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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lack Of Control Over Bowels In A Toddler?

hi my son is now 4 years old but when he was a baby he was always constipate and i had to use suppositries all the time but now hes gotolder ive noticed that hes always pooing himself even though he says he needs a poo and goes toilet before he can get there hes already done it and gets very upset but ive noticed aswell that when he trys to hold it in its as though hes got no control as he cannot stop it and im a bit orried as its upsetting him and he starts school in september
Fri, 12 Jun 2020
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Pediatrician,  's  Response
Hi,

How is his bowel movements- is the stool tight/hard? Any pain on defecation? Such fecal soiling is most commonly caused by chronic constipation. Here, since defecation is painful and difficult, children try avoiding that by voluntary holding to the point that rectum is full and can not hold anymore, causing involuntary soiling.

This can be treated with fecal dis-impaction followed by laxatives for few weeks. Kindly take him to a pediatrician. Meanwhile, make him drink enough fluids and give plenty of fibre rich items(fruits and vegetables)

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What Causes Lack Of Control Over Bowels In A Toddler?

Hi, How is his bowel movements- is the stool tight/hard? Any pain on defecation? Such fecal soiling is most commonly caused by chronic constipation. Here, since defecation is painful and difficult, children try avoiding that by voluntary holding to the point that rectum is full and can not hold anymore, causing involuntary soiling. This can be treated with fecal dis-impaction followed by laxatives for few weeks. Kindly take him to a pediatrician. Meanwhile, make him drink enough fluids and give plenty of fibre rich items(fruits and vegetables) Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician