Brief Answer:
Encopresis

Detailed Answer:
Hi

I understand your concerns but don't worry. Reports of your child are normal and doesn't indicate any infection. The problem your child is facing is known as encopresis. And the common reason for this is a chronic constipation.

Any number of things, including diet, illness, decreased fluid intake, fear of the toilet during toilet teaching, or limited access to a toilet or a toilet that's not private (like at school). Some kids may develop chronic constipation after stressful life events such as a divorce or the death of a close relative. Whatever the cause, once a child begins to hold his bowel movements (BMs) , the poop begins to accumulate in the rectum and may back up into the colon and a vicious cycle begins.

The colon's job is to remove water from the poop before it's passed. The longer the poop is stuck there, the more water is removed — and the harder it is to push the large, dry poop out. The large poop also stretches out the colon, weakening the muscles there and affecting the nerves that tell a child when it's time to go to the bathroom.

Because the flabby colon can't push the hard poop out, and it's painful to pass, the child continues to avoid having a BM, often by dancing, crossing the legs, making faces, or walking on tiptoes.

Eventually, the rectum and lower part of the colon becomes so full that it's difficult for the sphincter (the muscular valve that controls the passage of feces out of the anus) to hold the poop in. Partial BMs may pass through, causing the child to soil his pants. Softer poop may also leak out around the large mass of feces and stain the child's underwear when the sphincter relaxes. The child can't prevent the soiling — nor does he have any idea it's happening — because the nerves aren't sending the signals that regulate defecation (or pooping).

Punishing or humiliating a child with encopresis will only make matters worse.

Child needs examination by pediatrician for this. An X Ray abdomen and per rectal examination is useful to establish the diagnosis.

Treatment includes:
Step 1: Emptying the overloaded bowels by laxatives.
Step 2: Establish a regular bowel movement by stool softeners, diet and exercises.
Step 3: Gradually decreasing the medications.

Hopefully this will help you. I would be happy to help you in any further questions.
Take care

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Brief Answer:
A proper Pediatrician can easily manage the case as I discussed

Detailed Answer:
Hi
I would recommend you to take him to another Pediatrician for complete management as I discussed in 3 steps earlier. Further assistance of a psychotherapist or surgeon may be needed as per the severity of your child's case.

Don't worry about the Reports if your child doesn't have any other associated symptoms.

Hopefully this will help you.
Take care

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