Encopresis physical examination

Encopresis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Encopresis from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Abdominal X Ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Encopresis physical examination On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Encopresis physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Encopresis physical examination
CDC on Encopresis physical examination
Encopresis physical examination in the news
Blogs on Encopresis physical examination
Directions to Hospitals Treating Encopresis
Risk calculators and risk factors for Encopresis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Abdomen

• The impacted bowels may be felt through the tummy, but is often not felt even in severe constipation.

Neurologic

• The back should be inspected and ankle jerk reflexes tested to rule out spina-bifida.

Miscellaneous

• A rectal examination should not be performed, especially not in young girls. The children are already traumatized enough in this area, and this would be one more emotional trauma. It also provides no useful information, as the rectum might be empty at the moment of examination.
• Close inspection of the anus and perianal area: Anal fissures (anal tears) will support the diagnosis. There may also be signs of inflammation like Thrush (Candidiasis) or Streptococcal infection.