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Serve breakfast early so your child does not have to rush off to school and miss the opportunity to poop. Often, eating a meal will cause children to feel the urge to poop. Plan to serve your child's meals on a regular schedule. Check with your healthcare provider about how much fiber and liquids your child may need every day. Limit whole milk to 16 ounces a day for the child over 2 years of ageĭiets high in fiber usually help but sometimes can worsen constipation if your child does not drink enough water with a high fiber diet.Limit drinks with caffeine, such as cola drinks and tea.Limit fast foods and junk foods that are usually high in fats and sugars, and offer more well-balanced meals and snacks.Encourage your child to drink more fluids, especially water.Adding more whole grain cereals and breads.There are certain dietary changes to consider when helping a child with constipation and / or soiling. Please do not give your child stool softeners without the approval of a doctor or nurse practitioner. This will help your child not to hold in the poop and over time will allow the colon to return to its normal shape and function. Your child's doctor or nurse practitioner will often order medications to help keep your child's bowel movements soft. This treatment will take many months of hard work for you and your child.

Long-term success depends on how well you can follow the care plan. It is very important that you develop a routine and stick to it. Retraining the intestine and rectum to gain control over bowel movements.Toilet sitting at least twice a day (if age appropriate).Keeping bowel movements soft so the stool will pass easily.Cleaning the hard stool out of the lower colon.Treatment for soiling will be guided by the child’s healthcare team with you and your child’s input. Contrast enema - a test that checks the intestine for blockage, narrow areas and other abnormalities.Abdominal X-ray - a test to evaluate the amount of stool in the large intestine.Testing is usually not required but might include: This can lead to other problems with behavior.Ī doctor or nurse practitioner will examine your child and obtain a medical history. Children may get teased causing them not wanting to go to school or to play with friends.They may also have trouble with bedwetting or have urine accidents.Children who have trouble with soiling often cannot feel or even smell that they have soiled.They may hide their soiled underwear or clothes.Other things you can see in children who soil:

Some children will refuse to poop in the toilet at all. Often parents of children who soil will share that the children use a lot of toilet paper trying to clean themselves. This poop can be so large that it clogs the toilet, but children will also leak liquid poop at the same time. Some children will hold their poop in for many days then pass a very large, hard stool. Your healthcare team can talk with you more about these causes. There are more serious medical problems that children are born with that can cause encopresis, but these are rare. The stretched nerves become less sensitive and the child does not feel the leaking poop.Ĭhildren who have emotional or behavioral issues can have trouble with soiling. Hard poop can get stuck and only liquid can pass around the hard poop. When this happens over and over again, the colon becomes so stretched and floppy that the muscles children use to help push out poop, do not work well. The more a child holds in poop, the more the colon stretches and the poop gets larger and harder. Over time this can stretch the lower colon out of its normal shape. When children hold in their poop, the lower colon fills up.

Not taking the time out during play or other activities to go to the bathroom when children feel the urge to poop.

Having to use bathrooms that offer less privacy than children are used to using.

Diaper rashes that cause pain when the child has a bowel movement.

Changes in diet, not drinking enough fluids.

Some reasons that children start holding bowel movements include: Parents often will confuse these behaviors for trying to pass poop when actually children are trying to hold in the poop. Constipation often begins when children hold back, or “with-hold,” their bowel movements.Ĭhildren will tighten their bottoms, cry, scream, hide in corners, cross their legs, shake, get red in the face or dance around to try and hold in their poop. Soiling is often the result of constipation. Soiling is very common, occurring in at least two out of 100 children. Children with encopresis, also called soiling, have bowel movements or leak a small amount of stool in their underclothes or on themselves.