Stephen J. Schueler, M.D.

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Soiling Underlying Cause

In most cases, encopresis is caused by long-standing constipation. Over time, the anal opening becomes stretched by large, firm pieces of stool that remain stuck in the rectum. The child becomes unable to sense the urge to have a bowel movement and soft stool leaks around the large pieces of hardened stool.

Last Updated: Apr 3, 2007 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Soiling References
  1. Brooks RC, Copen RM, Cox DJ, Morris J, Borowitz S, Sutphen J. Review of the treatment literature for encopresis, functional constipation, and stool-toileting refusal. Ann Behav Med. 2000 Summer;22(3):260-7. [11211851]
  2. Schonwald A, Rappaport L. Consultation with the specialist: encopresis: assessment and management. Pediatr Rev. 2004 Aug;25(8):278-83. [15286273]
  3. van der Wal MF, Benninga MA, Hirasing RA. The prevalence of encopresis in a multicultural population. J Pediatr Gastroenterol Nutr. 2005 Mar;40(3):345-8. [1573549]
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