Understanding Encopresis Symptoms: Causes, Signs and Treatment

Encopresis is a condition that affects many children, and is characterised by the involuntary soiling of faecal matter. While most children experience occasional accidents, some children suffer from frequent episodes of encopresis, which can have significant impacts on their quality of life. This article will explore the symptoms associated with encopresis, as well as the potential causes of the condition and the available treatment options.

What are the Symptoms of Encopresis?

The most obvious symptom of encopresis is the involuntary soiling of faecal matter. This can occur when a child is awake and active, or during sleep. Children with encopresis may also experience other symptoms, such as abdominal pain, constipation, and difficulty passing stools. In some cases, children may become socially withdrawn or anxious due to the embarrassment associated with the condition. Parents may also notice an unpleasant odour or stains on the child’s clothing or bedding.

What Causes Encopresis?

Encopresis can be caused by a variety of factors, including chronic constipation, developmental delay, or psychological issues. Children who suffer from chronic constipation may experience stool withholding behaviours, which can lead to a build-up of faecal matter in the lower part of the bowel. This can cause the muscles in the colon to become stretched and weakened, making it difficult for the child to pass stools normally. As a result, the faecal matter can leak out around the impacted mass, leading to soiling.

In some cases, encopresis may be caused by developmental delays. Children with developmental delays may not have the coordination or muscle tone required to effectively control their bowel movements. This can lead to accidents and soiling.

Psychological factors can also contribute to encopresis. Children who are anxious or have experienced trauma may develop behavioural issues, such as stool withholding or soiling. Additionally, children who do not receive appropriate toilet training may struggle to develop appropriate bowel habits.

Diagnosing Encopresis

If you suspect that your child is experiencing encopresis, it is important to seek medical attention. Your doctor will ask about your child’s symptoms and medical history, and may perform a physical examination to assess the child’s bowel function. In some cases, additional testing may be necessary to rule out other medical conditions.

Treating Encopresis

The treatment of encopresis typically involves a combination of dietary and behavioural modifications, as well as medication in some cases. If your child is experiencing chronic constipation, your doctor may recommend dietary changes, such as increasing fibre intake and decreasing intake of processed foods. Your doctor may also recommend the use of stool softeners or laxatives to help ease bowel movements.

Behavioural modifications may also be necessary to help address encopresis. This may include implementing a regular toilet routine, rewarding your child for appropriate toileting behaviours, and addressing any underlying psychological concerns that may be contributing to the condition.

In some cases, medication may be necessary to address the physical symptoms of encopresis. Your doctor may prescribe medications to help soften stools or stimulate bowel movements. However, it is important to note that medication alone will not address the underlying behavioural and psychological factors that are contributing to the condition.

Preventing Encopresis

The prevention of encopresis relies on the development of healthy bowel habits in children. Parents can help prevent encopresis by promoting regular toileting routines, encouraging adequate fibre intake, and providing appropriate toilet training. If you notice any signs of encopresis in your child, it is important to seek medical attention as soon as possible to prevent the condition from worsening.

Conclusion

Encopresis is a common condition that can have significant impacts on a child’s quality of life. While it can be distressing for parents and children alike, there are a variety of treatment options available to help address the condition. With appropriate medical attention and behavioural modifications, most children are able to overcome encopresis and maintain healthy bowel habits. If you suspect that your child may be experiencing encopresis, it is important to seek medical attention as soon as possible to address the condition and prevent any further complications.

FAQs

FAQs about Encopresis Symptoms

What are the symptoms of encopresis?

Encopresis is characterised by repeated faecal accidents after the age of toilet training. Typical symptoms include soiling and staining of undergarments, discomfort during bowel movements, constipation, and infrequent or incomplete bowel movements.

What causes encopresis?

Encopresis can be caused by a variety of factors, including chronic constipation, anatomical abnormalities, neurological disorders, emotional distress, and dietary issues. Children who experience encopresis may also struggle to sense the need to defecate or may have difficulty relaxing the muscles necessary for bowel movements.

How is encopresis treated?

Treatment for encopresis typically includes a combination of stool softeners, laxatives, and high-fibre diets to alleviate chronic constipation and improve bowel function. Behavioural therapies, such as scheduled toileting, positive reinforcement, and reward systems, may also be employed to encourage regular bowel movements and reinforce healthy toilet habits. In some cases, medication or surgery may be recommended to address underlying medical or anatomical issues contributing to encopresis.


References

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Retrieved from https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596

2. Heyman, M. B., & American Academy of Pediatrics Committee on Nutrition. (2003). Guidance for the clinician in rendering pediatric nutritional advice: Reconciling evidence and theory. Pediatrics, 112(1 Pt 2), 136-141. https://doi.org/10.1542/peds.112.1.S1.136

3. Van der Wal, M. F., Benninga, M. A., & Hirasing, R. A. (2005). The prevalence of encopresis in a multicultural population. Journal of Pediatric Gastroenterology and Nutrition, 40(3), 345-348. https://doi.org/10.1097/01.MPG.0000152228.11216.C9