Encopresis

Joseph Gary, M.D., Pramit Rastogi, M.D., M.P.H., Jessica C. Hankinson, Ph.D.

DEFINITION

  • Encopresis is the repeated passage of stool in inappropriate places by children four years of age or older.
    • Examples of inappropriate places include in clothes, on the floor, or in bed.
    • There are two major subtypes:
      • With constipation and overflow incontinence (retentive, most common)
      • Without constipation and overflow incontinence (non-retentive, often behavioral or psychiatric)
  • Encopresis is classified under the Elimination Disorders section of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5)[1].

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Last updated: August 29, 2025