FAQ - Encopresis
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Has anyone used the Clean Kid Manual for encopresis & has it worked?


Here's a link to the site..
http://www.soilingsolutions.com/index.htm
How does it work? And how is it different from the regular doctor clean out's w/ enemas & suppositories and or laxatives? Thanks! My son is 71/2 & I really want to find something that works!!
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Wow...this is still an issue BM? I assumed it was resolved as its been a long time. I'm currently taking a class on the assessment and treatment of children and the professor has been a practicing clinical psychologist for about 45 years working with children. If I have a chance, I'll ask her what she could recommend. Although this has been going on for some time. I've known you for what...close to a year now...and I think this was the original issue I met you over!  (+ info)

Has anyone heard of Encopresis?


My son has a problem, He is 7yrs old and for the last 2yrs he has had a problem where he doesn;'t get the urge to poop. What can help? I have been to every doctor and have tried every stimulant and non-stimulant laxative. What can I do. This is to hard to try and clean up poop all the time and his belly gets so HUGE when he is impacted.
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Although encopresis occurs equally in boys and girls in younger children, by school age, it is much more common in boys.

Encopresis is a complication of chronic constipation, and it is fecal soiling with the loss of semi-formed or usually liquid stools, which may be foul smelling, into a child's underwear. Once a child becomes constipated and has hard and painful stools, he will then begin to hold in his bowel movements to prevent it from hurting again. This creates a cycle that makes the constipation continue and become worse, eventually leading to a large fecal impaction and rectal distention (which can make the rectum less sensitive and unable to hold even small amounts of stool). Stool behind the impaction begins to leak around it, and eventually leaks out of the rectum, without the child noticing it or being able to hold it in.

Your child may also have very large, infrequent, hard bowel movements that are painful or may even plug up the toilet. Or he may have very small, ball-like bowel movements more frequently, but which are still very hard and difficult to pass. After a very large bowel movement, soiling may improve, until enough time passes and the impaction builds up again.

The treatments for encopresis must include treatment for the underlying constipation. This may include a 'clean out' regimen of enemas, suppositories or high dose mineral oil to remove the backed up or impacted stool.

Other treatments are aimed at improving your child's diet. A diet low in fiber or fluids can contribute to constipation. So can drinking too much milk. Some steps to improve your child's diet include:

Increasing fluids: Increase the amount of water and fruit juices (minimum of 2-3 glasses) that your child drinks each day.
Increasing fiber: Increase the amounts of fruits and vegetables that your child eats. Raw, unpeeled fruits and vegetables (especially beans, sweet potatoes, peas, turnip greens, raw tomatoes and corn) have the most fiber. Popcorn also has lots of fiber in it. Give enough grams of fiber to equal their age in years plus 5 each day (check the nutritional label for high fiber foods and snacks with at least 3-4g of fiber per serving). Vegetable soups are especially high in fiber and also add more fluid to your child's diet.
Increasing bran in your child's diet by offering bran cereals, bran muffins, shredded wheat, graham crackers, or whole wheat bread.
Decreasing constipating foods: These include milk, yogurt, cheese, cooked carrots, and bananas. Drinking too much milk (your child may only be drinking 2-3 cups a day, but it may be too much for his system to handle) is heavily associated with being constipated. Switching to soy milk has been shown to soften stools. If your child is unable to drink milk, then offer a daily multivitamin or other sources of calcium.
Until your child's constipation has improved with a non-constipating diet, your child will most likely also be on stool softeners. Most of these medicines are available in the pharmacy over the counter and do not require a prescription. They include Metamucil, Milk of magnesia, Citrucel, or mineral oil. Unlike laxatives in adults, they are generally not considered to be habit forming. You should use them once or twice a day and work up on the dose until your child is having a soft BM each day. If you child starts to have diarrhea, then you are giving too much and you should cut back on the dose. See the table in our Guide to Constipation for dosing information.

Another important treatment of encopresis and constipation is behavior management so that your child learns to have a bowel movement each day. You should encourage your child to have regular bowel patterns. Have your child sit on the toilet for about five to ten minutes after meals 2-3 times each day. The use of simple rewards or a daily calendar with stars or stickers for days that your child takes his medicine and has a bowel movement may be helpful. Your child doesn't necessarily need to have a bowel movement each of these times, and you shouldn't punish him if he doesn't. It is more important that he gets in a regular habit of trying to have a bowel movement.

And remember that the leakage of stool is involuntary. Your child is not doing it on purpose and he shouldn't be punished or shamed when it does happen. The distention and stretching of his rectum from the impacted stool can take a lot of time to get back to normal, and until it does, he may not be able to sense or voluntarily hold in all of his bowel movements, and so leakage may continue even with proper treatment.  (+ info)

Anyone have/know a child with encopresis??? Need serious help!!!?


I've look & looked online & read everything there is to read!!!! I've taken my son to a gastro specialist at Childrens Hospital!!! Nothing's working. I cleaned him out w/ magnesium citrate & he's been on miralax for a while! Anyone know of ANYTHING that helps??? Please!!!!! And if you have a child w/ encopresis, do you send him/her to school? How does the teacher/child deal w/ that? My son has a couple days a wk that he poops his pants several times or more!!! He's almost 7yrs. old & I just want to help him SO BAD to get over this!!!!!
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Here's a forum for people dealing with encopresis. I'm sure you'll find more people that can give you first-hand experience and tips than you'll find here. I feel for you, but I haven't experienced that with either of my kids. I hope this link helps!

http://www.aboutencopresis.com/forum/index.php  (+ info)

What kinds of things should my child know by age four?


I decided not to put my three year old in preschool this year (we are trying to resolve her issue with encopresis). I plan to put her in next year. What kinds of things should she be learning right now. I'm trying to come up with some lesson plans that I can do with her at home a couple days a week. We do a craft almost everyday (she loves to do them), we're working on cutting skills with safety scissors, working on number and alphabet recognition and we are practicing tracing. I also do felt board stories with her. I'm trying to keep it fun.
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My 3-year-old learns alphabet recognition and phonics (he knows what the letters all "say"), numbers, a Bible verse and story per week (it's a Christian school), then they have two-week themes. He'll learn about the ocean, what kind of fish live in the ocean, etc. The next week, he learns about Autumn (the changing colors of the leaves - complete with appropriate crafts to solidify the point - how it gets colder and darker earlier, what months are in Autumn, etc.). In December, he learns about Christmas (several weeks, covering Christmas trees one week, Christmas traditions one week, and the birth of baby Jesus one week).

He also is learning about weather and days, weeks, and months. Every day in circle time, they look out the window and put the magnets in their room up to show what's going on (there are magnets for sun, clouds, rain, thunderstorms, windy, hot, cold, snow, etc.) and then there are also magnets showing what you would wear for diffrent kinds of weather (so on a cold, rainy day, they would put the "cold" magnet and the "rain" magnet up, along with a "coat" and "umbrella"). Beside the weather board, there's a calander, and they go through "What month is it?" and "What day is it?"

Music is used in several different ways. Some songs (Father Abraham, Head Shoulders Knees and Toes, and the Hokey Pokey) encourage movement (and the latter two also reinforce knowledge of body parts). The Itsy Bitsy Spider, The Wheels on the Bus, and Little Bunny Foo-Foo work on fine motor skills, and The Wheels on the Bus also works on recognizing people (they include the bus driver, mommy, daddy and baby).

They work on various "science" projects (easy things like watching a bean sprout and grow) and some very basic math (he knows three math problems: 1+2=3, 2+2=4 and 1+3=4). The math problems are done VERY slowly, and it usually takes about two weeks of going over it before he really remembers what the answer is).

Games like "Freeze Dance" get them up and moving, and they think it's pretty hilarious to "freeze" in strange or awkward positions.

Three-years-old is a wonderful time to work on a second language, so they have "Spanish classes" once a week (they learn how to count to ten in Spanish, and words like water, bathroom, boy, girl, please and thank you, etc.) He's also learned a few simple signs for sign language ("thank you" "I love you" and "I'm hungry", for example). I don't know about the sign language, but in addition to what they're learning in school, for Christmas Santa is bringing an InteracTV game system with some games, including a Dora the Explorer one that works on Spanish vocabulary. There are all kinds of toys/books/games that feature Dora and most of them include Spanish.

Have storytime, of course, but work it in to your curriculum. For example, if you're learning about snow, find a children's book that is about snow (at different times of the year, Barnes and Noble have themed tables for children's books, so in December, it's easy to find books about Christmas, Hanukkah, snow, etc.) Work in projects/snacks to match the story. If you read "If You Give A Mouse a Cookie", work with her to make and decorate cookies (you roll out the dough, then let her use cookie cutters to get the cookies.). If "Green Eggs and Ham" is read for storytime, have green eggs and ham for lunch (concentrated green food coloring in scrambled eggs works well).

One game my son likes is to match colors and items. There's a computer game on pbskids.org (a GREAT site, both of my kids like it, just carefully monitor what she's doing on there) where Grover from Sesame Street is trying to pick out fruits and vegetables that match certain colors. So the child moves the purple eggplant to the purple bin, the orange carrots to the orange bin, etc. That gives him a good opportunity to work on his colors, but also to learn about various fruits and veggies (they explain a little detail about the produce).

Encourage pretend play, using a toy kitchen or something similar. Assuming your daughter has a baby doll, show her how to "take care of it". Provide dress-up clothes of all kinds ("Princess" stuff, but also firefighters and doctors and stuff).

I know that's a lot, but I hope some of it has given you some ideas. I think it's awesome that you're doing all that with her at home.  (+ info)

How much autority/input should a grandmother have over the choices of a grandchild?


My mother-in-law called me yesterday to tell me I wasn't doing the right thing for my son who has been diagnosed with encopresis. A medical condition where you don't have control over your bowels & in short, the child poops their pants sometimes several times a day. Sometimes they are so large he has to crawl to the bathroom & I have to wash him off in the tub! So I decided to home school him until I get him cured, which takes several months! It's not that I'm against public schools, but how much could he possibly learn having his pants changed several times through out the school day? Plus I think it would be psychologically tramatic for him to have to go through that! There's much more to the story, but anyway, I had an argument with her on the phone yesterday & told her it wasn't her decision & that she didn't even understand the condition! She still insisted it's better to put him in school. Does she have the right? Should I feel bad for arguing w/ her?
Too many great answer! Have to send this on into community for voting!!
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BigM,
You need to stand your ground on this. Kids can be mean - this would be a traumatic event for your child if forced to be placed to a situation where the "accidents" continue to happen in front of others. Sounds as though your mother in law just wanted an argument to me. Do NOT feel bad, as "Mom" you are doing the best you can with the circumstances you are under. And, to boot you were right - it is NOT her decision. If she is so concerned about this she should spend (not a day) but at minimum a school week with you. Until she has the gumption to come over and help out on a daily basis her "piece" is best kept to herself.

Good for you!

Gerry  (+ info)

Encopresis. Can a child have too much fibre? Six year old.?


does the encopresis occur when your child is not given fiber?
if not than that's a quick solution...
if it does occur, even without the fiber, first take your child to a gastroentologist to make sure everything's working the way it should...
if it is, and it's still happening, perhaps some therapy would help, that's what we had to do with our son, he eventually stopped, but it wasn't until he was about 11
good luck...  (+ info)

could someone plz help me figure out how to post a question on this forum about encopresis?


http://www.aboutencopresis.com/forum/index.php

I really want to ask a few questions, but I can't seem to figure out how to post a question? Anyone know how or will look at this for me? It's a very important health question about my 6 yr old son & he's been to specialists, but I think someone going thru the same thing as me (&there are LOTS of pple going thru this same thing on the site) could help me better than the drs & specialists have!!!!!!
I've already registered & when I log on all I get is a white screen. I'll keep trying too! I'll ask another question tomorrow or feel free to email me!!! Thanx sooooo much for tryin this you guys!!!!
i emailed on of the other members on this forum, so we'll see what she tells me tomorrow! thanx again!
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ALSO KEEP ASKING FOR HELP!!!!



Register first:
http://www.aboutencopresis.com/forum/profile.php?mode=register&agreed=true

If you having a problem refer to this page:
http://www.aboutencopresis.com/forum/faq.php

"How do I post a topic in a forum?
Easy -- click the relevant button on either the forum or topic screens. You may need to register before you can post a message. The facilities available to you are listed at the bottom of the forum and topic screens (the You can post new topics, You can vote in polls, etc. list)"

Got this from: http://www.aboutencopresis.com/forum/faq.php#14  (+ info)

My 5 yr old has been diagnosed with "encopresis".?


We've gotten him "regular" with fiber supplements, vitamins and better diet, but he is petrified to sit on the toilet to release his bm's, mainly because of the pain he encountered when he was so backed up. We have tried reward charts and bribery and have even taken away things he likes to do etc...but, he still poops in his pants not on the toilet. Please help!
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I'm sorry, I have to respond to one of the other answers here....

unless you have a trust fund set up for the rest of your son's life to cover therapy bills do NOT punish or belittle him because of this problem

Truly, he will grow out of this...you will have more accidents before it stops but just be matter of fact...my son had the same diagnosis and the same problems once he was "regular"...I so know what you are going through- just know it gets better.

I had to take a few "moments" so I wouldn't express anger...but once I would get myself calm I would have him help me to clean it up...then the laundry, etc...kids think poop is funny- but they really don't like to clean it up.

Honestly, it took a few months until it was completely under control- but it is now a distant memory- good luck!  (+ info)

Dealing with Encopresis...?


I have read a few entries about encopresis and wanted to pass on this myspace site if anyone who is familiar with Enco is interested. Here is the site if you are interested.

myspace.com/day2day_encopresis

Thanks for looking!
The reason it is set to private is because a lot of people who have never dealt with enco, don't understand it. A lot of those same people have harrassed others on the issue and I don't want that to happen here. I have made it private to protect others from getting hackled. If you would like to see the page, please send a friend request. Thank you for understanding.
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I appreciate the thought, but if you want people to visit you might want to take yourself off of private.  (+ info)

Anyone know what encopresis means?


It means incontinence of faeces. The comparable word for incontinence of urine being enuresis.  (+ info)

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