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I HUMAN CASE WEEK #7 (CLASS 6541) 4 YEAR OLD PATIENT REASON FOR ENCOUNTER: LEAKING STOOL IN HIS UNDERWEAR LATEST CASE 2025 INCLUDING ALL CLINICAL CASE REPORT
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Onset Location Duration Characteristics Aggravating factors Relieving factors Treatment
Skin warm and dry BMI 17. No nausea or vomiting No bleeding with defecation No fever No headache Usual coughs tummy aches Last hard stool movement was 2 days ago Leaking daily Loves fried food and dessert Avoids vegetables and fruits Drinks a lot of milk
A 4-years-old male child presents to the clinic with his father with a complaint of leaking stools in his underwear from past three weeks. His father stated that leaking hard stool with abdominal pain started three weeks ago. He also stated that the child has had intermittent abdominal pain from past two years. He mentioned that child had hard stools before the onset of leaking stool and experience difficulty when defecating. He stated that child has poor diet and usually eats fried food and desserts. He mentioned that the pain usually starts after he eats and has not given any treatment. Nothing is aggravating or relieving his symptoms except the child mentioned that the pain decreases after defecation.
Plan Treatment for encopresis will typically involve cleaning out the colon and rectum, using stool-softening agents and beginning to build the habit of having frequent, healthy bowel movements. The initial cleaning of the colon and rectum is done using enemas, laxatives or both. Provide a high-fiber diet under the direction of a registered dietician, unless contraindicated. Encourage the patient to take in fluid 2000 to 3000 mL/day, if not contraindicated medically. Assist patient to take at least 20 g of dietary fiber (e.g., raw fruits, fresh vegetable, whole grains) per day.