Encopresis, also called stool holding or soiling, occurs when your child resists having bowel movements, causing impacted stool to collect in the colon and rectum. When your child's colon is full of impacted stool, liquid stool can leak around the impacted stool and out of the anus, staining your child's underwear.
Encopresis usually occurs after age 4, when your child has already learned to use a toilet. In most cases, encopresis is a symptom of chronic constipation. Less frequently, it may be the result of developmental or emotional issues.
Doctors categorize encopresis as primary or secondary. Primary encopresis happens in a child who has never been successfully toilet trained. In secondary encopresis, a child develops the condition after having been successfully toilet trained.
Encopresis can be frustrating for you — and embarrassing for your child. However, with patience and positive reinforcement, treatment for encopresis is usually successful.
Jan. 02, 2014
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- Soiling (encopresis). American Academy of Pediatrics. http://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Soiling-Encopresis.aspx. Accessed Aug. 6, 2013.
- Har AF, et al. Encopresis. Pediatrics in Review. 2010;31:368.
- Ferry GD. Treatment of chronic functional constipation and fecal incontinence in infants and children. http://www.uptodate.com/home. Accessed Aug. 6, 2013.
- Coehlo DP. Encopresis: A medical and family approach. Pediatric Nursing. 2011;37:107.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 13, 2013.
- Granberg CF (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 20, 2013.
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