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encopresis (again) [okay...still]
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<blockquote data-quote="Anna1345" data-source="post: 99808" data-attributes="member: 4292"><p>Not sure if you are still looking for advice, but I found this and it seems really informative and thorough:</p><p></p><p>The treatments for encopresis must include treatment for the underlying constipation. This may include a 'clean out' regimen of enemas, suppositories or high dose mineral oil to remove the backed up or impacted stool.</p><p></p><p>Other treatments are aimed at improving your child's diet. A diet low in fiber or fluids can contribute to constipation. So can drinking too much milk. Some steps to improve your child's diet include:</p><p></p><p> * Increasing fluids: Increase the amount of water and fruit juices (minimum of 2-3 glasses) that your child drinks each day.</p><p> * Increasing fiber: Increase the amounts of fruits and vegetables that your child eats. Raw, unpeeled fruits and vegetables (especially beans, sweet potatoes, peas, turnip greens, raw tomatoes and corn) have the most fiber. Popcorn also has lots of fiber in it. Give enough grams of fiber to equal their age in years plus 5 each day (check the nutritional label for high fiber foods and snacks with at least 3-4g of fiber per serving). Vegetable soups are especially high in fiber and also add more fluid to your child's diet.</p><p> * Increasing bran in your child's diet by offering bran cereals, bran muffins, shredded wheat, graham crackers, or whole wheat bread.</p><p> * Decreasing constipating foods: These include milk, yogurt, cheese, cooked carrots, and bananas. Drinking too much milk (your child may only be drinking 2-3 cups a day, but it may be too much for his system to handle) is heavily associated with being constipated. Switching to soy milk has been shown to soften stools. If your child is unable to drink milk, then offer a daily multivitamin or other sources of calcium.</p><p></p><p>Until your child's constipation has improved with a non-constipating diet, your child will most likely also be on stool softeners. Most of these medicines are available in the pharmacy over the counter and do not require a prescription. They include Metamucil, Milk of magnesia, Citrucel, or mineral oil. Unlike laxatives in adults, they are generally not considered to be habit forming. You should use them once or twice a day and work up on the dose until your child is having a soft BM each day. If you child starts to have diarrhea, then you are giving too much and you should cut back on the dose. See the table in our Guide to Constipation for dosing information.</p><p></p><p>Another important treatment of encopresis and constipation is behavior management so that your child learns to have a bowel movement each day. You should encourage your child to have regular bowel patterns. Have your child sit on the toilet for about five to ten minutes after meals 2-3 times each day. The use of simple rewards or a daily calendar with stars or stickers for days that your child takes his medicine and has a bowel movement may be helpful. Your child doesn't necessarily need to have a bowel movement each of these times, and you shouldn't punish him if he doesn't. It is more important that he gets in a regular habit of trying to have a bowel movement.</p><p></p><p><strong>And remember that the leakage of stool is involuntary.</strong> Your child is not doing it on purpose and he shouldn't be punished or shamed when it does happen. The distention and stretching of his rectum from the impacted stool can take a lot of time to get back to normal, and until it does, he may not be able to sense or voluntarily hold in all of his bowel movements, and so leakage may continue even with proper treatment.</div></div></p><p></p><p>See full article <a href="https://web.archive.org/web/20130404132446/http://www.keepkidshealthy.com/welcome/conditions/encopresis.html" target="_blank">here</a></p></blockquote><p></p>
[QUOTE="Anna1345, post: 99808, member: 4292"] Not sure if you are still looking for advice, but I found this and it seems really informative and thorough: The treatments for encopresis must include treatment for the underlying constipation. This may include a 'clean out' regimen of enemas, suppositories or high dose mineral oil to remove the backed up or impacted stool. Other treatments are aimed at improving your child's diet. A diet low in fiber or fluids can contribute to constipation. So can drinking too much milk. Some steps to improve your child's diet include: * Increasing fluids: Increase the amount of water and fruit juices (minimum of 2-3 glasses) that your child drinks each day. * Increasing fiber: Increase the amounts of fruits and vegetables that your child eats. Raw, unpeeled fruits and vegetables (especially beans, sweet potatoes, peas, turnip greens, raw tomatoes and corn) have the most fiber. Popcorn also has lots of fiber in it. Give enough grams of fiber to equal their age in years plus 5 each day (check the nutritional label for high fiber foods and snacks with at least 3-4g of fiber per serving). Vegetable soups are especially high in fiber and also add more fluid to your child's diet. * Increasing bran in your child's diet by offering bran cereals, bran muffins, shredded wheat, graham crackers, or whole wheat bread. * Decreasing constipating foods: These include milk, yogurt, cheese, cooked carrots, and bananas. Drinking too much milk (your child may only be drinking 2-3 cups a day, but it may be too much for his system to handle) is heavily associated with being constipated. Switching to soy milk has been shown to soften stools. If your child is unable to drink milk, then offer a daily multivitamin or other sources of calcium. Until your child's constipation has improved with a non-constipating diet, your child will most likely also be on stool softeners. Most of these medicines are available in the pharmacy over the counter and do not require a prescription. They include Metamucil, Milk of magnesia, Citrucel, or mineral oil. Unlike laxatives in adults, they are generally not considered to be habit forming. You should use them once or twice a day and work up on the dose until your child is having a soft BM each day. If you child starts to have diarrhea, then you are giving too much and you should cut back on the dose. See the table in our Guide to Constipation for dosing information. Another important treatment of encopresis and constipation is behavior management so that your child learns to have a bowel movement each day. You should encourage your child to have regular bowel patterns. Have your child sit on the toilet for about five to ten minutes after meals 2-3 times each day. The use of simple rewards or a daily calendar with stars or stickers for days that your child takes his medicine and has a bowel movement may be helpful. Your child doesn't necessarily need to have a bowel movement each of these times, and you shouldn't punish him if he doesn't. It is more important that he gets in a regular habit of trying to have a bowel movement. [B]And remember that the leakage of stool is involuntary.[/B] Your child is not doing it on purpose and he shouldn't be punished or shamed when it does happen. The distention and stretching of his rectum from the impacted stool can take a lot of time to get back to normal, and until it does, he may not be able to sense or voluntarily hold in all of his bowel movements, and so leakage may continue even with proper treatment.</div></div> See full article [URL='https://web.archive.org/web/20130404132446/http://www.keepkidshealthy.com/welcome/conditions/encopresis.html']here[/URL] [/QUOTE]
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