treatment includes an explanation for the parents and the child of the physiology of encopresis, removing the blame from the child.

If anamnesis and physical examination have excluded specific causes, the intestine should be emptied using a laxative, such as magnesium hydroxide or polyethylene glycol. Maintaining motor activity is most often achieved with the help of diet, environment and behavior correction (modification of habits during bowel movement). It should provide the child with rough food, rich in dietary fiber, but do not force the child to eat it.

Translation Disclaimer: The original language of this article is Russian. For the convenience of users of the iLive portal who do not speak Russian, this article has been translated into the current language, but has not yet been verified by a native speaker who has the necessary qualifications for this. In this regard, we warn you that the translation of this article may be incorrect, may contain lexical, syntactic and grammatical errors.

You are reporting a typo in the following text:
Simply click the "Send typo report" button to complete the report. You can also include a comment.