soiling and constipating

Question 1

what is encopresis?

Answer 1

• putting shit on the walls and under the sofa

- deliberately soiling yourself

Question 2

common causes of soiling?

rarer causes?

Answer 2

• constipation with overflow
• emotional and behavioural
• D+V
• abuse
• malabsorption
• neurological/ anal sphincter
• hirchprungs
• tumour

Question 3

what 1st line laxatives are used?

Answer 3

• Pro-osmotic: movicol paediatric sachets (macrogols) (1-4 sachets daily)
• lactulose
• may go onto stimulants afterwards

Question 4

what sitting exercises should be done?

Answer 4

• 1-3 times per day
• 20 mins after a meal
• right toiletting position