Pediatric Fecal Incontinence

What is pediatric fecal incontinence?

Fecal incontinence is when a child has accidental bowel movements. One type of fecal incontinence, called encopresis, occurs when a child resists having a bowel movement. This eventually can lead impacted stool to collect in the large intestine, and when that happens, liquid stool can leak around the impacted stool and out through the anus.

Encopresis, a specific type of fecal incontinence in children, can have significant psychological impacts. Children with encopresis often experience feelings of shame, embarrassment, and low self-esteem due to their inability to control bowel movements. This condition can lead to social isolation, as children may avoid activities or situations where accidents could occur. It's important to note that encopresis is not a behavioral choice, but rather a medical issue that requires understanding and proper treatment. Parents and caregivers should approach the condition with patience and support, avoiding punishment or criticism, which can exacerbate the child's emotional distress. In some cases, working with a mental health professional may be beneficial to address the psychological aspects of encopresis and help the child cope with the challenges associated with the condition.

Other causes of fecal incontinence include medical conditions like chronic constipation or conditions a child is born with that may disrupt bowel control like spina bifida.

Treatment

You should visit your pediatrician, as fecal incontinence may be caused by dietary issues (such as not drinking enough water or eating foods rich in fiber) or also by behavioral or emotional issues.

Your doctor will be able to coordinate care with a doctor who specializes in digestive disorders in children (pediatric gastroenterologist), or a mental health provider, if needed.