The Schoolchild with Encopresis

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Abstract
Often, a schoolchild with encopresis feels desperate, lacking a most primitive form of control, harboring a painful secret, susceptible to exposure and peer ridicule, wounded by the disdainful remarks of parents and siblings, and perplexed over why he messes. Often children with encopresis receive inconsistent care; management may vacillate from intentional disregard of the problem to active coercion or vindiction. Parents may be baffled by conflicting advice from neighbors, teachers, grandparents, pharmacists, and even pediatricians.

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