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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Soiling Of Clothes In A Child

MY SON IS 3 AND HALF YEARS OLD. HE DOESNT TELL US IF HE WANTS TO PASS THE MOTION AND IF DOES IN HIS UNDER PANTS THAT ALSO HE DOESNT TELL US. HE KNOWS THAT HE HAS PASS THE MOTION BUT I DONT KNOW WHY HE DOESNOT TELL US . HE JUST STAND STILL AND WHEN WE COME TO KNOW THAT HE HAS DONE THE SHIT HE DOESNOT COME WITH US TO THE TOILET. I HAVE TO SHOUT AND TAKE HIM TO THE TOILET. PLS CAN YOU HELP ME FOR THIS THING . I DONT KNOW WHY HE DOESNT TELL ME INFACT HE DOESNT COME WITH US TO THE TOILET TO CLEAN IT.
Thu, 20 Jul 2017
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Pediatrician,  's  Response
Hello and welcome to healthcare magic.
The behaviour your child is exhibiting is encoperesis (pants soiling).Most commonly it is due to Fear of loo which develops secondary to Painful defevasion (bowel movements).Painful defecation most commonly is due to constipation.
Treatment involves removal of impacted stools from gut by giving enema or glycerine suppoistary (medicine given via anus)
After that constipation is treated by lactulose syrup and increasing fiber and water intake.
Also get your babies rectum ( last part of large gut)checked by paeds surgeon.
Treatment also involves behaviour modification for bowel movements and fear of loo.It is done by psychotherapist
Hope you find this answer satisfactory.Good luck.
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Suggest Treatment For Soiling Of Clothes In A Child

Hello and welcome to healthcare magic. The behaviour your child is exhibiting is encoperesis (pants soiling).Most commonly it is due to Fear of loo which develops secondary to Painful defevasion (bowel movements).Painful defecation most commonly is due to constipation. Treatment involves removal of impacted stools from gut by giving enema or glycerine suppoistary (medicine given via anus) After that constipation is treated by lactulose syrup and increasing fiber and water intake. Also get your babies rectum ( last part of large gut)checked by paeds surgeon. Treatment also involves behaviour modification for bowel movements and fear of loo.It is done by psychotherapist Hope you find this answer satisfactory.Good luck.