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Aetiological factors and types of encopresis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Possible causes include:-

  • bowel control has never been established, which may occur in a disorganised family or an understaffed institution, or in children with mental retardation.
  • emotional causes, classified as:-
    • regressive soiling, which can be viewed as a return to an earlier stage of development, may be because the child has experienced an upsetting family event for example illness of a parent or birth of a sibling
    • aggressive soiling which occurs in situations where there might be a poor relationship between the child and a sibling. The soiling may be a rebellious act.
  • physical causes, including:-
    • faecal impaction
    • Hirschprung's disease etc.

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