Faecal incontinence is when children who are past the age of toilet training regularly poop in places other than the toilet. They can’t control when and where the poop comes. It can be very upsetting for children and parents.
Causes of faecal incontinence
A common cause of faecal incontinence in children is chronic constipation.
If your child has been constipated for a long time, poop builds up in his rectum, which can cause the rectum to stretch. Your child might lose the urge to go the toilet because his rectum always feels stretched. Then liquid poop might overflow around the old, stuck poop, without your child feeling it or meaning to let it go.
Emotional issues, like stress from premature or forceful toilet training or the birth of a sibling, might also lead to faecal incontinence.
Other causes of faecal incontinence include rare neurological disorders and abnormalities of the anus.
Faecal incontinence is also called soiling or encopresis.
Faecal incontinence is accidental and beyond your child’s control. However, it can be difficult to live with, and it’s normal if you find it challenging or upsetting. If this sounds like you, talk to your General Practitioner (GP) or paediatrician about getting support.
Symptoms of faecal incontinence
Faecal incontinence can range from ‘skid marks’ to larger bits of poop in your child’s underwear.
Aside from pooping in places other than the toilet – usually in his underwear – your child might also have symptoms of constipation. These include pain when pooping, which can mean he tries to avoid going to the toilet. He might also have tummy pains that come and go, and he might go for long periods between pooping.
It’s common for children with faecal incontinence to also have daytime or night-time wetting.
About 30-50% of children with faecal incontinence have emotional or behaviour problems too.
All children achieve bowel control at their own rate. Faecal incontinence isn’t generally considered a medical condition unless your child is at least 4 years old.
When to see your doctor
You should see your GP or paediatrician if your child is 4 years or older and has persistent faecal incontinence or constipation.
Treatment for faecal incontinence or soiling
The treatment for faecal incontinence depends on the cause of the problem.
If chronic constipation is the main cause, your doctor will help you work out a treatment plan based on using laxative medications and establishing good bowel habits.
You can help your child get into good bowel habits by encouraging him to sit on the toilet regularly and push. It’s good if he can do this for five minutes about 20-30 minutes after he finishes eating breakfast, lunch and dinner.
If your child has behaviour problems associated with faecal incontinence, he might need counselling, and group or individual psychotherapy.
Regardless of how it’s treated, faecal incontinence usually goes away in most children.