pediatrics
Stool Incontinence in Children
Diagnosis of Stool Incontinence in Children
Clinical evaluation Any organic process that results in constipation ( Diagnosis references , For most routine cases of encopresis, a thorough history and physical examination can help identify any physical cause. However, if further concerns arise, additional diagnostic tests (eg, abdominal x-rays, rarely rectal wall biopsy, and even more rarely bowel motility studies) can be considered. A digital rectal examination in cooperative children can be useful to rule out other disorders and also to assess rectoanal sensation as a proxy for rectal and anal wall nerve sensitivity. In prolonged or complicated cases, Anorectal Manometry can assist with making an accurate diagnosis. 1. Koyle MA, Lorenzo AJ: Management of defecation disorders. InCampbell-Walsh Urology,ed. 11, edited by Wein A, Kavoussi L, Partin A, Peters C. Philadelphia, Elsevier, 2016, pp. 3317–3329. 2. Benninga M: Evaluation of constipation and fecal incontinence. InPediatric Incontinence, Evaluation and Clinical Management,edited by Franco I, Austin P, Bauer S, von Gontard A, Homsy I. Chichester, John Wiley & Sons Ltd., 2015, pp. 121–130. 