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Encopresis (Soiling)

 
Encopresis is a term that is used to describe the repeated passing of feces in inappropriate places. Although this typically occurs unintentionally, some children will pass feces intentionally. One must be careful when diagnosing encopresis to be certain the problem is not do to a medical condition or the use of laxatives.

Often the problem of encopresis is related to the child being constipated or from impaction. Sometimes, however, the problem can be the result of the child experiencing psychological distress. For example, the child may fear using a toilet in any other setting but the home, thus becoming impacted and then experiencing encopresis.

Encopresis is not typically used as a diagnostic label for children under the age of four, or for children who have other developmental delays. Encopresis must also have taken place at least once a month for over three months. It is more common in boys than girls.

 About the Author: Dr. Catherine Swanson Cain, PhD, LMFT provides counseling and therapy to families of young children with behavior problems or mental health disabilities. She also provides consultation and training to educators, child care providers, and professionals on a variety of behavioral health issues.