Encopresis

If you notice involuntary loss of stool after prolonged periods of constipation, we should pay attention and act. This can occur in children after age 4.

combined with breathing that is taught in the sessions.

• Perineal radiofrequency, which helps improve blood flow, increase collagen and muscle vascularisation.
• A bowel diary to better control defecation habits and regularity. Note how often the child passes stool, stool consistency and whether they can give advance warning.
• Improve defecation habits: teaching healthy habits such as avoiding straining or holding the urge, and the appropriate position.
• Electrostimulation plus biofeedback at perineal level and, if needed and with parental authorisation, rectally, to increase awareness of the pelvic muscles and strengthen them. A programme that simulates a video game is used, in different positions such as lying or standing, including unstable surfaces.