সংজ্ঞা

Encopresis is the passage of stool in places other than the toilet. It is often an involuntary action. Encopresis is often called stool soiling because of the stains left on underwear.

Accidents are normal in infants and toddlers until they learn bowel control. It is considered stool soiling in বয়সী শিশু four years and older.

কারণসমূহ

Encopresis may be caused by a variety of conditions such as:

  • দীর্ঘস্থায়ী কোষ্ঠকাঠিন্য
    • Most common cause
    • When a large amount of hard, dry stool is filling the rectum, over time the child becomes unable to recognize the sensation of fullness and the need to defecate.
    • Liquid stool may leak around the hard mass of stool, causing staining of the underwear.
    • May be associated with a diet low in fiber and lack of exercise
  • Poor toilet training or refusal to use the toilet for bowel movements
  • Emotional problems
  • Organic causes(rare)—result of problems or malformations in the intestines

ঝুঁকির কারণ

ঝুঁকির কারণগুলির মধ্যে রয়েছে:

  • সেক্স পুরুষ
  • Children with emotional problems, such as:
    • Oppositional defiant disorder
    • আচরণ ব্যাধি
    • Toileting phobias
  • Passage of firm stool that causes a painful tear or “fissure” at the opening of the anus
  • Children who have suffered sexual abuse (according to some researchers)

এনকোপ্রেসিস

লক্ষণ

The main symptom is the accidental passage of stool, usually into the underwear. Other symptoms may include:

  • কম আত্মসম্মান
  • Feelings of embarrassment, shame, or guilt

If associated with constipation your child may have:

  • Infrequent bowel movement
  • Pain with defecation
  • পেটে ব্যথা
  • বিছানা ভিজানো

When Should I Call the Doctor?

Call the doctor if your child has stool staining in his underwear. The doctor can help find the underlying cause.

রোগ নির্ণয়

The doctor will ask about your child’s symptoms and medical history. A physical exam will also be done.

Parents are often unaware that their child is constipated. However, they may see their child forcibly holding stool when he has the urge to move his bowels. Your child may also be unwilling to use the toilet in certain locations. These description of stool holding is important for the doctor to know about.

To make a diagnosis, the doctor may order tests, such as:

  • Rectal exam—may reveal the presence of a large quantity of hard, dry stool in the rectum
  • Abdominal x-ray —may also show stool in the rectum
  • Other imaging tests to look for organic cause

চিকিৎসা

চিকিৎসা নির্ভর করবে কারণের উপর of soiling. As a parent, it is important that you do not shame your child. Some চিকিত্সার বিকল্প অন্তর্ভুক্ত:

Bowel Clean-Out

Enemas and laxatives may be recommended if constipation is a problem. It will help to clean out your child’s bowel. These treatments are only used short term. If the constipation is not relieved or if your child passes blood with their stool, further testing may be done. This will help to find the cause of the constipation.

ওষুধ

Your doctor may recommend miralax or other stool softener. This can make it easier for your child to pass stool. It may decrease your child’s reluctance to pass stool.

খাদ্যতালিকাগত পরিবর্তন

Some constipation can be prevented through simple dietary changes. To help prevent constipation, encourage your child to:

অন্ত্রের প্রশিক্ষণ

Help your child learn when to use the toilet. For example, encourage your child to go to the bathroom at certain times during the day.

Keep positive. Consider rewards for your child for keeping their clothes clean and using the toilet.

কাউন্সেলিং

Counseling may be needed if your child:

  • Has severe problems with toilet training
  • Has emotional problems (including family problems)
  • Is experiencing shame, guilt, or low self-esteem due to fecal incontinence

প্রতিরোধ

Following guidelines for toilet training may help prevent encopresis. A healthy, high-fiber diet and adequate liquid intake may also help prevent this condition.

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