Encopresis

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Soiling; Incontinence - stool

• inability to retain feces (bowel incontinence)
• the passage of stool in inappropriate places (generally in the child's clothes)
• secretive behavior associated with bowel movements
• evidence of constipation and hard stool
• occasional passage of very large stool that almost blocks up the toilet

• Digital examination of the rectal vault may demonstrate a fecal impaction
• An abdominal X-ray may confirm impacted stool in the colon

Review Date: 08/23/2005
Reviewed By: John Goldenring, MD, MPH, Department of Pediatrics, Children's Hospital, San Diego, CA. Review provided by VeriMed Healthcare Network.