Psychological problem in children:a case of faecal soiling

His mother is worried –the boy of 7 years from a affluent family soiling his pants with feces 8 to 10 times a day for the last 1 month. His first symptoms developed actually 1 year back but the frequency increased in the last one month. His friends became aware of his problems because of the foul smell he emits and they started to avoid him. Mother also suspicious that similar situation is arising in the school as feacal soiling is present in her child after coming from school.

He is giving a history of constipation in his early years and avoidance of vegetable in his diet. His stool is otherwise formed

He is healthy, built and nutrition is above average. His abdomen is normal and per rectal examination anal grip is alright.

In psychological assessment, he is found under academic stress in his school and at home and get frequent punishment from parents especially mother who looks after the study of the child.

So, this is a case of Encopresis and the family needs to understand the situation, psychological support, change in attitude and behavioral adjustment.