Comprehensive Evidence Based Interventions for Children & Adolescents

1118487567This excerpt is taken from the 2014 edition of Comprehensive Evidence Based Interventions for Children and Adolescents, edited by Candice A. Alfano and Deborah C. Biedel.  

ISBN 978-1-118-48756-3  

From Chapter 16:  As discussed, treatment approaches for elimination disorders are understudied. From the available evidence, it appears as if a combination of medical and behavioral management is most effective.  However, limitations associated with ...

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Summary: An RCT of an Internet Intervention for Pediatric Encopresis With One-Year Follow-Up

The research article An RCT of an Internet Intervention for Pediatric Encopresis With One-Year Follow-Up is based on research conducted by the creators of UCanPoopToo.  In randomized control trials (RCTs), individuals are first screened, and then placed randomly into one of the group conditions being evaluated before any intervention begins.  This gold-standard design was used in this trial involving 91 patients with encopresis to evaluate the efficacy of UCanPoopToo in a much larger trial than had previous been conducted.  ...

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Parent Tip for Determining Cause of Accidents

When a child is having accidents and the caregiver is attempting to sort out whether or not the accidents are being caused by too much laxative or if the accidents are from leakage around retained stool, it can be helpful to ask the child ‘Did you know you had an accident? Did you realize this was happening?’  If the child answers ‘no’, there could be retained stool and the laxative may be causing softer stool to leak around the harder stool.  ...

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Chat Excerpts from Encopresis Expert: Topic – Laxative Myths and Realities

Our encopresis expert Nurse Shelly Dean recently provided information regarding the myths and realities of laxative use.

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  1. Myths and realities of Miralax use
  2. How long should a child stay on a laxative regimen?
  3. Can diet alone help constipation and encopresis?
  4. How fiber works
  5. Routines for laxative use

Please note that these encopresis expert tips are to provide general education regarding laxative use.  It is important to consult with a physician prior to the start of any medication use.  These ...

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Question and Answer with an Encopresis Expert

Thanks to this parent for his recent question to our encopresis experts regarding laxatives.

Question:  Are laxatives addictive?

Encopresis Expert Response:  As with any use of medications for treatment, it is important to consult with a physician prior to the start of laxatives for cleanout and/or treatment.  This tip is not a substitute for medical evaluation, advice, diagnosis, care or treatment.

Many studies have been done over time, as indicated in the research for constipation, that show the use of laxatives to be effective and safe.  It ...

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Question and Answer with an Encopresis Expert

Thank you to this parent for her recent question for our encopresis experts!

Question

My 9 year old is really struggling.  He works so hard with his regimen of laxatives and participation in the daily routines we have established.  He has regular toileting twice a day at home and once at school after lunch.  He participates in daily exercises that are recommended by the program.  Yet, he still has to wear pull ups at school and has frequent accidents throughout ...

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Question and Answer with an Encopresis Expert

Parents often ask excellent questions of our encopresis experts and we find the responses are helpful to many families.  One parent recently needed help with the following:

Question

My child says he doesn’t feel the poop coming out and that’s why he has continued to have accidents.  Can this be true?

Encopresis Expert Response

Encopresis occurs after a child has a hard, painful poop, or more than likely several hard and painful poops.  The pain causes the child to tighten ...

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Chat Excerpts from Encopresis Expert: Topic – Healthy Diet

Nurse Shelly Dean provided information regarding the role of a healthy diet as it relates to encopresis and constipation.

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  1. Can encopresis be treated by diet alone?
  2. What are some suggestions for helping children to take Miralax?
  3. Does dairy contribute to constipation?
  4. What is fiber’s role as it relates to constipation?
  5. Is there any time that I need to worry about the color of my child’s poop?
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Question and Answer with an Encopresis Expert

Parents often ask excellent questions of our encopresis experts and we find the responses are helpful to many families.  One mom recently needed help with the following:

Question:  My son (just turned 7) becomes very uncooperative when it is suggested that it is time to sit and try. We have continually tried to tell him the importance of trying, yet he refuses only to have an accident shortly after. HELP

Encopresis Expert Answer:  Many parents in our program have expressed the very same frustrations and ...

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