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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bowel Incontinence

I have a 5 year old grandson that has had difficulty with constipation for many years since age 2. Now for the last 1 or more he has been defication on his pants, not telling any one. It is now a problem in school. What would cause this type of behavior and what can be done.
Thu, 27 Nov 2014
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Pediatrician, Pulmonology ,  's  Response
Hi....this is called encopresis. Usually in constipated kids the hard stools will be in the rectum and they tend to control it, as they fear the pain while it comes out. So when it gets accumulated, the normal motion above it tend s to come out in the sides and soils the under garments. This is called encopresis. Nothing to worry. Once constipation is treated, this gets better.
Suggestions:
1. Natural methods are the best to relieve constipation.
2. Constipation is a risk factor for UTI
3. Maximum milk consumption per day should not exceed 300-400ml
4. Minimum 3-4 cups of fruits and vegetables to be consumed per day
5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.
Regards - Dr. Sumanth
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Suggest Treatment For Bowel Incontinence

Hi....this is called encopresis. Usually in constipated kids the hard stools will be in the rectum and they tend to control it, as they fear the pain while it comes out. So when it gets accumulated, the normal motion above it tend s to come out in the sides and soils the under garments. This is called encopresis. Nothing to worry. Once constipation is treated, this gets better. Suggestions: 1. Natural methods are the best to relieve constipation. 2. Constipation is a risk factor for UTI 3. Maximum milk consumption per day should not exceed 300-400ml 4. Minimum 3-4 cups of fruits and vegetables to be consumed per day 5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Regards - Dr. Sumanth