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The treatment of encopresis involves the use of medications and non-medical interventions. Typically, most children develop encopresis due to constipation, which results in overflow incontinence. Ideally, medical therapy is the first focus as it aids in the disimpaction of the distal colon. This is followed by the prolonged use of laxatives to ensure that the child can pass soft stool frequently. In this case, the medical therapy for encopresis includes the use of mineral oil, osmotic laxatives such as lactulose magnesium citrate and PEG, and stimulant laxatives such as Bisacodyl (Wlodarczyk et al., 2021). It is important to note that even though conventional medical therapy has proven to treat children with encopresis successfully, there is a small group that continues to have an intractable symptom. In addition, non-pharmacological interventions include cleaning out the hard stools from the lower colon, keeping the bowel movements soft to allow easy passing of the stool and encouraging sitting on the toilet at least twice a day.
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