title: Encopresis.
abstract: Retentive (impacted) and nonretentive encopresis should be separated because the treatment for each type is radically different. The rectal examination is the definitive test. Children with retentive encopresis need enemas, stool softeners, and mandatory sitting on the toilet; children with nonretentive soiling usually respond to behavioral management.
mesh_terms: D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000209:etiology / Q000523:psychology; D003937:Diagnosis, Differential; D004688:Encopresis / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000628:therapy; D005244:Fecal Impaction / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male