Constipation and Encopresis
Constipation is defined as a delay or difficulty in defecating that has been present for 2 or more weeks. A major concern with constipation is the development of encopresis, or fecal incontinence. Encopresis is repeated and involuntary defecation in a child older than 4 years who has normal colon and rectal anatomy. With encopresis, children often report that soiling occurs without warning. Parents find the situation frustrating, and soiling often becomes a major issue between parent and child. Often encopresis causes children to feel ashamed or
Embarrassed, and they may avoid situations in which embarrassment might be heightened, such as spending the night with a friend or even going to school. If the condition persists over a long period, it usually affects the child’s self-esteem and may impair social relations. Parents can experience a range of emotions including guilt, shame, disgust, or anger, and they may project these feelings onto the child