Encopresis

What is Encopresis?

A condition where children hold stool too long, leading to chronic constipation and stool leakage in underwear

At what age is Encopresis considered a problem?

When stool withholding and accidents persist after age 4.

Pathophysiology of Encopresis

• Child holds stool too long

• Stool becomes hard → constipation

• Colon becomes overfilled

• Liquid stool leaks around hard stool, causing soiling

Why do children with Encopresis soil their underwear?

Because liquid stool leaks around impacted hard stool in the colon

Important teaching point for parents about Encopresis

The behavior is not intentional or deliberate—it is usually related to constipation and stool withholding

Treatment strategies for Encopresis

• Routine toilet schedule

• Increase fiber and water

• Regular exercise

• Laxatives or enemas if needed

Prognosis for children with Encopresis

Most children outgrow the condition, unless related to psychological stress or anxiety.