Encopresis history and symptoms

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

History and Symptoms

• Inability to retain feces (bowel incontinence)
• Passing stool in inappropriate places (generally in the child's clothes)
• Secretive behavior associated with bowel movements
• Constipation and hard stools
• Occasional passage of very large stool that almost blocks up the toilet
• Painful defecation

• Blood in stools (this is usually due to painful fissures in anus)

• Stool-withholding behavior: Child may be noted to spend long periods of time standing in a corner prior to soiling. This can be mistaken for exaggerated attempts at defecation.

• If also Day-time-wetting (urinary incontinence not at night) co-exists, an organic cause has to be sought.