Fecal incontinence in children

Older children struggling with fecal continence are at increased risk.[7]Levitt MA, Pena A. Anorectal malformations. Orphanet J Rare Dis. 2007 Jul 26;2:33. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1971061 http://www.ncbi.nlm.nih.gov/pubmed/17651510?tool=bestpractice.com [50]Kovacic K, Sood MR, Mugie S, et al. A multicenter study on childhood constipation and fecal incontinence: effects on quality of life. J Pediatr. 2015 Jun;166(6):1482-7. http://www.ncbi.nlm.nih.gov/pubmed/26008173?tool=bestpractice.com Behavioral medicine consultation may be warranted.

Frequent application of barrier creams (i.e., zinc oxide preparations or petroleum jelly) to perineal area protects skin from moisture and fecal enzymes, and prevents irritation.[51]Nield LS, Kamat D. Prevention, diagnosis, and management of diaper dermatitis. Clin Pediatr (Phila). 2007 Jul;46(6):480-6. http://www.ncbi.nlm.nih.gov/pubmed/17579099?tool=bestpractice.com

Contact dermatitis

Cycle of impacted stool leading to persistently distended rectum leads to more soiling.

Large stool mass impinging on bladder and abnormal bathroom habits lead to enuresis.

Enuresis