{"id":5351,"date":"2023-01-31T13:42:53","date_gmt":"2023-01-31T10:42:53","guid":{"rendered":"https:\/\/www.cocukpsikiyatricuneytozcan.com\/excretory-disorders\/"},"modified":"2026-07-21T00:20:49","modified_gmt":"2026-07-20T21:20:49","slug":"excretory-disorders","status":"publish","type":"post","link":"https:\/\/www.cocukpsikiyatricuneytozcan.com\/en\/excretory-disorders\/","title":{"rendered":"Excretory Disorders"},"content":{"rendered":"&#13;\n<p class=\"wp-block-paragraph\"><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_78 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.cocukpsikiyatricuneytozcan.com\/en\/excretory-disorders\/#Urinary_Incontinence_Enuresis\" >Urinary Incontinence (Enuresis)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.cocukpsikiyatricuneytozcan.com\/en\/excretory-disorders\/#What_Are_the_Causes_of_Enuresis_Bedwetting\" >What Are the Causes of Enuresis (Bedwetting)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.cocukpsikiyatricuneytozcan.com\/en\/excretory-disorders\/#How_Is_Enuresis_Diagnosed\" >How Is Enuresis Diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.cocukpsikiyatricuneytozcan.com\/en\/excretory-disorders\/#What_Is_Fecal_Incontinence_Encopresis\" >What Is Fecal Incontinence (Encopresis)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.cocukpsikiyatricuneytozcan.com\/en\/excretory-disorders\/#What_Are_the_Causes_of_Encopresis_Fecal_Incontinence\" >What Are the Causes of Encopresis (Fecal Incontinence)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.cocukpsikiyatricuneytozcan.com\/en\/excretory-disorders\/#How_Is_Encopresis_Diagnosed\" >How Is Encopresis Diagnosed?<\/a><\/li><\/ul><\/nav><\/div>\n<\/p>&#13;\n<p>Elimination disorders are among the most common mental and psychological disorders in young children. In the field of psychiatry, these elimination disorders are classified into two types. One is enuresis (the child\u2019s persistent loss of bladder control), and the other is encopresis (the child\u2019s persistent loss of bowel control).  <\/p>&#13;\n<p>When parents notice that their child has a toilet training problem, they should go directly to a doctor. The doctor will first conduct an examination to determine whether the problem is physiological or psychological. If the problem is psychological, the doctor will refer the child to a psychiatrist who specializes in this field. Once a correct diagnosis has been made using the appropriate techniques and treatment methods, it is possible to treat elimination disorders.   <\/p>&#13;\n<h2><span class=\"ez-toc-section\" id=\"Urinary_Incontinence_Enuresis\"><\/span><strong>Urinary Incontinence (Enuresis)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>&#13;\n<p>Urinary incontinence is one of the types of voiding disorders. Urinary incontinence is the loss of bladder control. Children under the age of 3 generally cannot control their bladders. This is a very normal situation. Children can only begin to control their bladders as they grow older. If, after children have reached the age when they should be able to control their bladders\u2014that is, when they know when they need to use the bathroom\u2014they still experience involuntary wetting, this is called enuresis, or bedwetting.     <\/p>&#13;\n<p>While many children can control their bladder during the day by age 4, they can usually control it at night by age 6. Enuresis can occur at night (bedwetting) or during the day (diurnal enuresis). There is no single cause of daytime or nighttime bedwetting, but doctors believe that certain factors, such as bladder capacity and genetics, may play a role. All children can experience daytime bedwetting, but statistically, it is more common in girls than in boys.   <\/p>&#13;\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Causes_of_Enuresis_Bedwetting\"><\/span><strong>What Are the Causes of Enuresis (Bedwetting)?  <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>&#13;\n<p>There is no single cause of bedwetting in children. It may stem from bladder capacity, or it may be linked to certain genetic factors. However, there are other causes as well. These causes can be listed as follows:   <\/p>&#13;\n<ul>&#13;\n<li>\u00c7ocuklarda mesane kapasitesi<\/li>&#13;\n<li>Uykular\u0131ndan uyanmada zorluk ya\u015famalar\u0131 veya uyku bozuklu\u011fu ya\u015famalar\u0131<\/li>&#13;\n<li>Baz\u0131 \u00e7ocuklar hiperaktivite gibi \u00e7ok hareketli olabilir ve mesanesini tamamen bo\u015faltmayabilir veya mesanesinin dolu oldu\u011funun fark\u0131nda olamayaca\u011f\u0131 kadar dalg\u0131n olabilir.<\/li>&#13;\n<li>Genetik yatk\u0131nl\u0131k<\/li>&#13;\n<li>\u0130drar durumunu d\u00fczenlemeye yard\u0131mc\u0131 olan hormonlar\u0131n d\u00fczg\u00fcn \u00e7al\u0131\u015f\u0131p \u00e7al\u0131\u015fmad\u0131\u011f\u0131 ile ilgili bir sorun<\/li>&#13;\n<li>\u00c7ocu\u011fun idrar tutma yetene\u011finin geli\u015fememesi veya ge\u00e7 geli\u015fmesi durumu<\/li>&#13;\n<li>Ba\u011f\u0131rsaktaki yedek d\u0131\u015fk\u0131 olarak bilinen kab\u0131zl\u0131k, mesaneye do\u011fru bask\u0131 uygulayabilir ve istemsiz bir \u015fekilde idrara \u00e7\u0131kmaya neden olabilir.<\/li>&#13;\n<\/ul>&#13;\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Enuresis_Diagnosed\"><\/span><strong>How Is Enuresis Diagnosed?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>&#13;\n<p>If you suspect your child has a bowel movement disorder, you should first seek help from a specialist. You should also have your child examined to determine whether this is a physiological issue. Your doctor will ask you questions to learn about your child\u2019s medical history. Based on these questions, your doctor may perform a physical examination if your child is experiencing any of the following issues:   <\/p>&#13;\n<ul>&#13;\n<li>Ailede ba\u015fka bireylerde en\u00fcrezis rahats\u0131zl\u0131\u011f\u0131 varsa<\/li>&#13;\n<li>\u00c7ocu\u011funuz g\u00fcn i\u00e7erisinde hangi s\u0131kl\u0131kla idrara \u00e7\u0131k\u0131yor?<\/li>&#13;\n<li>\u00c7ocu\u011funuz g\u00fcnl\u00fck ne kadar s\u0131v\u0131 al\u0131m\u0131 yap\u0131yor?<\/li>&#13;\n<li>\u00c7ocu\u011funuz kab\u0131zl\u0131k sorunu ya\u015f\u0131yorsa<\/li>&#13;\n<li>\u00c7ocu\u011funuz stresli g\u00fcnler ge\u00e7iriyorsa<\/li>&#13;\n<li>\u0130drar\u0131n\u0131 yaparken a\u011fr\u0131 veya yanma problemleri ya\u015f\u0131yorsa<\/li>&#13;\n<li>\u0130drardan kan geliyorsa veya koyu ya da bulan\u0131k renkteyse<\/li>&#13;\n<\/ul>&#13;\n<p>If your child is experiencing any of these symptoms\u2014or more than one\u2014your doctor may perform a physical exam. In addition, your doctor may also need to order tests such as urine or blood tests. These tests are performed specifically to screen for risks such as infection or diabetes in your child.  <\/p>&#13;\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Fecal_Incontinence_Encopresis\"><\/span><strong>What Is Fecal Incontinence (Encopresis)?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>&#13;\n<p>Encopresis, or fecal incontinence, is a disorder in which children, despite being old enough to control their bowel movements as they grow, repeatedly defecate in various places, either consciously or unconsciously. This typically occurs in children aged 4 and older. It is more common in boys than in girls.  <\/p>&#13;\n<p>Children with encopresis may experience psychological trauma related to their friendships and social circle as a result of this condition, which can make their daily lives difficult or cause them to face challenges at school. Children may experience this condition when they have attention-deficit\/hyperactivity disorder (ADHD) or when they become so absorbed in a particular activity that they forget to control their bowel movements. <\/p>&#13;\n<p>Children with encopresis may, over time, become shy, withdrawn, or quiet. In such cases, they dislike crowds and try to withdraw from all social situations. At the same time, they may experience intense feelings of personality disorder, low self-esteem, or a sense of being excluded by their peers and left alone.  <\/p>&#13;\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Causes_of_Encopresis_Fecal_Incontinence\"><\/span><strong>What Are the Causes of Encopresis (Fecal Incontinence)?  <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>&#13;\n<p>There is no single cause of encopresis, or fecal incontinence, in children. There are both physiological and psychological causes. Some of these causes can be listed as follows:  <\/p>&#13;\n<ul>&#13;\n<li>Genellikle kab\u0131zl\u0131k ya\u015fand\u0131\u011f\u0131nda olur<\/li>&#13;\n<li>Midede ve ba\u011f\u0131rsaklarda g\u00f6r\u00fclen enfeksiyonlar<\/li>&#13;\n<li>\u00c7ocu\u011fun haz\u0131r olup olmad\u0131\u011f\u0131 anla\u015f\u0131lmadan verilmeye \u00e7al\u0131\u015f\u0131lan tuvalet e\u011fitimi<\/li>&#13;\n<li>Ailede ya\u015fan\u0131lan s\u0131k\u0131nt\u0131lar nedeniyle ya\u015fanan travmalar<\/li>&#13;\n<li>Ebeveyn ili\u015fkilerindeki ge\u00e7imsiz ili\u015fkilerin \u00e7ocu\u011fa yans\u0131mas\u0131<\/li>&#13;\n<li>\u00c7ocukta herhangi bir nedenden dolay\u0131 tuvalet korkusu olu\u015fmas\u0131<\/li>&#13;\n<li>Okulda ve arkada\u015flar\u0131 taraf\u0131ndan d\u0131\u015fland\u0131\u011f\u0131n\u0131 ve kendini yaln\u0131z hissetmesi<\/li>&#13;\n<li>Bir rahats\u0131zl\u0131k ve utanma korkusu \u00e7ocukta ba\u011f\u0131rsaklar\u0131n\u0131 hareket ettirememeye yol a\u00e7abilir<\/li>&#13;\n<li>A\u011fr\u0131l\u0131 d\u0131\u015fk\u0131 at\u0131m\u0131na neden olan \u00e7atlaklar ve yaralar<\/li>&#13;\n<li>Anne ve baban\u0131n bo\u015fanmas\u0131, aile i\u00e7inde geli\u015fen \u00e7ocu\u011fu etkileyecek farkl\u0131 psikolojik durumlar bunlar\u0131 ya\u015famalar\u0131na neden olabilen fakt\u00f6rlerdir.<\/li>&#13;\n<\/ul>&#13;\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Encopresis_Diagnosed\"><\/span><strong>How Is Encopresis Diagnosed?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>&#13;\n<p>Most parents do not initially view this as a medical condition, assuming it is simply due to the child\u2019s laziness. However, they may also attribute it to stomachaches, constipation, or diarrhea. If the issue stems from any of the causes mentioned above, it is essential to consult a specialist. There is no specific test for diagnosing encopresis.   <\/p>&#13;\n<p>This condition can vary from child to child. The doctor may ask the family questions about the child\u2019s medical history in order to make a diagnosis. A detailed interview is conducted to identify behaviors or causes that may trigger this condition. In the initial stage, the doctor will examine how often the child has bowel movements, their eating habits, and whether they are experiencing any psychological issues that could be causing this condition.   <\/p>&#13;\n<p>They then undergo a physical examination. Since constipation is a common issue, an abdominal examination is performed and an abdominal X-ray is taken. This allows the amount of stool in the intestines to be determined, and a treatment plan is developed based on whether there is an underlying physical problem.  <\/p>&#13;\n<p><strong>You Might Be Interested In:<\/strong> <span style=\"color: #ff0000;\"><a style=\"color: #ff0000;\" href=\"https:\/\/www.cocukpsikiyatricuneytozcan.com\/uyku-bozukluklari\/\">What Are Sleep Disorders?<\/a><\/span><\/p>&#13;\n&#13;\n<div style='text-align:center' class='yasr-auto-insert-visitor'><\/div>","protected":false},"excerpt":{"rendered":"<p>&#13; &#13; Elimination disorders are among the most common mental and psychological disorders in young children. 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