Encopresis – Scatacratia

What is encopresis?

Энкопрез – неспособность контролировать дефекацию, scatacratia. When this disorder defecation occurs spontaneously, without human supervision capabilities.

Infrequent cases of incontinence are normal in infants and toddlers, until they learn to control the intestines, However, it is considered abnormal in infants aged 4 and older.

Недержание кала – причины

Encopresis can cause various disorders and diseases, such as:

• Chronic constipation:
  • When a large number of solid dry stool fills your colon, the child is not in a position to feel the need to go to the toilet, and defecation occurs spontaneously;
  • Liquid stool can flow around solid faecal masses, causing staining clothes;
  • Encopresis can be associated with a diet low in fiber and fluids, and a lack of physical activity;
• The lack of habit of peeing or refusal to go to the toilet for bowel movements (children);
• Emotional problems;
• Organic causes (rarely) – в результате проблем или пороков развития кишечника.

Risk factors ènkopreza

This disorder is more common in men. Faecal incontinence is also more common in children with emotional problems, such as:

• Opposition-defiant disorder;
• Conduct disorders;
• Fear of toilets (phobia).

Risk factors include:

• The presence of cracked anus, due to problems with normal departed faecal masses (CAL is too dry, tight);
• Sexual violence in childhood (according to some researchers).

Энкопрез – симптомы

The main symptom is ènkopreza random uncontrolled bowel movements, usually, in underwear. Other symptoms may include:

• Low self-esteem;
• A sense of awkwardness, shame or guilt.

If the encopresis is associated with constipation, the child may experience:

• Rare bowel movements;
• Pain or bleeding after a bowel movement;
• Abdominal pain;
• Bed-wetting.

Parents often do not know, that their child suffers from constipation. Nonetheless, they can see the failure of the child oporožnit′sâ. A child may not want to use the toilet at home or elsewhere. About these symptoms it is important to tell the doctor.

When you need to refer to the doctor at ènkopreze?

Consult your doctor, If the Chair child colorizes underwear or there are cases of spontaneous uncontrollable bowel movements. The doctor will help find the cause of this.

Ènkopreza Diagnostics

The doctor will ask about your symptoms and medical history of the child, and perform a physical examination. Rectal examination helps detect the presence of a large number of solid, dry feces in the rectum.

For, to make an accurate diagnosis, the doctor may prescribe taking pictures using the following methods:

• Рентген брюшной полости – позволит обнаружить излишний стул в прямой кишке;
• Other tests can help detect organic reason ènkopreza, If constipation cannot be cured by traditional methods, or if a child has blood in stool.

Энкопрез – лечение

Treatment will depend on the reasons for the soiled. Parents, it is important to explain to the child that there is no shame. Ènkopreza treatment may include the following procedures:

Intestinal cleaning

If the reason is constipation ènkopreza, enemas and laxatives will help cleanse the bowel. These procedures are used only in the short term.

Medicinal preparations for the treatment of ènkopreza

Your doctor may recommend taking the following drugs:

• Слабительные – краткосрочное лечение;
• Long-term treatment (up to one year) using stool softeners. This will help alleviate child defecation, and may also reduce a child's unwillingness to defecate.

Dietary changes with ènkopreze

Easy constipation can be prevented by simple changes in diet. To prevent constipation, encourage your child:

• Eat healthy foods high in fiber;
• Drink plenty of fluids.

Priučivanie the child to the toilet

Help your child learn, When you need to go to the toilet. For Example, You can push the child regularly throughout the day to visit the toilet.

Encourage your child to visit the toilet and contain their clothes clean after using the toilet.

Advice in ènkopreze

Counselling may need to, If your child:

• Has serious problems with delivering to the toilet;
• Has emotional problems, including family problems;
• Shame, feelings of guilt, or low self-esteem due to incontinence.

Prevention ènkopreza

Teach the child to visit the toilet regularly can help prevent encopresis. Foods with high fiber content and adequate fluid intake will also help prevent this disorder.