When a child spoils cowards, it gives discomfort to him and causes anxiety in his parents. Why can fecal incontinence occur and how to get rid of this problem?
Stool incontinence is the unconscious excrement of children over the age of three. Another name for this unintentional allocation of fecal matter is encopresis. Since children under the age of three only learn how to control the work of their intestines, at this age, involuntary bowel movement is not considered incontinence.
Encopresis is noted in 1-3% of children, while in boys this disorder is several times more likely. Parents mistakenly think this problem is a manifestation of diarrhea, however, more often encopresis is accompanied by prolonged constipation. The main symptom of encopresis is traces of feces on linen.
The main factor causing incontinence of feces is chronic constipation. Because of this problem, the rectum is stretched, and the anus can not close tight to hold the stool. In most cases, this type of constipation is caused by eating disorders and psychological factors, for example, persistent pottage.
Other causes of encopresis are:
- Consequences of intrauterine hypoxia, in particular encephalopathy.
- Congenital abnormalities of the intestine.
- Anal trauma and buttock area.
- Stressful situations( conflicts in the family, divorce, death of parents and others).
- Intestinal infections transferred in the first years of life.
- Hirschsprung's disease.
The development of the disease
The most common problem begins with either malnutrition( there is little fiber and water in the infant's diet), or with a sense of shame in the child associated with defecation( if the child is ashamed or shy to go to the toilet outside the house). The result will be an excessively dense feces of large volume, which is filled with the intestine. Because of it, defecation becomes traumatic( often there are cracks in the anus, as well as hemorrhoids) and painful.
As a consequence of the delay of stool in the rectum, it stretches and the sensitivity of its tissues decreases. The muscular apparatus of the intestine begins to contract worse, and the child ceases to feel the urge to emptying. The resulting encopresis is a very embarrassing problem for the child, because of which the situation is further aggravated.
To diagnose, you need to ask parents about how the baby eats and how he goes to the toilet. Sometimes a child is given a rectal examination to determine how much the intestine is stretched and filled with feces. If they suspect Hirschsprung's disease, the baby is prescribed a contrast X-ray examination.
Pediatrician and gastroenterologist can help a child with incontinence To effectively get rid of the problem, it is necessary to gradually eliminate constipation and help the intestine begin to function normally. Often, long-term treatment - 6-12 months.
First, the intestines are cleaned of the stools that accumulate in it, after which they ensure that the child does not develop constipation. To do this, correct the baby's nutrition, ensure the intake of the right amount of fluid in his body, prescribe drugs with dietary fiber. All actions will be aimed at forming the right habit of emptying and preventing constipation. Often, doctors also prescribe light laxatives and psychotherapy.
Prevention and counseling of a psychologist
Child psychologists say that in order to avoid fecal incontinence in children, parents should not allow the development of constipation and not provoke a situation where a child may experience shame associated with the process of defecation. Do not forcibly teach the child to the pot, shame it and make fun of it. The process should take place gradually with the maximum support and patience from the relatives.
crumb. For more information on neurotic encopresis, see the following video.
In the diet of the baby should be enough products with fiber - vegetables, cereals, fruits, legumes. If a child eats a little such foods, increase their content in the diet should be gradual so that no flatulence appears. It is also important that the child drank enough clean water.