10 year old child with chronic constipation and abdominal pain, he has 2 motions per week, fecal matter could be palpated in the left lower quadrant, he also has soiling, on exam t... 10 year old child with chronic constipation and abdominal pain, he has 2 motions per week, fecal matter could be palpated in the left lower quadrant, he also has soiling, on exam the anus is normal, per rectal reveals rectum full of stool and it is distended and filled with stool, otherwise nothing. His neonatal history is unremarkable. Normal height and weight. Diagnosis?
Understand the Problem
السؤال يطرح حالة طبية تتعلق بطفل يبلغ من العمر 10 سنوات يعاني من الإمساك المزمن وألم في البطن. يُطلب تحديد الش诊ة المحتملة بناءً على الأعراض والتاريخ الطبي المعطى. الفكرة الرئيسية هنا هي تحديد العامل المسبب لاضطراب الأمعاء بناءً على التفاصيل الواردة.
Answer
Encopresis caused by chronic constipation
The final answer is Encopresis caused by chronic constipation.
Answer for screen readers
The final answer is Encopresis caused by chronic constipation.
More Information
Encopresis is a condition characterized by involuntary defecation, which is common in children experiencing chronic constipation. It often results from retained stool leading to the leakage of softer stool around the blockage.
Tips
A common mistake is not recognizing the role of chronic constipation leading to the buildup of stool, which causes overflow incontinence.
Sources
- Encopresis: Practice Essentials, Background, Pathophysiology - emedicine.medscape.com
- Encopresis | Cedars-Sinai - cedars-sinai.org
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