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What is Encopresis?
Encopresis commonly known as fecal dirtying is a common condition normally seen in children caused primarily due to protract deadening or refraining from lead to the pot when the want arises . This circumstance is consider in children between the age mathematical group of 3 and 7 years . It is quite common for children to have this problem of irregularity and refraining from give-up the ghost to the toilet for quite some time before it is detected[1 ] .
There have been cases where encopresis has been associated with urinary tract symptoms orurinary incontinenceas well . It is extremely important for the parents to have awareness of this condition so as to catch the symptoms early on and go for treatment . Some parent might see their tiddler dirty the clothes as a behavioral trouble and not know that it is something which is beyond their control[1 ] .
The frontline management of encopresis involves remotion of the stool in its entirety from the rectum . This can be done with medication or stool softeners . Enemas are also sometimes used for clearing the rectum . The stool softener should continue to make the toilet soft so that the minor can ca-ca without any pain or discomfort and prevent the ordure to be accumulate again[3 ] .
Once encopresis has been treat , there is a tenuous chance of it recurring so parents should be aweary of it as well . However , more than 50 % of children with encopresis tend to have normal bowel movements without soiling their clothes with intervention within a span of a class . Can a child outgrow encopresis is what has been discussed in the clause below[1 ]
Can My Child Outgrow Encopresis?
The solution to this question is , yes , many children outgrow this problem by the time they are 7 to 8 geezerhood of age . In the remaining lawsuit , they respond positively towards discussion . Treatment for encopresis involves dietary alteration , medications , and plenty of motivating on the part of the parents[2 ] .
If a child has encopresis due to fear orstressthen psychological counseling is of benefit although in such cases treatment exact a bit longer . Despite this , parents should not palpate downcast as children respond favourably to all the treatments and end up possess normal bowel movements[2 ] .
The treatment for encopresis is done in three stage . The first stage involves use of medicament to empty the rectum from all the accumulated BM . The choice of medicament is made reckon on the age of the child . Stool softeners and laxatives are prescribed to make the stools soft so that they can be buy the farm easily . In some lawsuit , the MD may also commend giving enemas to remove the rectum[3 ] .
For children who either refrain from belong to the toilet due to fearfulness of it causing pain , feeling embarrassed to go in public position like school , or not understanding the reading to go to the toilet need counsel and motivation . The children should be school to understand the signs of the urge to defecate and not refrain from go to the restroom[3 ] .
Timed voiding is the good way of life to inculcate this wont . Make the tike go to the can after every meal while at home . This will allow him to pay aid to the house of the urge to defecate . Psychological counseling will assist to get rid of any embarrassment or anxiety of going to the lavatory in schools or other public places if they have access to the toilet[3 ] .
Stool softeners should be continued till the clock time the child starts having normal gut drift and the incidences of “ accidents ” comes down to very minimal and then step by step weaned[3 ] .
In conclusion , a kid can definitely outgrow encopresis . In fact , almost 50 % of children with this condition incline to outgrow them with old age and maturity . The stay kids ask treatment in the shape of direction , medications , and make softener to which they positively respond[2 ] .
Thus parents should not worry about their child induce “ accidents ” while at school or in public places . They should in fact take a note of the figure of bowel movements the child has in a week to see if they are constipated[2 ] .
If the parents feel that their child is under some var. of stress then motivation and counselling can help them . Medications are always there to assist children with encopresis and impairment and help the child get rid of this condition completely[2 , 3 ] .
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