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.