Encopresis (Fecal Incontinence) is a condition characterized by the involuntary or, in some cases, intentional passage of stool in a child who has already achieved age-appropriate bowel control. It is typically evaluated after the age of 4 and may occur during the day or at night.
Encopresis is most commonly associated with constipation and stool withholding behavior. When a child experiences painful bowel movements, they may begin to avoid using the toilet, which can lead to fecal accumulation and increase episodes of soiling over time. This process can have both physical and psychological consequences.
Psychological factors may include stress, family conflict, overly strict approaches during toilet training, and other social stressors. Emotional effects such as shame, reduced self-esteem, and social withdrawal are also frequently observed in affected children.
Treatment focuses on managing constipation, establishing structured toileting routines, providing family education, and applying behavioral interventions. In some cases, medical treatment may also be necessary. With appropriate and consistent follow-up, encopresis can be effectively managed in most cases.
Dr Mehmet Çolak, SpecialistChild and Adolescent Psychiatrist