Fecal Soiling (Encopresis)

Involuntary soiling of the underwear in children, known in medical terms as encopresis, refers to the passage of stool outside the toilet in children who should already have achieved bowel control. It is often related to prolonged constipation and retention.

How it usually presents: Repeated soiling of the clothing, sometimes without the child noticing, along with infrequent bowel movements or abdominal discomfort.

When to seek guidance? It is worth evaluating when the problem persists, recurs, or causes emotional distress for the child or the family.

Which specialist treats it? The pediatrician is the first point of contact and can draw on a dietitian for digestive habits; when there is an emotional component, a psychologist, psychiatrist, or child psychiatrist can support the process. Talking with a professional helps address the issue calmly.