Soiling undergarments in potty-trained children: Strategies when encountering this persistent issue

Encopresis, a condition that causes soiling in children who have already been potty trained, can be a challenging issue for both the child and their parents. Pediatric gastroenterologist Mohammad Nasser Kabbany admits that encopresis is a difficult condition to deal with, but help is available.

The root of encopresis is chronic constipation. When children find it difficult to go to the toilet comfortably due to constipation, they may hold it, leading to the accumulation of a plug of poop in the colon over time. This can stretch out the colon, dulling the nerves that signal when it's time to go. In severe cases, the colon can give up and stop sending signals altogether.

Treating encopresis involves two main steps. The first step is to remove the accumulated stool. This is usually done through a treatment such as an enema or laxative, under the supervision of a healthcare professional. It's important to note that this process may take effort and can take months for the colon to return to normal.

The second step is to prevent more backups from forming. Better bathroom habits, such as sitting on the toilet after every meal, are key. Parents can help by promoting these habits, continuing diet changes, and checking the toilet to make sure the poop is soft and regular. Diet changes, including more water and fiber, are necessary to prevent backups.

In addition, children with encopresis may benefit from seeing a psychologist to help them cope with the shame and develop healthy habits. The condition can be stressful for both the child and the parents, and addressing the emotional aspects is an important part of the treatment.

Dr. Michael J. Rogers, a pediatric gastroenterologist at the Cleveland Clinic who specializes in treating encopresis, is available for consultations. To arrange a consultation, parents can contact the Cleveland Clinic's Pediatric Gastroenterology department directly via their main appointment line or website.

Medications, such as laxatives, are also used to soften stool and prevent backups. However, it's important to consult with a healthcare professional before administering any medication to a child.

In conclusion, while encopresis can be a difficult condition to manage, it's important to remember that help is available. By working with healthcare professionals, promoting good bathroom habits, and making dietary changes, parents can help their children overcome encopresis and lead healthier, happier lives.