Encopresis

last authored: October 2009, David LaPierre
last reviewed:

 

 

 

Introduction

Encopresis refers to fecal incontince on a child >4 years old, at least once monthly, for 3 months. It occurs in 1-1.5% of school-aged children, decreasing with age. It is more ocmmon in males.

 

 

The Case of...

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Differential Diagnosis

Encopresis is most commonly seen with chronic constipation.

Other causes include:

• Hirschprung disease
• hypothyroidism
• hypercalcemia
• spinal cord lesions
• anorectal malformations

Retentive encopresis follows anal fissure, causing pain, or emotional difficulties.

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History and Physical Exam

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Investigations

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Management

 

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Pathophysiology

 

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The Case of...

 

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Resources and References

 

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Topic Development

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