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Encopresis history and symptoms

Introduction

History and Symptoms

History and Symptoms

  • Inability to retain feces (bowel incontinence)
  • Passing stool in inappropriate places (generally in the child’s clothes)
  • Secretive behavior associated with bowel movements
  • Constipation and hard stools
  • Occasional passage of very large stool that almost blocks up the toilet
  • Painful defecation
  • Blood in stools (this is usually due to painful fissures in anus)
  • Stool-withholding behavior: Child may be noted to spend long periods of time standing in a corner prior to soiling. This can be mistaken for exaggerated attempts at defecation.
  • If also Day-time-wetting (urinary incontinence not at night) co-exists, an organic cause has to be sought.
References

References

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]