- Uma Pisharody, MD, FAAP, Pediatric Gastroenterologist
Help your child with toileting issues by reading this new book by toileting expert Dr. Tom DuHamel. Download your copy today at http://www.amazon.com/
Functional constipation (encopresis)
This is a first-of-its-
Functional constipation occurs when children do not sense the need to defecate. Some of these children accidentally soil in their underwear, which causes them embarrassment. Functional constipation is not a disease but it does cause serious physical and emotional problems which can be prevented by knowing what to do when a child develops occasional constipation. Because functional constipation can persist for months or years, treatment can be stressful for everyone involved, including healthcare providers.
To treat functional constipation, parents and providers work together as a treatment team over an extended period of time to manage and resolve the problem. There are six steps required to effectively treat functional constipation:
1. Educate the family
2. Empty the rectum
3. End withholding
4. Shrink the rectum
5. Withdraw laxatives
6. Remain vigilant
Each step is explained in detail along with the tools needed for successful implementation, such as forms for data collection and instruction in the use of laxatives and incentives. There are many stories written by parents describing specific aspects of their child's treatment.
The book is written in a practical fashion and uses cartoon-like illustrations to highlight key points. It emphasizes the very good news that with comprehensive care, functional constipation can be dramatically improved.
“A significant number (approximately one third to one half) of adults with functional gastrointestinal disorders report having abdominal pain and bowel problems as children. This book will be very useful to parents and children in learning strategies early in life that may reduce or prevent the long term impact of functional constipation in their adult years.”
- Margaret Heitkemper, PhD, RN, FAAN, Professor and Chair
Biobehavioral Nursing and Health Systems
University of Washington School of Nursing
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About the Author
Dr. Tom DuHamel is a Seattle-based child psychologist who has specialized in toileting problems in children for over 25 years. His new book The Ins and Outs of Poop has been widely praised by pediatricians and gastroenterologists for its clear and practical approach to treatment. Visit his website and read his popular blog at http://www.theinsandoutsofpoop.com/
Keywords: Encopresis, potty training, health, pediatrics, poop