The first stage of management is a thorough assessment of the possible cause.
Treatment is dependent on cause. If there is faecal retention with soiling then the bowel should be cleared. A child who has not received adequate toilet training should be given this in hospital.
A child with regressive emotional encopresis may require help with the causative emotional problems.
Aggressive emotional soiling is a condition that needs to be explained to the parents of the child - it may represent a form of protest in a child who is unable to express feelings in other ways.
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