Parental Knowledge of Fecal Incontinence in Children

Abstract

Parental knowledge about FI changes with physician consultation. These findings can help in developing educational materials for parents to encourage early diagnosis and treatment and prevent chronic problems that are difficult to manage.

Development and validation of a childhood self‐efficacy for functional constipation questionnaire

“…Thus, pelvic floor muscle contractions and relaxations are entirely under the child's control . Children with functional fecal retention and incontinence, often deny or fail to recognize the physical urge to defecate or realize fecal soiling in their pants . These factors play a role in treating constipation in addition to softening stools.…”

“…The emotion self‐efficacy scale is related to the child's fear of painful defecation, and shame or guilt drive behaviors around defecation. Sometimes, parents blame and punish children with fecal incontinence and peers ridicule them for sounds and smell related to bowel movements . Disapproval from parents or peers threatens the child, and the child may lose confidence in the process of defecation .…”

“…21 Children with functional fecal retention and incontinence, often deny or fail to recognize the physical urge to defecate or realize fecal soiling in their pants. [22][23][24] These factors play a role in treating constipation in addition to softening stools. Thus, successful resolution of constipation depends on encouraging the child to relax his pelvic floor muscles while defecation, recognizing the physical urge to defecate and remembering to defecate.…”

“…Sometimes, parents blame and punish children with fecal incontinence and peers ridicule them for sounds and smell related to bowel movements. 24 Disapproval from parents or peers threatens the child, and the child may lose confidence in the process of defecation. 25 This scale addresses such emotions like the child's ability to defecate when they are experiencing different emotions like fear, worry, sadness, and their confidence to defecate if the physician ensures painless bowel movements and they know they will not hurt during defecation.…”

Encopresis in Children: An Overview of Recent Findings

“…Meticulously kept records and strict toilet training performed 3 times each day within 5 minutes after meals are the most effective methods (37)(38)(39). Small gifts can further increase motivation (40)(41)(42). No signs of improvement were noticed in these patients after the administration of laxatives, while the longterm administration of laxatives is required in children with constipation (43).…”