Voluntary or involuntary fecal soilage in a (typically) previously toilet-trained child
Age may be chronologic or developmental.
No underlying organic disease
At least one event per mon...
Signs/symptoms of constipation:
Hard, large-caliber stools
<3 defecations per week
Pain or discomfort with stool passage
Blood on stool or in diaper/toilet bowl
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...
Continue maintenance treatment for 6 months to 2 years with visits every 4 to 10 weeks for support and to ensure compliance; more frequent visit...
Colombo JM, Wassom MC, Rosen JM. Constipation and encopresis in childhood. Pediatr Rev. 2015;36(9):392–401; quiz 402.
Constipation Guideline Committee of the North American Soc...
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
787.60 Full incontine...
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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