Encopresis: Causes, Symptoms, and Treatment, Exams of Integrated Case Studies

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MAX KING LEAKING STOOL iHUMAN CASE STUDY

SOLUTION

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tes

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and interpretations.

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d

notselectany

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fo

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thi

s

case.

DiagnosisFeedback

Encopresis

Encopresis o

r

soili

ng

i

s

als

o

knownas feca

l

incontinence

I

t

usuall

y

occurs i

n

childre

n

fou

r

yearsand olde

r

wherea

chil

d

i

s

toil

et

traine

d

and hasbowelcontro

l.

The chil

d

resist

s

havingbowelmovementswhichcausestoo

l

t

o

be

impacted i

n

th

e

colonand rectum

Liqui

d

stoo

l

then leak

s

around th

e

impacted stoo

l

int

o

the

child's

underwear.

Approximately 80 % o

f

childre

n

wit

h

encopresishaveunderlyin

g

constipation

Constipatio

n

can be associatedwit

h

severa

l

environmental trigger

s.

These are

Introductio

n

o

f

cerea

l

and soli

d

foods int

o

the

child's

die

t

« Commencement o

f

toil

et

trainin

g

« Star

t

o

f

school

« Separation/stres

s

fromparentso

r

schedulechanges

Severe constipationcauses further stoo

l

withholdingand worsens constipation.

Symptoms o

f

encopresisinclude:

» Leakage ofstoo

l

i

n

thechild'

s

underwear,oftenmistakenby parentsfo

r

diarrhea

» Avoidance o

f

bowel movements

Constipatio

n

« Abdominal pai

n

o Urinar

y

trac

t

infection

s