pediatrics
Stool Incontinence in Children
Key Points
Encopresis is most commonly caused by constipation in children with overlapping behavioral and physical predisposing factors. For most routine cases of encopresis, a thorough history and physical examination can help identify any physical cause. Any organic process that results in constipation can result in encopresis and so should be considered. Treatment is through education, relief of stool impaction, maintenance of proper stooling, and slow withdrawal of laxatives with continued behavioral and dietary intervention. Stool impaction can be relieved by a variety of regimens and agents. Behavioral strategies include structured toilet-sitting times. Encopresis can recur in times of stress or transition, so family members must be prepared for this possibility. 