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Encopresis

Jay Fong, MD and William Garrison Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Voluntary or involuntary fecal soilage in a (typically) previously toilet-trained individual

    • Age may be chronologic or developmental.

    • No underlying organic disease

    • At least one event pe...

DIAGNOSIS

HISTORY

  • Signs/symptoms of constipation:

    • Hard, large-caliber stools

    • <3 defecations per week

    • Pain or discomfort with stool passage

    • Withholding stool

    • Blood on stool or in diaper/toilet bowl

    • Decreas...

TREATMENT

GENERAL MEASURES

  • Anticipatory toilet training advice about when children should reduce reliance on diapers or use pull-ups during the daytime hours (average age for toilet training in girls i...

ONGOING CARE

The patient and family should be encouraged to keep records of bowel movements successfully passed as well as soiling episodes as well as incorporating a reward system to promote continue...

REFERENCES

1
Brazzelli  M, Griffiths  PV, Cody  JD, et al. Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in ...

ADDITIONAL READING

  • Baird DC, Bybel M, Kowalski AW. Toilet Training: Common Questions and Answers. Am Fam Physician. 2019 Oct 15;100(8):468-474

  • C...

CODES

ICD10

  • R15.9 Full incontinence of feces

  • R15.1 Fecal smearing

  • F98.1 Encopresis not due to a substance or known physiol condition

  • R15.0 Incomplete defecation

  • R15.2 Fecal urgency

SNOMED

  • 302690004 Encopresi...

CLINICAL PEARLS

  • 90% of encopresis results from chronic constipation.

  • Address toddler constipation early by decreasing excessive milk intake, increasing fruits/vegetables intake, and ensuring adequate f...

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