What does encopresis refer to in children?

Encopresis specifically refers to the involuntary passage of feces by a child who has already been toilet-trained, and it is often associated with emotional or behavioral issues, constipation, or fecal retention. This condition can occur when a child experiences chronic constipation, leading to a buildup of stool in the rectum and, eventually, overflow incontinence. In essence, a child might be unable to control their bowel movements because the rectum is filled with hard feces, which can also lead to soiling accidents.

The focus on previously toilet-trained children distinguishes encopresis from other forms of incontinence or difficulties with bowel control, making it a key point in diagnosing and addressing the behavior. Understanding encopresis is crucial not only for medical professionals but also for parents and caregivers as it can impact a child's self-esteem and social interactions if not addressed appropriately.