Hi there, my son is 6 and has constipation and soiling from aged 3, he is under a consultant at the hospital and he is no longer constipated but he has always refused to take himself to the loo even now if i ask him if he needs to go will he go and he says no. i asked a child consultant at the hospital who deals with behaviour problems about my son and he said just take away something he loves i.e his psp console and he will go, well we have tried all things like that to no avail, he can have his good days and bad days regarding sooiling himself and also i have been told his behaviour in school can be bad too aswell as his temper at home - what should i do know should i just let him grow out of it one day - his dad had the same problem till he was 13
Encopresis is known to have psychological issues associated with it. He may grow out of it eventually, but the process can be helped with a proper evaluation of his psychological needs. Punishment or negative re-enforcements may not necessarily help him in this case. They are usually helpful with behavioral problems. But with encopresis, the problems are much deep seated.
There is an issue of strict parenting that needs to be considered. There have been reports of effective use of SSRI (selective Serotonin Reuptake Inhibitor) group of medicines being used for encopresis. You may talk with his doctor about this option. He may also need long term psychotherapy. Hope this helps.
Abhijeet Deshmukh, MD
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