What is your diagnosis and a reasonable treatment plan? A 5 year old - ProProfs Discuss
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What is your diagnosis and a reasonable treatment plan? A 5 year old male and his mother present to your office for the childs unintentional defecation during kindergarten once a month for the last 3 months. The child has told his mother that it hurts to go to the bathroom. After further evaluation, you determine that the spontaneous defecation is not due to a laxative and may be due to the child holding in his stool to avoid having a painful bowel movement.



A. Diagnosis: Encopresis with constipation and overflow incontinenceTreatment plan: Educate the parent, design a program and provide the child with a system of positive reinforcement for successful use of the toilet as well as initiate treatment of underlying constipation with suppositories and enemas
B. Diagnosis Encopresis without constipation and overflow incontinenceTreatment: Provide the child with a system of positive reinforcement for successful use of the toilet
C. Diagnosis: Diurnal EnuresisTreatment: Anticholinergics
D. Diagnosis: Encopresis with constipation Treatment plan: behavioral therapy and anticholinergics

This question is part of week2- child psychiatry
Asked by Nsched, Last updated: Jun 20, 2020

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John Smith

John Smith

Answered Mar 18, 2017

Diagnosis: Encopresis with constipation and overflow incontinence Treatment plan: Educate the parent, design a program and provide the child with a system of positive reinforcement for successful use of the toilet as well as initiate treatment of underlying constipation with suppositories and enemas
 

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