with the only accurate answers
constipation with fecal soiling, partial stool incontinence - answer ✔✔-Encopresis
NB: iron in formula
overzealous toilet training
fear of using bathroom 2nd to lack of privacy or cleanliness
personality/emotion
diet - answer ✔✔-Constipation etiologies
Structural (Hirschsprung's)
Systemic (hypothyroidism)
2nd to meds (narcs, antihistamines)
neurogenic (spinal cord lesions) - answer ✔✔-Constipation 2nd to disorders of GI tract
NB: water with prune juice, glycerin suppository
Older: stool softeners, miralax, lactulose - answer ✔✔-Constipation tx
must occur once a month for at least 3 months
chronological or developmental age of child must be at least 4 years