Talk:Encopresis

Go
Go on. Let's see a whole encyclopedia entry on encopresis. Wetman 19:41, 27 Jan 2004 (UTC)

Soiling Article Merger
I was going to clean up the Soilingarticle, but the header points to this article and says that a merger has been suggested. If a merger is imminent, I won't clean up that particular mess. Anyone have any suggestions?

Anismus
The article now says encopresis is a cause of anismus; the general view in the medical literature is that anismus is a cause of encopresis. 66.167.43.31 (talk) 22:59, 15 August 2010 (UTC)

Up where?
Alternatively, when this method fails for six months or longer, a more aggressive approach may be undertaken using the “bottom up” approach

"“bottom up” approach"

Oh, come on. — Preceding unsigned comment added by DTM (talk • contribs) 19:02, 19 February 2011 (UTC)
 * I removed references to "top-down" and "bottom-up" on the reason that they are tautologies, as the nature of the two approaches can be understood from the explanations that follow. Devil Master (talk) 21:58, 19 April 2011 (UTC)

Encopresis is a pediatric term
I have changed the intro to accordingly. Liquid stool incontinence in adults is a separate clinical topic from this phenomena in children.

I am working on this to be either a new page, or to add to the main fecal incontinence page.Tepi (talk) 13:33, 3 July 2012 (UTC)
 * Update: this page was created as fecal leakage, since this was the most common term used for it in adults.Tepi (talk) 22:46, 22 August 2012 (UTC)

Rectoanal inhibitory response is not the same as anismus
Whoever placed references in the text regarding RAIR is confused. It is not the same as anismus. RAIR is present in healthy people, indeed there would be problems if it was not present.

RAIR is involuntary relaxation of internal sphincter when rectum is distended. It is present during anesthesia ebcause it is reflexive, i.e. not under voluntary control.

I think the previous author meant to use term rectoanal excitatory reflex (RAER), which is contraction of external anal sphincter with rectal distension.Tepi (talk) 13:40, 3 July 2012 (UTC)

At least three distincts definitions
1. A condition where there is "constipation with fecal retention in which watery colonic contents bypass the hard fecal masses and pass through the rectum. This condition is often confused with diarrhea." - Taber's Cyclopedic Medical Dictionary 20th ed., p.699 (encopresis). [Also check ICD-10-CM Code F98.1 which has a similar same meaning].

2. Voluntary or involuntary loss of stool in the pediatric population (4+ yo). 

3. A psychiatric diagnosis, from someone defecating in interesting places. I wasn't able to find it from the DSM-5 [The impact of DSM-5 and guidelines for assessment and treatment of elimination disorders. https://pubmed.ncbi.nlm.nih.gov/24571816/]

One is medically specific and can lead to a diagnosis, while the other is not (a kid shat). If the term is still used in psychiatry, let's add it too.

Now the article is a blob of incontinence. Enigma55 (talk) 23:47, 11 October 2022 (UTC)