Encopresis

Question 1

What is encopresis and which gender is more commonly affected?

Answer 1

1. Passage of solid faeces in the wrong place in those over 4 years when bowel control is expected.
2. Boys

Question 2

What are the causes of encopresis?

Answer 2

1. Mostly due to constipation and the ensuing overflow incontinence.
2. Constipation due to dehydration, painful defecation, fear of punishment, toilet fears.
3. Can be due to behavioural disorder, anxiety, sexual abuse, stress.

Question 3

What is the management of encopresis?

Answer 3

1. Laxatives, increased fluid intake, increased fibre in diet.
2. Reassure - address stress, positive behaviour star charts