Encopresis (bowel incontinence): Compare Costs for a treatment abroad

Encopresis (bowel incontinence) is the constant state of diarrhea, which is more common in children than adults. During encopresis patient experiences involuntary fecal soiling. Children usually have it at the age of 3 or 4, when they have already been toilet trained.  Encopresis (bowel incontinence) is considered to be one of the most difficult diseases in the pediatrics. As a matter of fact involuntary fecal incontinence can be accompanied by  urine enuresis. Bowel incontinence usually occurs during the day, when a child is playing or simply walking. In this case he can suddenly feel involuntary defecation. Sometimes the urge to use the toilet may be too strong and unpredicted which makes child stressed not being able to control his body functions properly.

Encopresis (bowel incontinence) causes

The most common encopresis (bowel incontinence) cause is constipation. In this case children may experience constipation for a long time. Sometimes stool withholding can be caused by certain psychological or neurological disorders and in that case a patient is diagnosed with neurological encopresis. Usually children who have problems at home may develop bowel incontinence as a way to express a protest towards something. Sometimes sudden fear can also trigger future encopresis. Such fear may happen if a child was attacked by a dog or if he saw something unpleasant or frightening. In rare cases even excitement can cause diarrhea, if the patient is over emotional. If child underwent some kind of surgery at a very young age, he can subsequently develop encopresis.

Other bowel incontinence causes are various disorders of the stomach or of the colon. But in most cases encopresis is the result of systemic and individual neuroses. The neurosis can happen due to cerebral insufficiency. It may deviate from such mental disabilities as intellectual disability, schizophrenia, and spinal cord diseases.

Encopresis symptoms

  1. involuntary bowel defecation
  2. spontaneous bowel movements
  3. aggressiveness
  4. deep sleep at night. when it`s very difficult to wake up a child
  5. delay in psychomotor development
  6. emotional deprivation

Encopresis symptoms are in most cases psychological and manifesting in constant depression, because usually children who have encopresis are teased by their peers and children of their own age. Before children are diagnosed, parents may also scold them, which can result in another psychological trauma.

Encopresis (bowel incontinence) treatment

Bowel incontinence usually occurs after a severe constipation, which can complicate the treatment process. Nevertheless, there are effective ways to treat this disease.

Dietary restrictions.

Encopresis (bowel incontinence) treatment usually includes special diet. The diet should contribute to the strengthening of peristalsis. Main purpose of this diet is to cure the gastrointestinal tract and balance the digestion. Usually meat and heavy food are not recommended during this type of diet, because they can cause constipation. All parents are advised to give their children either dairy or vegetarian food, because it is very light and it can digest much faster.

Techniques involving alarm clock

Encopresis (bowel incontinence) treatment is long and requires parents ‘patience. First of all, child needs to control bowel movement. To do so parents have to ask child to use toilet every hour. Children with bowel encopresis are usually very agitated, that`s why they forget to check if they want to defecate. Some parents whose children have bowel incontinence use alarm clock to always remind their children about their condition.

Psychological help of the pediatric psychologist

More than half cases of bowel incontinence are connected certain emotional distress. The treatment of neurotic encopresis is much more complicated and in most cases requires the child to undergo a treatment course in the hospital, where he can completely get rid of the disease. Hospitalization is especially beneficial if there is traumatic situation at home with family. Usually if the child has neurotic encopresis he needs the help of the pediatric psychologist, because the disease may vanish on its own if the emotional state of the patient improves.  In most cases children with neurotic encopresis undergo psychological therapy, where the doctor tries to create a completely peaceful state of mind of the child by helping him to develop resistance to stressful situations. If there was some traumatic experience, a doctor tries to make  the child forget the most painful memories, foster his self-confidence, courage and perseverance. If psychological disorders are too severe, the child is prescribed with tranquilizers to fight the bad mood, irritability, tearfulness, sleep disorders, and lack of appetite. In case there are problems in school of certain character, the child is advised to change the school or in some cases even the city to have new environment and to leave all negative emotions behind.

Training of the reflexes

Sometimes encopresis (bowel incontinence) treatment includes developing special reflexes that would train the child to use the toilet at a certain time of the day. During day time child is trained to use toilet for five minutes even when he doesn’t need to use it. This method helps the child to control his body functions better.

Another encopresis treatment of the reflexes is the quantum therapy. This procedure is highly effective and in most cases brings a positive effect, because it sets special inner rhythm of the body, so that the child could gradually control the process himself.

Physical exercises

Children with bowel incontinence need to have sufficient physical activity. In the warmer months they are advised to jog in the morning with a gradual increase in speed and distance. In order to motivate the children parents are advised to run with them. Children may also jump a rope for several minutes per day to strengthen their peristalsis and bowel.

Drug therapy

Some psychotherapeutic interventions and physical activity are often not enough to cure the bowel incontinence. In that case treatment of psychological encopresis is combined with drug therapy, massage and health-building activities. The doctor usually chooses the type of drugs the child needs. He may take soothing herbs or some psychotropic drugs to cure the neurotic encopresis. The course of the treatment usually takes several months to finish. In all forms of the disease children are advised to undergo the massage of the neck, back, waist and abdomen to soothe het muscles of the peristalsis and make child feel more relaxed.

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Booking Health offers the following options of treatment for this diagnosis.

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