Understanding Fecal Soiling in Children

Encopresis is a condition characterized by the voluntary or involuntary passing of feces in children who are typically already toilet trained. It can be a distressing issue for both the child and their family. Boys are more commonly affected by encopresis, and constipation is often a major contributing factor.

Types of Encopresis:

1. Encopresis with Constipation:

   • In this form, the child’s stool is usually poorly formed, and leakage occurs continuously, both during waking hours and while asleep. Constipation leads to an overfilled colon, which results in the leakage of liquid stool around the impacted feces.

2. Encopresis without Constipation:

   • Here, the stool is well-formed, and soiling is intermittent. The feces are often deposited in noticeable locations, and this form of encopresis can sometimes be associated with behavioral conditions such as oppositional defiant disorder or conduct disorder.

Encopresis is often treated by addressing the underlying cause, such as relieving constipation or managing any associated behavioral issues. Early intervention and support are important to prevent emotional and social difficulties for the child.

• NY Times Article about Recurrent Abdominal Pain
• Functional Abdominal Pain by GI Kids (PDF en Espanol)