Encopresis

About Encopresis

Encopresis is an elimination disorder involving the repeated passage of feces into inappropriate places, such as clothing or the floor, by a child with a developmental age of at least four years. In many cases it is associated with chronic constipation, in which hard stool builds up and liquid stool leaks around it, so the child may have little control over the soiling. Encopresis can follow painful bowel movements, stressful life events or difficulties with toilet training. It is more common in boys. Children often feel embarrassed and may hide soiled clothing, and teasing or punishment can increase shame and worsen the problem. Medical assessment is important to address constipation and rule out other causes. Treatment usually combines medical management of constipation, regular toileting routines and dietary measures, positive behavioral support, and education for families that encopresis is a recognized health condition rather than willful behavior, and outcomes are generally good with consistent support.