Encopresis

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What is Encopresis?

Encopresis can be defined as the voluntary or involuntary, repetitive passage of stool by a child that may be expected to have been toilet trained and are able to exercise bowel control. It is also known as soiling or fecal incontinence.

Encopresis

Children suffering from encopresis usually suffer from constipation first. Soiling is usually a sign of chronic constipation. This usually happens when fecal matter collects in the rectum and colon and becomes to full it starts to leak staining innerwear. As a result continuous stool retention causes swelling of the bowels and may eventually lead to loss of control over bowel movements.

Risk Factors

Unfortunately, encopresis is common with boys than it is with girls. There are other factors that increase the chances of you having encopresis this includes;

  • The use of medication that may cause constipation, such as cough suppressants
  • Suffering from attention-deficit/hyperactivity disorder(ADHD)
  • Suffering from depression or anxiety or having autism spectrum disorder.

Children who suffer from encopresis may experience a variety of emotions that may include shame, anger, frustration or embarrassment. They are an easy target for bullies and are more likely to be teased or criticized. This may, in turn, lead to depression and low self-esteem. It may require your child to go through therapy to overcome the depression and a like.

Causes of Encopresis

The causes of encopresis include emotional issues and constipation.

Constipation

Most cases of constipation are as a result of chronic constipation, this is characterized by the child’s stool being hard, dry, and even painful to pass.

This may result to the child being reluctant to go the toilet. This worsens the situation as the longer the fecal matter is retained in the colon, the harder it is for the child to pass the stool. The moment the colon gets full, stool may leak or there may be loss of control over bowel movement.

 

Emotional issues

Emotional stress can cause encopresis. This may be attributed to by the process of toilet training the child underwent, changes in life such as shifting from breast-milk to cows-milk, or even starting school. Children may refuse to use the restrooms in school due to a variety of factors such as taunting, lack of privacy, or even the fact that the surrounding is noisy may intimidate the child.

Symptoms

There are various signs and symptoms to watch for in a child suffering from encopresis. The child may:

  • constipation with dry and hard stool that may cause pain when passing
  • passing of large fecal matter that may clog the toilet
  • avoiding passing stool as a result of the pain experienced
  • long periods between bowel movements
  • no appetite
  • presence of abdominal pain
  • leakage of stool on innerwear.

You should seek a physician help when your child is toilet trained and starts to experience any of these signs.

Diagnosis of Encopresis

To enable a doctor to properly diagnose encopresis he or she may choose to take physical exam and thoroughly analyze the symptoms, eating habits and bowel movements. The physician may choose to undertake an abdominal x-ray to confirm the presence of impacted stool – this is because in most cases, not all the fecal matter is passed out. They may also choose to perform a digital rectal examination to look for impacted fecal matter. This is done by placing a lubricated gloved finger into the child rectum while pressing the child’s abdomen.

The physician may also recommend a psychological assessment to be performed to determine if emotional issues are playing a role in the child’s symptoms.

Treatment

The earlier treatment begins the easier it is to make a quick recovery. Encopresis can be particularly stressful to both parents and children, the virtues of patience and positive feedback is encouraged for treatment to be utterly successful. Treatment includes:

Clean out

A doctor may prescribe drugs and substances that help in clearing out the colon. These substances for clearing the impaction in the rectal vault include enemas, mineral oil, and laxatives.

Diet with more fluids

Change the diet of your child to have more fluids, and in particular water. The food may also need to be high in fiber content.

Exercise

A child with encopresis needs to exercise properly to improve the function of body including the bowel movement.

Implement behavioral training

Encourage your child to sit several times in toilet. Use rewards whenever they poop or sit on toilet.

A doctor will undertake to clear the colon of retained fecal matter. There are many ways to clear the colon and the physician will either recommend; enemas, rectal suppositories or certain laxatives. It should be noted that most children do not need laboratory examination unless history or physical examination detail so.

After clearing of the colon of fecal matter, the next process is now majorly focused on encouraging the child to have regular bowel movements. The physician might recommend use of laxative, which should be monitored and systematically discontinued once the bowel movements becomes normal, encouraging the child to use the toilet as soon as the urge to pass stool occurs, dietary changes that entails the inclusion of more drinks and fiber and possible a short stint of going off cow’s milk. The age of a child will determine the method of approach to be used.

Prevention

Several steps can be taken to lessen the chances of encopresis. This may include:

Breast-feeding children

Children who had been breast fed have fewer bowel movements issues when compared to children who are formula-fed.

Monitoring solid food

Another measure is closely monitoring any changes associated with introduction to solid foods to infants.

Toilet training

Ensuring that the process of toilet training is viewed as a socially coordinated behavior. The use of threats, shaming, intimidation or pressure should be discouraged.

Healthy diet and exercise

The parents should also ensure that their children have a healthy diet this is by introducing whole grains, fruit and vegetables to their diet and also encouraging proper hydration.

Conclusion

It is important to encourage your young ones to have proper bowel movements and ensure they are eating healthy. With these tips you will be able to handle any cases of encopresis but be keen to seek a certified doctors help and diagnosis. You no longer have to be helpless in such scenarios. Ensure your child is well both mind and body and be sure to follow the steps to ensure prevention of encopresis. This will save you a lot of trouble and also ensure your child is well.

Reference List

  1. http://www.mayoclinic.org/diseases-conditions/encopresis/home/ovc-20253388
  2. http://kidshealth.org/en/parents/encopresis.html
  3. http://www.nhs.uk/conditions/encopresis/Pages/Introduction.aspx
  4. Encopresis – http://www.webmd.com/digestive-disorders/encopresis#1
  5. Encopresis (Constipation and Soiling) – http://www.med.umich.edu/yourchild/topics/encopre.htm

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  199. Djinn Amoureux, explication, symptomes et Traitements chez les musulmanesLe djinn amoureux est un démon qui vit et se cache dans le corps de sa victime et la prend comme son hôte.Ce type de djinn est amoureux de sa victime (un amour maladif très possessif) et il essaie par toutes ses forces de la posséder et de contrôler sa vie. Il se raccorde au cœur pour avoir une emprise sensationnelle. Ce démon diffuse la tristesse, la colère et plusieurs sensations négatives pour affaiblir le cœur de sa victime.Ses blocages et étouffements c’est le djin en toi qui les provoquent, pour ne pas lui donner l’occasion de faire ce qu’il veut sans entré dans les détails, évite de dormir sur le dos ou sur le ventreCe type de djinn se trouve aussi bien chez les hommes que chez les femmes, qu’ils soient célibataires ou déjà mariés. Cela dit, on le rencontre cependant plus souvent chez les femmes.I/ Parmi les symptômes :La personne atteinte peut avoir ce type de symptômes :- Ne veut jamais se marier ou change de sujets-Haine inexpliquée de l’autre sexe (masculin ou féminin)-Aime la solitude-Se regarde dans le miroir- Reste longtemps dans les toilettes, la salle de bain…- Se maquille la nuit avant de dormir des fois (les femmes)- S’énerve très rapidement et changement radical de comportement d’un extrême à l’autre.- Crise et perte de conscience si le malade se retrouve avec beaucoup de monde (par exemple dans un mariage, ou au marché…)- Refus total du mariage sans raison valable.- Rêves érotiques et rêves de mariage dans une église ou ailleurs.- Haine des bonnes odeurs et répulsion pour le Musk.- Incapacité à faire correctement les adorations comme le dikr, la prière…- Avoir des bleus sur le corps.- être paralysé dans le sommeil très fréquemment- dégoût et envie de vomir, oppression sur la poitrine surtout quand lemalade voit son conjoint, il (le malade) préfère qu’il (son conjoint) soit loin de lui.II/ Les raisons principales qui causent cette maladie :- Le mauvais oeil, surtout chez les personnes qui attirent les regards des autres par leur physique.- Un sihr de divorce (pratiquement dans tous les sihrs de divorce on trouve un djinn amoureux)- Le manque de pratique dans la religion- le Sihr tassfih (sort de virginité), pour empêcher les jeunes filles d’avoir des relations sexuelles avant le mariage- Un toucher par un djinn depuis très longtemps.- lire des histoires d’amour et voir des films érotiques.- Le manque de guidée vers le droit chemin et d’adorations.- La présence d’autres personnes malades dans la famille, comme les parents ou autre, sous un même toit- La femme qui ne porte pas Al-hijab Charii (le voile légal) qui est une protection importante chez les femmes.III/ Traitements de cette maladie :L’auteur de laqt al Morjan a dit : la raison pour laquelle le djinn amoureux possède le corps et les rapports intimes. C’est pour cela que le malade doit empêcher le djinn à tout prix d’avoir des relations intimes et ne pas le laisser profiter de lui.Pour cela,- il ne faut pas dormir sans habits ou avec des habits transparents- quand on change ses habits, il faut dire bissmilah Alladi la ilaha illa howa ( Au nom d’ ALLAH, il n’y a d’autre divinité que LUI) avec l’intention de se protéger des yeux des djinns- bien faire les adhkars (invocations de protection) du matin et soir.- Éviter les péchés et faire des bonnes actions- Éviter de dormir seul et demander régulièrement à Allah qu’Il nous préserve du mal de ce djinn.

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