Encopresis or Enurosis
Overview
Encopresis and Enuresis are both childhood disorders related to bowel and bladder control. Here are their definitions:
Encopresis: Encopresis is a childhood disorder characterised by the repeated and involuntary passage of feces (stool) into inappropriate places, such as clothing or the floor. In other words, it refers to the involuntary soiling of the underwear or other clothing beyond the age when bowel control is typically expected. It is typically diagnosed when the child is at least 4 years old and can have various underlying causes, including constipation, emotional factors, or physical issues.
Enuresis: Enuresis, also known as bedwetting, is a childhood disorder characterised by the repeated and involuntary release of urine (wetting the bed) during sleep. It is considered a problem when it occurs in children over the age when bladder control is typically expected (around 5-6 years old). Enuresis can be categorised into two types: primary enuresis, where the child has never achieved nighttime dryness, and secondary enuresis, where a child regresses to bedwetting after a period of dryness.
Key Features
Encopresis:
Involuntary Soiling: The main characteristic of encopresis is the repeated and involuntary passage of feces (stool) into inappropriate places, such as underwear or clothing.
Age-Appropriate Control: The child experiencing encopresis is usually beyond the age (typically 4 years old or older) when bowel control is expected, and they should have acquired this skill earlier in their development.
Potential Constipation: Encopresis is often associated with constipation or impacted stool. The child may avoid bowel movements due to pain or discomfort, leading to involuntary soiling later on.
Psychological Factors: Emotional stress or anxiety can sometimes contribute to encopresis, especially if the child is facing challenging life events or significant changes.
Enuresis:
Involuntary Bedwetting: The primary feature of enuresis is the repeated and involuntary release of urine during sleep, commonly known as bedwetting.
Age-Appropriate Control: Children experiencing enuresis are usually beyond the age (typically 5-6 years old or older) when bladder control is expected during both day and night.
Two Types: Enuresis can be classified into primary enuresis, where the child has never achieved nighttime dryness, and secondary enuresis, where a child regresses to bedwetting after a period of dryness.
Physical and Psychological Factors: Enuresis can have various causes, including physical factors like an overactive bladder or hormonal issues, as well as psychological factors like stress, anxiety, or emotional disturbances.
How We Can Help
It's important to note that both encopresis and enuresis can cause distress to the child and their family. When these issues persist, it's recommended to seek medical or psychological evaluation to determine the underlying causes and provide appropriate interventions and support. Treatment approaches may vary depending on the specific situation and the contributing factors involved.
Remember, every child is unique, and the approach that works for one child may not work for another. The most crucial aspect is to show your child love, support, and understanding throughout the process. If you feel overwhelmed or unsure about how to proceed, don't hesitate to consult with our psychologists who can provide expert guidance tailored to your child's specific needs.