4% of children suffer from fecal incontinence

A disorder that is not talked about, but which nevertheless affects 1 to 4% of children in France: Encopresis leads to fecal incontinence. As with any taboo disease, shame often takes precedence over social life and mental health. Stop!

13% of children with encopresis cannot go to school due to anal leakage. From the Greek “kopros” (feces) this disorder corresponds to the emission, voluntary or not, of formed, semi-shaped or liquid feces, in “inappropriate” places (floor, clothes, behind the sofa) of a child at. at least 4 years old, as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM). Specifically, it is a fecal incontinence that occurs at least once a month for a minimum of three months, without being associated with a sphincter, neurological or digestive disease. A taboo disease that leads to a restriction of social life for 1 to 4% of children in France, which can lead to depression.

In connection with other disorders

According to the French National Society of Coloproctology, this psycho-affective disorder most often occurs in boys aged 6 to 10 years when they use the toilet and go to primary school. In the most severe forms, it can sometimes continue long after adolescence. In 25 to 30% of cases, it is associated with enuresis, more commonly called “bedwetting”, and can coexist with other disorders: coordination, language, attention or even mental. Enuresis, encopresis … These physical genes very often have a psychological origin: relationship problems with the parents, divorce, arrival of another baby, sexual abuse … But we must not rule out the physiological cause due to a malformation or disease.

significant pain

This pathology is all the more complex as it can lead to significant pain due to an anal fissure which pushes the child to hold back and avoid public toilets. Children are also often constipated in the beginning, which is conducive to stagnation of feces in the intestine and rectum. This conscious effort for restraint is not without consequences … Gradually the child no longer perceives the need to have a bowel movement, his rectum gets used to being full, and beyond a certain volume it will relax naturally and then be emptied through “overflow”. This is why leaks mainly occur during the day as soon as his attention is relaxed, for example during physical activity or play.

An appropriate panty liner

The only solution to limit the risks? Early (within two years) and complete care that combines medical treatment, generally based on laxatives, as well as child psychiatric support. It is also important to de-dramatize, remove guilt and strengthen the child, such as. stool calendar. Practical solutions, such as the custom Absalom panty liner, also make it possible to offer one “security” to the child and a particular “ro” to his parents daily. His promise? “A width that avoids all overflows! » This range of hygienic protection “discreet and functional” looks like “pioneer”, according to its creator Axelle Bouverne. “Until now, there was no device specifically designed for anal leakage in children, she explains. Parents were forced to choose between baby diapers, which were too thick and inhibited movement, and anal tampons and anal enemas, which were often very poorly accepted by children. » According to this entrepreneur, in addition to the lack of practicality, these devices “undermine self-esteem and self-confidence”. Another added value of Absalom, “She can benefit from support from the Department of Disabled Persons (MDPH) as part of a life plan and a request for a supplement to the education allowance for disabled children (AEEH)”, assures Axelle Bouverne.

“All rights to reproduction and representation are reserved. © Handicap.fr. This article is written by Cassandre Rogeret, Handicap.fr journalist”

Leave a Comment