CHAPTER 35

 

ELIMINATION DISORDERS

 

 

 

307.7, 787.6 ENCOPRESIS

Bowel training is a more important etiological factor in encopresis than bladder training is in enuresis; however, inadequate potty training alone is not sufficient to cause encopresis. Some children do not have toileting skills (recognizing when they need to go to the bathroom, knowing how to undress and sit on the toilet, etc.). All toileting activity should be focused on the bathroom; for example, one should not place the potty chair in the bedroom or family room.

Diets with little fiber or large amounts of dairy products can increase constipation. Exercise is useful for stimulating elimination. Adult-sized toilets, with which the child's feet do not touch the floor, and fears ...

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