Causes of Encopresis

Encopresis Causes: Book Excerpts

• Differential Diagnosis - Encopresis

Encopresis as a symptom:

Conditions listing Encopresis as a symptom may also be potential underlying causes of Encopresis. Our database lists the following as having Encopresis as a symptom of that condition:

• Anal sphincter dysplasia

Related information on causes of Encopresis:

As with all medical conditions, there may be many causal factors. Further relevant information on causes of Encopresis may be found in:

• Genetics of Encopresis
• Hidden causes of Encopresis

Causes of Encopresis: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the causes of Encopresis.

Encopresis: Differential Diagnosis
(In A Page: Pediatric Signs and Symptoms)

• Functional constipation (accounts for 66%)
  –Chronic constipation with fecal impaction results in a functional megacolon and overflow incontinence
  –Repeated soiling of underpants
  –Involuntary passage of loose feces around large balls of impacted feces
  –Child is unaware of “accidents” and odor

• Functional nonretentive fecal soiling
  –Rome II criteria: Inappropriate defecation in the absence of constipation and structural or inflammatory disease
  –May be the manifestation of an emotional disturbance in a child
  –Affects 2% of school-age children
  –Male-to-female ratio of 4:1

• Spina bifida
  –Incidence is 1/1,000 live births
  –Myelomeningocele is the most common
  –Bladder and bowel dysfunction is usual

• Anorectal malformations
  –Incidence is 1/4,000 live births
  –Anal stenosis with overflow incontinence
  –Imperforate anus with perineal fistula
  –Vestibular fistula: Most frequent defect seen in females, rectum opens into the vaginal vestibule
  –Rectovaginal fistula: Can result from pressure necrosis with obstructed labor
  –Persistent cloaca: The rectum, vagina, and urinary tract meet and fuse into a single common channel

• Postsurgical repair
  –Common sequela of the repair of high imperforate anus and Hirschsprung
• Inflammatory bowel disease (IBD)
  –Perianal fistulas or sinuses (Crohn disease)
• Diarrheal disease: Transient fecal soiling resolves with cessation of diarrhea
• Intestinal neuronal dysplasia
• Spinal tumors
• Tethered cord
• Diastematomyelia
  –Difficulty in walking, dribbling of urine, and fecal incontinence
• Organic constipation
  –Hypothyroidism, celiac disease, amyloid neuropathy, and endocrine disorders

» READ BOOK EXCERPT ONLINE »

Source: In A Page: Pediatric Signs and Symptoms, 2007

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• Symptoms of Encopresis
• Diagnostic Tests for Encopresis
• Diagnosis of Encopresis
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