Encopresis is one of the most frustrating challenges of childhood. This is not only the case for the child, but also for the father and mother, who often do not know how to act. It can be traumatic for children to have difficulty controlling their bowel movements.
Additionally, these children are often ridiculed by their peers, and adults are embarrassed and blamed for the difficulty. In this article, we’ll talk about how important it is for families to know about encopresis.
What is encopresis?
Encopresis is part of urinary and faecal elimination disorders, called enuresis and encopresis, respectively. According to the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), this type of disorder is called excretory disorder. However, they were previously called elimination disorders.
According to the DSM-5 To receive this diagnosis, the following four characteristics must be present:
- The chronological age of patients should be at least 4 years.
- The child repeatedly bowls in inappropriate places (such as clothes). It can be done unintentionally or on purpose.
- At least one of these episodes occurs each month for at least 3 months.
- This behavior is not due to any substances (for example, laxatives) or any other medical problem.
Different types of notches
We can talk about it two types of encapsulations:
- Persistent encopresis: This type of encopresis is associated with cases of constipation.
- Non-persistent narrowing: This type of narrowing occurs when there is no relationship between incontinence and periods of constipation.
Most of the time encopresis is of the retentive type. Children with this type of encopesis have an underlying medical reason for not controlling their sphincters. Non-persistent encopresis, on the other hand, has no physical condition that prevents normal bathroom-going behaviors.
How to manage encopresis
Mothers and fathers often struggle to understand how to handle this delicate situation. Therefore, I would like to give you some tips so that you know how to deal with encopesi if your child is in this situation.
First, go to the pediatrician to make a proper diagnosis and explore possible medical causes the problem your child is having. Your doctor may detect various problems and ask you to change your child’s diet and / or activity level. One of the most important points is to seek early treatment for this problem. The sooner we start looking for solutions, the better.
It often happens that parents often feel embarrassed when their child has encopresis, making it more difficult for them to seek help. My advice is not to wait for this problem to go away on its own. If the problem persists, the child’s self-esteem and confidence may be damaged more than necessary..
On the other hand, if your child gets their underwear dirty, don’t get angry and don’t punish them. He’s not ashamed of it either. With this kind of attitude, you can only worsen your child’s self-esteem. I am aware that sometimes this may seem like intentional behavior, but it may not be under your child’s control or your child may not know how to do it better. In the same way don’t blame your child. The problem will not improve, but it will make you feel less good about yourself.
It can also be interesting to show the child that there are other children with the same problem. In fact, you can tell him that other children are more likely to go to his school than he is. Consider teaching your child how the bowel works and how it can strengthen your muscles and nerves. that control bowel function.
Using records and rewards as a strategy
It may be helpful for some children to keep track of situations in which they were unable to control their faeces and had an accident. This way you can try to find out whether there is a trend in accidents or a specific trigger, that is to say if they always occur in the dining room, when he goes to a friend’s house, at the end of the afternoon …
Taking control of accidents can cause anxiety in some children, while in others it helps them feel that they have more power and control over the problem. Only use such strategies if they will benefit your child, and always with professional advice.
We can also use a reward system or a token economy. The child can receive a dot or sticker on a chalkboard or chalkboard for each day that passes without a spot. When you get a certain number of points, you can receive a toy or a prize. It is important to note that this approach does not work for all children. In fact, in some cases it can be counterproductive. So consult a professional who can advise you according to your child’s specific situation and needs.
One last word
Keep in mind that children with encopresis may have occasional relapses and failures during and after treatment.. These relapses may be to some extent normal, especially in the early stages. This does not mean that the treatment is unsuccessful, it means that it takes time and several attempts. Finally, it is important to note that encopesi is a problem that can be chronic and complex, but has a solution.
The sooner we find a solution, the easier it will be to solve the problem. It is always important to consider choosing a psychologist if your child is feeling ashamed, guilty, sad, or has low self-esteem related to the burden.