iHuman Case Study: Max King: Leaking Stool | Latest 2023 | ALREADY GRADED “A”|

Ihuman Case Study Max King

Chief complaint: • Liquid leaky stool

Associated symptom: • Abdominal pain for 3 years

• hard stool upon collec tion history Diagnosis: ENCOPRESIS • Encopresis is when your child leaks stool

into his or her underwear. It is also called stool soiling. It is most often because of long-term (chronic)

constipation. Encopresis happens to children ages 4 and older who have already been toilet trained. • In

most cases encopresis happens because a child has long-term (chronic) constipation. • When a child is

constipated, he or she has fewer bowel movements than normal. Bowel movements can then become

hard, dry, and difficult to pass. Your child may avoid going to the bathroom because it hurts. Then stool

becomes backed up (impacted) in the rectum and the large intestine (colon). The stool can't move

forward. The rectum and intestine become enlarged because of the hard, impacted stool. • Over time,

liquid stool can start to leak around the hard, dry, impacted stool. This soils your child's clothing.