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Encopresis male vs female
diarrhea >2 weeks
common in infants/children 6-54 months
, stools are loose with undigested food
children are healthy and normal growth
juice, dietary fat restriction, carb map-absorption
tx: limit all orbitol/fructose foods/liquids, increase fiber/fat
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toddler's diarrhea
(chronic non-specific diarrhea)
child who has never achieved fecal continence by 4 years of age
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primary encopresis
NB: failure to pass meconium stool within 24-48 hours after birth
poor feeding, vomiting, abd distention
infancy: sx as above as well as poor weight gain, constipation
ominous signs: fever, lethargy, bloody diarrhea
childhood: chronic constipation
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hirsch s/sx
NB: water with prune juice, glycerin suppository
Older: stool softeners, miralax, lactulose
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