Encopresis

Subject: Mental Health (Theory)

Overview

Encopresis, commonly referred to as paradoxical diarrhea, is the intentional or involuntary soiling of the feces in young children who have typically already completed toilet training. Stool often leaks into underwear on people with encopresis. When the symptom occurs in adults, it is more frequently referred to as fecal leakage (FL), fecal soiling, or fecal seepage. This phrase is typically used to refer to children. reflexive withholding of stool caused by a variety of physical, mental, or neurological conditions or after surgery. It can be treated by reducing consumption of foods that cause constipation, such as dairy, peanuts, cooked carrots, and bananas, and increasing consumption of high-fiber foods, such as bran, whole-wheat products, fruits, and vegetables. Increased consumption of water and liquids like juices, despite the fact that consuming too many juices with added sugar has been linked to an increased risk of diabetes and/or tooth decay.

Encopresis, also referred to as paradoxical diarrhea, is the voluntary or involuntary soiling of the feces in young children who have typically already completed toilet training. Stool often leaks into underwear on people with encopresis. When the symptom occurs in adults, it is more frequently referred to as fecal leakage (FL), fecal soiling, or fecal seepage. This term is typically used to refer to children.

Cause

Reflexive withholding of stool due to a variety of physical, mental, or neurological conditions or following surgery

Diagnosis

The following are the psychiatric (DSM-IV) diagnostic standards for encopresis:

Repeated, intentional or unintentional transit of excrement into unsanitary areas (such as underpants or the floor).
For a minimum of three months, at least one such event per month.
A minimum chronological age of four years (or equivalent developmental level)
Except for a process involving constipation, the conduct is not entirely a result of a physiological action of a medication (such as laxatives) or a general medical condition.

Treatment

Tidying up
Utilizing stool softeners
Scheduled sitting periods, usually following meals

Others

Reducing consumption of foods that cause constipation, such as dairy, almonds, cooked carrots, and bananas
A rise in foods high in fiber, such as bran, whole grains, fruits, and vegetables
Increased consumption of water and liquids like juices, though an excess of sweetened juices has been linked to an increased risk of diabetes and/or tooth decay.
Reduce your intake of coffee, tea, and other caffeinated beverages.
Offer wholesome meals and snacks, and restrict fast food and junk food with a lot of fat and sugar.
Limit whole milk intake for children over 2 years old to 500 mL (16.9 ounces) per day, but do not completely stop giving them milk because kids need calcium for strong, growing bones.

Things to remember

Encopresis, commonly referred to as paradoxical diarrhea, is the intentional or involuntary soiling of the feces in young children who have typically already completed toilet training. Stool often leaks into underwear on people with encopresis.
When the symptom occurs in adults, it is more frequently referred to as fecal leakage (FL), fecal soiling, or fecal seepage. This phrase is typically used to refer to children.
reflexive withholding of stool caused by a variety of physical, mental, or neurological conditions or after surgery.
It can be treated by reducing consumption of foods that cause constipation, such as dairy, peanuts, cooked carrots, and bananas, and increasing consumption of high-fiber foods, such as bran, whole-wheat products, fruits, and vegetables.
Increased consumption of water and liquids like juices, despite the fact that consuming too many juices with added sugar has been linked to an increased risk of diabetes and/or tooth decay.

Questions and Answers

Define Encopresis.

Encopresis, also known as paradoxical diarrhea, is defined as voluntary or involuntary fecal soiling in children who have been toilet trained. Encopresic patients frequently leak stool into their undergarments.

What is the treatment for encopresis ?

Treatment

Cleaning out
Using stool softening agents
Scheduled sitting times, typically after meals

Others

Reduction in the intake of constipating foods such as dairy, peanuts, cooked carrots, and bananas
Increase in high-fiber foods such as bran, whole wheat products, fruits, and vegetables
Higher intake of water and liquids, such as juices, although an increased risk of diabetes and/or tooth decay has been attributed to excess intake of sweetened juices
Limit drinks with caffeine, including cola drinks and tea
Provide well-balanced meals and snacks, and limit fast foods/junk foods that are high in fats and sugars
Limit whole milk to 500 mL (16.9 ounces) a day for the child over 2 years of age, but do not completely eliminate milk because children need calcium for bone growth and strength.