A diet high in fiber , including fruits, vegetables, and 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.
Most children respond to treatment.
The child may suffer from low self-esteem and peer disapproval related to this problem. If routine bowel habits are not developed, the child may suffer from chronic constipation . Calling Your Health Care Provider Call for an appointment with your health care provider if this behavior is noted in a child over 4 years old. Prevention Because the causes often are obscure prevention is difficult. As a general rule refrain from too early and too coercive toilet training.