enuresis in children
Introduction
Introduction to children with fecal disease Defecation: also known as functional fecal incontinence. This disease refers to children 5 years of age or older, non-organic factors or defecation disorders caused by physical illness, often repeated in inappropriate time and place to relieve bowel movements, and stool shape is normal. The incidence of this disease is much lower than enuresis. Foreign reports accounted for 1-3%, male: female = 3.4:1. Functional fecal faeces in children is an excretory dysfunction, a chronic behavioral problem with complex causes, and there is no uniform and accepted diagnostic criteria. Epidemiological surveys have shown that the prevalence rate is much higher than the rate of visits, and treatment requires long-term adherence. basic knowledge The proportion of illness: 0.001% Susceptible people: children Mode of infection: non-infectious Complications: enuresis
Cause
Causes of children with fecal disease
Mental factors (20%):
The existence of mental factors such as trauma, panic and nervousness is also a common cause of feces, and sometimes it can exist as a resistance against inappropriate parental discipline.
Other factors (18%):
Some children have no good bowel habits since childhood, or have had other serious illnesses before the illness, and some are caused by poor relationship between mother and child or family disharmony.
Delayed development of the nervous system (16%):
Such children are often accompanied by language, learning dysfunction, inattention or hyperactivity, hindering the development of normal bowel habits.
Improper educational methods (6%):
Poor parenting style and lack of ability to control bowel movements
Psychosocial factors (5%):
About 20% of the children's feces are related to physiological constipation.
Prevention
Child fecal disease prevention
Paying attention to the child's toilet training is the basic measure for prevention.
1, psychological counseling.
2, improve the diet structure, reasonable arrangements for diet, keep the stool smooth.
3. Eliminate the stimulation of bad emotional factors and create a good living environment.
Complication
Child complications of fecal disease Complications enuresis
Some children will also have feces at the same time as enuresis. At this time, they are diagnosed with fecal disease, that is, fecal disease will be complicated by enuresis.
Symptom
Symptoms of children with fecal disease common symptoms fecal incontinence defecation disorder abnormal frequency of bowel movement
Children in the development process can control the age of stool, often repeated and can not control the discharge of stool, most of them are pulled in the pants, the shape of the stool is normal, not diarrhea, physical examination is normal.
Examine
Child's fecal examination
Ultrasound examination of routine, blood routine, gastrointestinal diseases, gastrointestinal CT examination, gastrointestinal dysfunction.
Diagnosis
Diagnostic identification of children with fecal disease
diagnosis
Diagnostic criteria for fecal disease:
1. Children over 4 years of age.
2, at least once a month, the feces, the course of disease lasts at least 6 months.
3, each time autonomous or involuntarily pull the stool in places that should not be pulled, such as pants, on the floor.
4, the texture and shape of the stool is normal, generally occurs in the daytime, especially in kindergartens or schools.
5, exclude from the diarrhea, congenital megacolon and other organic lesions, as well as mental disorders caused by mental disorders caused by involuntary bowel movements.
Differential diagnosis
Identification of organic fecal incontinence caused by mental retardation, disturbance of consciousness, diarrhea or anal sphincter dysfunction.
1. Mental retardation: mental retardation refers to the mental function of individuals who are mentally retarded, mentally retarded or blocked due to mental retardation, mental retardation or obstruction before maturity (usually before the age of 18). At the same time, it is accompanied by a syndrome characterized by social adaptation difficulties.
2. Disorder of consciousness: Disorder of consciousness refers to the obstacles to the recognition and awareness of the surrounding environment and its own state. One characterized by decreased excitability, characterized by lethargy/consciousness/sleeping until coma; the other is characterized by increased excitability, manifested as a state of high-level central acute activity disorder, including confusion/orientation loss/feeling Disorder / restlessness / speech disorder.
3. Inflammatory fecal incontinence caused by diarrhea or anal sphincter dysfunction.
