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What causes Encopresis?

In most cases, Encopresis develops as a result of long-standing constipation. The vast majority of children suffering from encopresis have a history of constipation or a history of passing large and/or painful bowel movements. In many cases, the child or the parents do not recall the constipation since it was so long ago.

With constipation and painful bowel movements, children do not completely empty themselves when they go to the bathroom. Over a long period of time the large intestine slowly fills with stool and becomes stretched out of shape. As the large intestine stretches larger and larger, liquid stool from the small intestine begins to "leak" around the more formed stool in the colon. In the beginning, this leakage is usually small amounts that streak or stain the underwear and most parents just assume their child isn't wiping him or herself very well.

Dr Borowitz explains

A Poem By an Encopretic Child

I wait for a day when smiles come easily
When I can stand proud and no one will tease me.
I wait for a day when I won't have to cry
When all of my friends won't pass me by.
I wait for a day that I won't be mad
Because all my friends don't smell this bad.
I wait for a day that should come to me
Because I'm just as good as them you see.
I wait for this day because in my heart
I know I'll be happier to have a clean start.
I wait for this day along with my parents
My hoping and praying is always apparent.
I wait for the day when hugs are so easy
To smell like a rose would surely please me.
I wait for the day so patiently you see
Because Encopresis is waiting for me.


A Moms Thoughts on Encopresis



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Personal Story

(by Heather's Mom)

Our oldest son conquered Encopresis at the age of 14, but not until after some 12 years of embarrassment.

One day when he was 10 years old, he and his sisters were having a snack of Oreos and milk while watching a scary movie in the family room. Everything was going fine until I heard my oldest daughter spit milk across the room and start laughing uncontrollably.
A few seconds later my son ran through the kitchen to the bathroom with a look of panic on his face. Not knowing what happened, I ran after him to find him throwing up. I asked if he was okay and wiped his mouth as he cried. "What happened?", I asked him. No answer, just crying and gagging.

I went to the family room to question the girls.
"Okay girls, what's going on?"

The oldest daughter was still giggling with tears in her eyes. The youngest wouldn't talk, and just sat there with a stunned look on her face.
"Somebody better speak up now!", I scolded. Then my oldest daughter told me the story.

" Mom, he picked up a piece of Oreo off the floor and ate it!"
Well, although it's not something I would do, I wouldn't put it past one of my kids. "So?", I asked with a look of confusion on my face. Then she cleared it up for me.

"It wasn't a piece of Oreo mom, it was a poop crumb!"

Knowing that my son had to be extremely embarrassed (and sick to his stomach!) I made a suggestion.

" Honey, maybe we should buy sugar cookies from now on?"

He wiped himself up and laughed.



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