Pediatrics in Review
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New Concepts in the Management of Encopresis

Terry Nolan MD, PhD1
Frank Oberklaid MD2
 1 Senior Lecturer, Melbourne University Department of Paediatrics, Royal Children's Hospital, Melbourne, Australia
2 Director, Department of Ambulatory Paediatrics, Royal Children's Hospital, Melbourne, Australia

Persistent fecal incontinence without anatomic abnormality, otherwise known as soiling or encopresis, frequently brings ridicule and shame to the affected child. The disability that it imposes is accentuated by the parental anger, guilt, and helplessness it engenders; by the peer hostility and rejection it promotes; and by the disgust with which it may be greeted by teachers. Home-based pediatric therapy is safe, generally very effective, and rewarding to patient, family, and physician. However, it requires a comprehensive understanding of both the underlying pathophysiology and the integrated therapeutic program of counseling, pharmacotherapy, and behavior modification.




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Home page
 Arch Pediatr Adolesc MedHome page
B. Felt, C. G. Wise, A. Olson, P. Kochhar, S. Marcus, and A. Coran
Guideline for the Management of Pediatric Idiopathic Constipation and Soiling
Arch Pediatr Adolesc Med, April 1, 1999; 153(4): 380 - 385.
[Abstract] [Full Text] [PDF]


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