mash
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One of the most common cause of sec eneuresis is stress, when a sudden change rocks a child's world. Almost any change in the environment — good or bad — can be a trigger; for example, a new baby, a death in the family, parents' divorce or marriage problems, a new home or school, or even a long visit from relatives.
Secondary bed-wetting also may be related to sexual abuse or to extreme bullying. Rarely, this form of bed-wetting is related to a medical problem, such as a urinary-tract infection or diabetes, and in these cases there are usually other obvious symptoms of medical illness.
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| almina
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1. Also - reduced night time ADH production, too much Coca-cola(caffeinated beverages)
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| mash
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most common cause of sec encopresis is constipation
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| almina
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the criteria for encopresis - incontinence of feces several times monthly for several months after age 4
other causes of secondary encopresis are - hypothyroidism, anal fissure, lactase deficiency, Hirschprung, fat food overeating
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| mash
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Chronic constipation that turns into encopresis can have many different causes, including:
Tension and anxiety because of problems during toilet training
A diet that is low in fiber (found in fruits, vegetables, whole grains) and high in foods that tend to cause constipation (whole milk, cheese, bananas, white rice, white bread)
Not drinking enough liquids
An inactive lifestyle with too little exercise — Exercise stimulates the intestines to move.
Fear and anxiety about using an unfamiliar bathroom, for example, at school, a friend's house, hotel or summer camp
Not paying attention to the feeling (urge) that it's time to have a bowel movement
A fissure — When a child with constipation finally passes a bowel movement, the abnormally large stool may injure the skin of his or her rectum, producing a painful tear in the skin called a fissure. Because of this painful fissure, the child may become more and more anxious about having a bowel movement for fear of pain.
Hypothyroidism — Having low levels of thyroid hormones can make a child's digestive system function more slowly than normal, leading to constipation.
A very large chunk of stool builds up and stretches the rectum until it loses its normal tone and feeling. This makes it more difficult for the rectum to push out the stool, so more and more stool builds up. This unhealthy cycle can only be broken when the bowel is completely cleared of stool, so it can return to its normal size. Then a child can learn how to empty his or her bowel on a more regular schedule.
In rare cases, encopresis is related to medical problems involving the nerves in the spine or the bowel wall, or to psychological issues, such as anger, abnormally impulsive behavior, grief over the death of a loved one, sexual abuse or some other stress.
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I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| almina
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Good to know! 
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| bluestar
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sorry, I still don't quite understand how a constipation leads to feces inconsistence? Could you please further explain to me? thank you.
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