ENCOPRESIS/ENURESIS

Encopresis:

The important attribute of encopresis is actually repeated passage of feces in inappropriate locations (e.g., on the floor, in one's clothes). Frequently, this is involuntary but sometimes it might be intentional.


If the passage of feces is actually involuntary instead of intentional, it's frequently linked to retention, impaction, and constipation with subsequent overflow. The constipation might develop forreasons of a psychological mechansim (e.g., anxiety about defecating in a specific spot or maybe a far more basic pattern of oppositional or anxious behaviour) leading to avoidance of defecation. Dehydration related to a febrile illness, hypothyroidism, or maybe a medication side effect are included by physiological predispositions to constipation. In the event of constipation developing, it can be complicated by an anal fissure, agonizing defecation, and even further fecal retention. The consistency of the stool might vary. In certain people it might be of near-normal or normal consistency. It may be liquid in other individuals who have overflow incontinence secondary to fecal retention.


Certain Symptoms:

  • Repeated passage of feces in inappropriate locations (e.g., floor or clothing) whether intentional or involuntary.
  • A minimum of one particular event a month for a minimum of three months.
  • Chronological age is actually no less than four yrs (or equivalent developmental level).
  • The behaviour isn't due exclusively to the immediate physiological consequences of a chemical (e.g., laxatives) or even a common medical problem except by way of a mechanism concerning constipation.

Enuresis:

The important attribute of enuresis is actually repeated voiding of urine throughout the day or even at night into clothes or bed. Frequently this is involuntary but sometimes could be intentional.

  • Repeated voiding of urine into clothes or bed (whether intentional or involuntary).
  • The behaviour is clinically considerable as manifested by possibly a frequency of two times a week for a minimum of three consecutive weeks or maybe the presence of scientifically significant distress or maybe impairment in social, academic (occupational), and any other essential aspects of functioning.
  • Chronological age is actually no less than five yrs (or equivalent developmental level).
  • The behaviour isn't due exclusively to the immediate physiological consequence of a chemical (e.g., a diuretic) or even a common medical problem (e.g., diabetes, spina bifida, a seizure disorder).

Enuresis can occur as per the subtypes of:


Nocturnal Only: This is actually probably the most common subtype and is actually identified as passage of urine just during night time sleep. The enuretic event generally happens during the first one third of the night. Sometimes the voiding takes place during the quick eye campaign (REM) stage of rest and the kid might remember a fantasy which involved the action of urinating.


Diurnal Only: This subtype is actually identified as the passage of urine during waking hours. Diurnal Enuresis is much more typical in females and is actually unusual after nine years of age. The enuretic event most often occurs in the early afternoon. Diurnal enuresis is often because of a reluctance to make use of the bathroom due to a preoccupation or social anxiety with school or maybe play activity.


Nocturnal and Diurnal: His subtype is actually identified as a mix of the 2 subtypes above.