The goal of treatment is to prevent constipation and encourage good bowel habits.
Laxatives, and sometimes enemas, are used to remove fecal impaction. A stool softener is often prescribed.
A diet high in fiber, including fruits, vegetables, whole grain products, and adequate fluid intake will promote the passage of softer stools and minimize the discomfort associated with bowel movements.
Parental support and refrain from criticism or discouragement is important. Education of the parents and child, and biofeedback for the child is often used by Pediatric Gastroenterologists to treat the more difficult cases. Psychotherapy can help the child deal with associated shame, guilt, or loss of self-esteem. For encopresis in the absence of constipation, psychiatric evaluation may help determine the underlying cause.
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