We are independent & ad-supported. We may earn a commission for purchases made through our links.
Advertiser Disclosure
Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.
How We Make Money
We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently of our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

What is Encopresis?

Mary McMahon
By
Updated May 17, 2024
Our promise to you
WiseGeek is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At WiseGeek, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject-matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

Encopresis is a condition in which children hold in their bowel movements, eventually developing constipation and experiencing involuntary bowel movements. This condition is a common cause of fecal soiling, and it can be very frustrating for parents and other caregivers to deal with. The critical thing to be aware of is that fecal incontinence should be addressed quickly and without judgment or shame, to avoid turning it into a bigger problem.

In a child with encopresis, the child holds in bowel movements, which eventually leads to an impaction. This condition can be caused by mild constipation which makes bowel movements painful, causing the child to hold them in and thereby making the constipation worse. Children may also develop psychological distress which causes them to hold their bowel movements as long as possible.

The impaction of fecal material in the bowel weakens it, making it harder for the child to feel the urge to defecate because the muscles are not as strong. Eventually, the sphincter cannot hold the stools in, and the child experiences involuntary defecation, or some stool leaks out, smearing underwear, pajamas, or bedding. Children can develop this condition before or after toilet training.

Boys are far more likely to experience encopresis than girls. This condition can be very shameful and humiliating, especially when it is not handled well. Treatment for encopresis revolves around first cleaning out the bowel to remove the impacted stool, and then supporting bowel health with a diet high in fiber and liquids. In addition, parents often find that scheduling set times to use the toilet for pooping can encourage children to defecate rather than holding in their stools, thereby reducing the risk of recurring encopresis.

Parents should keep a close eye on bathroom habits and the condition of stools, as they can provide early clues to emerging medical problems. If a child strains while on the toilet, for example, it can indicate that he or she is experiencing constipation, which can develop into encopresis if it is not addressed. Notable changes in color and consistency of stool can also be indicative of a problem.

Fecal soiling in general can be caused by a wide variety of medical and psychological conditions. Especially in cases where a child has been toilet trained, the development of fecal incontinence is usually a sign that the child is experiencing a medical problem. A pediatrician can provide treatment and advice to help parents manage and eventually cure the condition.

WiseGeek is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Mary McMahon
By Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a WiseGeek researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Discussion Comments
By anon927212 — On Jan 22, 2014

What about a child who had this most of their lives and it continued into adulthood? Can it become a habit? I know a woman who had held back her bowels since childhood and even as a woman, when she feels the need to go, will hold it back initially for about a day before going. She said she hates having bowel movements. She doesn't remember a time in her life that she didn't do this. Is there help for her?

By sunnySkys — On Feb 06, 2012

A good friend of mine works at a daycare, and she told me awhile ago about one of the kids there who had developed this condition. The child came from a large family that lived in a house with only one bathroom.

As you can imagine, the kids would fight over the bathroom. The youngest child became so distressed about using the bathroom while people were knocking on the door trying to get in that he simply started holding his bowel movements.

Eventually he developed encopresis and needed treatment. The parents also enlisted the help of a counselor to help the kid with the embarrassment that caused the problem in the first place.

By JessicaLynn — On Feb 06, 2012

@Monika - This does sound quite distressing. And as the article said, encopresis soiling could be made even worse if the parents don't deal with it well.

Unfortunately, not every parent is a wonderful loving parent. I have a few friends who work with children in the medical field, and some parents are also not that great at dealing with their child's health issues.

I can easily imagine a parent getting angry at a child for soiling themselves in this way, and not thinking it's a medical issue. I imagine a negative reaction from a parent would just make this condition even worse!

By Monika — On Feb 05, 2012

I've never heard of voluntary encopresis before. I can imagine how upsetting it would be for a kid to deal with though. Even as an adult, I have friends who get nervous about having bowel movements in public places, or while other people are at their homes, or when they're visiting someone else's home.

I can totally imagine children having these same kind of hangups, and more. It seems like a cruel joke that this behavior ends in the child soiling themselves, which is far more embarrassing than just having a bowel movement normally.

Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a...

Learn more
WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.

WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.