A child may develop functional non-retentive soiling. This can be diagnosed using criteria from the Rome II conference.
Features:
(1) school-aged child > 4 years of age
(2) >= 1 time per week for >= 12 weeks
(3) defecation occurs at times and places inappropriate to the social context
The presence of an emotional disturbance (anger, impulsivity, etc.) is supportive for the diagnosis, especially if a correlation between the soiling episodes and a triggering event can be demonstrated.
Exclusions:
(1) structural anorectal disease
(2) inflammatory disease
(3) fecal retention with fecal mass (presence suggests functional fecal retention)
To read more or access our algorithms and calculators, please log in or register.
