Encopresis, also called stool holding or soiling, occurs when your child resists having bowel movements, causing impacted stool to collect in the colon and rectum. Encopresis is the involuntary discharge of feces (ie, fecal incontinence).
Symptoms: • Leakage of stool or liquid stool on your child's underwear. If the amount of leakage is large, you may misinterpret it as diarrhea. • Constipation with dry, hard stool. • Passage of large stool that clogs or almost clogs the toilet. • Avoidance of bowel movements. • Long periods of time between bowel movements, possibly as long as a week. • Lack of appetite. • Abdominal pain. • Repeated urinary tract infections.
Treatment: • Stool softeners, such as lactulose • Colon lubricants, such as mineral oil • Rectal suppositories • Enemas • More oral fluids.