Conversation: The conversation between human and AI assistant.
[|Human|] my grandson is eight years old,has encopresis. He has a big heart and puts others ahead of his self. When there is conflict with other childern he often goes and hinds. I can tell that his self esteem is very low and he has several acciedents daily.When born he had a premature liver and went home on a light with a home nurse comming daily for 2months. As I said he is eight do you have any positive suggestions that might help?
[|AI|]  Hello, Welcome to Chat Doctor forum. Your grandson is suffering from encopresis and hence may have related psychological problems like low self-esteem which is commonly seen in about 20% of child Chat Doctor. Also, Encopresis can develop from a range of causes apart from medical reasons including simple phobia, poor toilet training experience, painful constipation experience, social immaturity, fear of getting older, as an attempt to regain/exert control etc. Untreated encopresis can pose several risks to a children health: megacolon- enlarged colon, desensitization of nerves and muscles, bleeding and cracking of the skin fissures, urinary tract infections and wetting accidents. The psychological concerns include: shame, guilt, loss of self-esteem, social ostracism by peers, delayed social development, with