Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Encopresis physical examination
Introduction
Physical Examination
Physical Examination
Abdomen
- The impacted bowels may be felt through the tummy, but is often not felt even in severe constipation.
Neurologic
- The back should be inspected and ankle jerk reflexes tested to rule out spina-bifida.
Miscellaneous
- A rectal examination should not be performed, especially not in young girls. The children are already traumatized enough in this area, and this would be one more emotional trauma. It also provides no useful information, as the rectum might be empty at the moment of examination.
- Close inspection of the anus and perianal area: Anal fissures (anal tears) will support the diagnosis. There may also be signs of inflammation like Thrush (Candidiasis) or Streptococcal infection.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]