NSG 6435 Quiz 2 Latest 2023 Graded A
Encopresis constipation with fecal soiling, partial stool incontinence Constipation etiologies NB: iron in formula overzealous toilet training fear of using bathroom 2nd to lack of privacy or cleanliness personality/emotion diet Constipation 2nd to disorders of GI tract Structural (Hirschsprung's) Systemic (hypothyroidism) 2nd to meds (narcs, antihistamines) neurogenic (spinal cord lesions) Constipation tx NB: water with prune juice, glycerin suppository Older: stool softeners, miralax, lactulose Encopresis criteria must occur once a month for at least 3 months chronological or developmental age of child must be at least 4 years fecal incontinence must not be due to physiologic effects of meds or medical condition Encopresis male vs female occurs more commonly in MALES than females primary encopresis child who has never achieved fecal continence by 4 years of age
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