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What Does Fecal Soiling In Pants By A Child Indicate?
Question: my 7 year old daughter poops in her pants daily. She can use he toilet, but doesn't. We have tried several approaches, rewards/scheduling bathroom time/removing privileges, but nothing has worked. Help.
Brief Answer:
Need further clarifications.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I understand the dismal situation for which you are writing to us. I also understand that you have already tried the conventional methods like use of laxatives to reduce constipation, scheduled bathroom time every morning, and even rewards. It is evident that things have not worked out quite well. So, in order to help you, I need to try to understand the situation properly. I would need to know about:
* The consistency of stool. If the child is constipated. If bowel habits are otherwise regular. If she takes plenty of green leafy vegetables and other fiber sources.
* Let me know about the specific laxative that is being used.
* Please go through http://www.askdrsears.com/topics/parenting/discipline-behavior/bothersome-behaviors/soiling-pants and tell me the possible cause of soiling her clothes. It matters how the child feels on getting clothes soiled and if she feels adamant, embarrassed or humiliated. Also mention if she is aware of the stool getting voided. Stress in children is a very important factor and it is very important to take care of it. Proper reassurance can take care of the problem.
* Any other symptoms like feeling bloated, vomiting, poor feeding etc.
* Tell me about the attention span of the child, whether the child is hyperactive and always on the move.
Feel free to go through http://www.nhs.uk/conditions/encopresis/Pages/Introduction.aspx
https://secure02.kidshealth.org/parent/medical/digestive/encopresis.html
I will wait to hear back from you.
Regards
Need further clarifications.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I understand the dismal situation for which you are writing to us. I also understand that you have already tried the conventional methods like use of laxatives to reduce constipation, scheduled bathroom time every morning, and even rewards. It is evident that things have not worked out quite well. So, in order to help you, I need to try to understand the situation properly. I would need to know about:
* The consistency of stool. If the child is constipated. If bowel habits are otherwise regular. If she takes plenty of green leafy vegetables and other fiber sources.
* Let me know about the specific laxative that is being used.
* Please go through http://www.askdrsears.com/topics/parenting/discipline-behavior/bothersome-behaviors/soiling-pants and tell me the possible cause of soiling her clothes. It matters how the child feels on getting clothes soiled and if she feels adamant, embarrassed or humiliated. Also mention if she is aware of the stool getting voided. Stress in children is a very important factor and it is very important to take care of it. Proper reassurance can take care of the problem.
* Any other symptoms like feeling bloated, vomiting, poor feeding etc.
* Tell me about the attention span of the child, whether the child is hyperactive and always on the move.
Feel free to go through http://www.nhs.uk/conditions/encopresis/Pages/Introduction.aspx
https://secure02.kidshealth.org/parent/medical/digestive/encopresis.html
I will wait to hear back from you.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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