Teen soiling

Hi all.
We are beyond frustration with our sons situation.
He is 16, diagnosed with PDA and ADD.
He soils his pants everyday.
We have tried plenty of specialists, psychiatrists, psychologist...no one can help us.
We tried punishment, rewards, ignoring...nothing seems to help.
He needs to clean his own clothing after soiling.
Is there any one who can give any advise on how to cope with this?


Well-Known Member
I read your post from September. Maybe make him wear a diaper. I have noticed a connection between Obsessive use of video games and soiling. I think I would throw that Xbox out the window, rather than just take it away for the day.


Well-Known Member
Hello Sunshine!
It's been a long time since I've replied to anyone about encopresis.
Is this new, his soiling every day? Or has it been happening for years?
Have you been to a doctor? He should see a gastro doctor. If he still qualifies, then a pediatric gastro doctor.
Love, Esther


Well-Known Member
I agree with Esther about the pediatric gastroenterologist. There are all kinds of physical conditions that can cause fecal incontinence, over and above the emotional and psychological. And often the two are interconnected. Somebody can have urgency with one's stool which cannot be controlled, either by an emotional or physical catalyst or both. Maybe there's something wrong with the muscle tone with his anus. Or it could be a hundred other things. Some of the causes of bowel incontinence in children are quite simple and benign, such as a milk allergy.

Of course the psychological can't be overlooked, but a gastroenterologist will know what to do.
Thanx for your replies.....he has been to 4 of the top specialists....they say it could be overflow from constipation....he doesnt want to apply any of their advice or treatment


Well-Known Member
Dear Sunshine,
It has been a very very long time since I have written about encopresis. My son started with soiling at the age of 4 and a half (up until then he was clean and dry, day and night) and it continued until the age of 13 and a half. Nine whole years. If you are interested I can tell you more. But although in rare cases it is psychologically based, or maybe due to having been sexually molested as a child, the most common cause of soiling is simply constipation. I know this because other members of my family (grandchildren, actually) also had this, and my daughter was lucky in finding a doctor who dealt with it immediately in the way it should be dealt with -- 2 different sorts of medication, one which makes the stool softer, and one which causes the peristalsis to get going (peristalsis is the intestines moving the poop down through). Yes, simply constipation.

Now, I really don't want to go into it all over again. My child is today 33, almost 34, and although things aren't perfect, they are better than I ever thought they would be. I discovered from a support group (which unfortunately no longer exists, but it really helped me then, it was on e-mails) that the theory is that the soiling more often than not disappears with puberty. My husband used to try and force my son to clean himself and the clothes, but I couldn't cope with the tension and the anger etc. So I used a different attitude: I made sure there was a really good supply of underpants and pants, my son showered and changed his clothes and left the dirty ones for me to deal with. Which I did. I wanted it that way, because at least that way we had a little more peace in our lives. I also gradually came to realise that it really wasn't his fault, for many reasons. I made a point of loving him, of cuddling him, of getting on well with him. We were lucky, and it just disappeared more or less overnight. I could write masses more, but I'm not sure I can cope with it emotionally. So I wish you the very best of luck, and please let us know how you get on.

Love, Esther