Fecal Incontinence - What It Is, Symptoms and Treatmentswith medicines. In additionFecal incontinenceis the inability to control stool elimination. In additionFecal incontinence(en-ko-PREE-sis), sometimes called encopresis or dirt, is the repeated passage of feces (usually involuntarily) into clothing. Usually, it happens when impacted stools accumulate in the colon and rectum: the colon becomes very full and the liquid stool drains around the stool retained, staining the undergarments. Eventually, stool retention can cause swelling (distention) of the bowels and loss of control over bowel movements.
THEFecal incontinenceusually occurs after the age of 4 when the child has already learned to use a toilet. In most cases, theFecal incontinenceis a symptom of chronic constipation. Much less often occurs without constipation and can be the result of emotional problems.Fecal incontinencecan be frustrating for parents - and embarrassing for the child. However, with patience and positive reinforcement, treatment forFecal incontinenceusually successful.
Causes of Fecal Incontinence:There are several causes ofFecal incontinence, including constipation and emotional problems..
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Constipation:Most cases ofFecal incontinenceare the result of chronic constipation. With constipation, the child's feces are hard, dry and can be painful to pass. As a result, the child avoids going to the bathroom, making the problem difficult. The more the stool stays in the colon, the harder it is for the child to push stools. The colon stretches, affecting the nerves that signal when it's time to go to the bathroom. When the colon becomes very full, soft or liquid stools may leak around the stool, or loss of control over bowel movements may occur. Some causes of constipation include:
- Stool retention due to fear of using the bathroom (especially when away from home) or because the stools are painful
- Not wanting to interrupt the game or other activities
- Eating Low Fiber
- Do not drink enough fluids
- Drinking too much cow's milk or, rarely, cow's milk intolerance - although the research results have conflicted on these issues
Emotional problems:Emotional stress can triggerFecal incontinence. A child may experience stress from:.
- Preeminent, Difficult or Conflicting Bathroom Training
- Changes in the child's life, such as changes in diet, toilet training, early school or changes in schedule.
- Emotional stressors, for example, the divorce of a parent or the birth of a sibling
Symptoms of Fecal Incontinence:Signs and symptoms ofFecal incontinencemay include:
- Leakage of stool or liquid feces in underwear, which can be mistaken for diarrhea
- Constipation with dry and hard stools
- Large stool passage that covers or almost obstructs the bathroom
- Avoid bowel movements
- Long periods of time between bowel movements
- Lack of appetite
- Abdominal pain
- Problems with daytime wetness or enuresis (enuresis)
- Repeated bladder infections, typically in girls
When to Contact a Physician:Call your doctor if your child is already trained in the bathroom and begins to experience one or more of the symptoms listed above..
Factors of Risk of Fecal Incontinence:THEFecal incontinenceis more common in boys. These risk factors may increase the chances of havingFecal incontinence:.
- Using medicines that can cause constipation, such as cough suppressants
- Attention Deficit / Hyperactivity Disorder (ADHD)
- Autism Spectrum Disorder
- Anxiety or depression
Fecal Incontinence Complications:A child who hasFecal incontinencecan experience a range of emotions including embarrassment, frustration, shame and anger. If your child is provoked by friends or criticized or punished by adults, he or she may feel depressed or have low self-esteem.
Diagnosis of Fecal Incontinence:To diagnose encopresis, your child's doctor can:
- Perform a physical examination and discuss symptoms, bowel movements, and eating habits to exclude physical causes of constipation or dirt
- Perform a digital rectal exam to check for impacted stools by inserting a lubricated finger and gloves into the child's rectum while pressing the child's abdomen with the other hand
- Recommend an abdominal radiograph to confirm the presence of impacted stools
- Suggest that a psychological assessment be made if emotional issues are contributing to your child's symptoms
Fecal Incontinence Treatments:Generally, the earlier treatment begins with theFecal incontinence, best. The first step involves cleansing the colon of the retained and affected stool. After that, the treatment focuses on encouraging healthy bowel movements. In some cases, psychotherapy may be a useful addition to treatment..
Removing the Colon from Impacted Stools:There are several methods to cleanse the colon and relieve constipation. Your child's doctor will probably recommend one or more of the following:
- Certain laxatives
- Rectal Suppositories
Your child's doctor may recommend close follow-up to check the progress of colon cleansing.
Encourage Healthy Evacuations:Once the colon is cleaned, it is important to encourage your child to have regular bowel movements. Your child's doctor may recommend:.
- Dietary changes that include more fiber and drink adequate fluids
- Laxatives, gradually discontinuing once the bowel returns to normal function
- Train your child to go to the bathroom as soon as possible when the urge to evacuate
- A brief trial of leaving cow's milk or checking for cow's milk intolerance, if indicated
Behavioral Modification:Your child's doctor or mental health professional can discuss techniques to teach your child to have regular bowel movements. This is sometimes called behavior modification or bowel recycling. Your child's doctor may recommend psychotherapy with a mental health professional if theFecal incontinencemay be related to emotional problems. Psychotherapy can also be helpful if your child experiences embarrassment, guilt, depression, or low self-esteemFecal incontinence.
Medications for Fecal Incontinence:THEFecal incontinenceintestinal can have several causes, so that the treatment varies according to the diagnosis established by the doctor. Therefore, only a trained specialist can tell you which drug is most appropriate for your case, as well as the correct dosage and duration of treatment. The most common medications in the treatment ofFecal incontinenceare:.
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OBS:Only a doctor can tell you which drug is most appropriate for your case, as well as the correct dosage and duration of treatment. Always follow your doctor's guidelines carefully and never self-medicate. Do not stop using the medication without first consulting a doctor and if you take it more than once or in much larger amounts than prescribed, follow the instructions in the package insert..
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