Inability to Control Bowel Movements

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
I have a normal healthy 10 yr. old son and recently had him at the doctor's for a physical. The one problem that I am having with him is that when he had a bowel movement he can't seem to make it to the bathroom in time and has an accident in his pants. When I asked his doctor about this, he said he was just trying to hold it too long and that I should make him go to the bathroom at the same time everyday. Well I really don't think that he is holding himself because lately this has been happening on a daily basis. When he gets to the bathroom, he has a small mess in his pants and then doesn't do anything in the toilet. Could it be that he cannot tell he has to make a bowel movement or have an overactive rectum or something? Is there anything that could be checked to see if there isn't something wrong or do you think he is just too lazy to go to the bathroom?
Answer
It is definitely not normal for a 10 year old to soil his pants on a daily basis. Since he does get the sensation to pass the stools, the nerves seems to be OK. But inability to control needs investigation in the form of dynamic studies to check whether the rectal muscles are hyperactive or whether the sphincter is not working properly. It would be worthwhile to get him examined by a pediatric gastroenterologist for the same. Back to All Questions

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