Clinical Reference Systems: Pediatric Advisor 10.0
Illustration
Soiling (Encopresis) Diary
For a soiling diary chart, click here
Soiling or encopresis means having a bowel movement (BM) in
the underwear. If your child has recurrent soiling, please
collect the following information for three bouts of soiling
before you call your child's physician to make an initial or
follow-up appointment. This information may be very helpful
to your physician in reaching a correct diagnosis.
Time and Place
Date:
Time of day:
Place (home, school, etc.):
People present:
Description of Soiling
How much? (1 = small smear, 5 = full bowel movement):
Consistency (loose or solid):
Who recognized it (you or your child)?
Triggers for Soiling
Activity at time of soiling:
Food eaten before the soiling (within 4 hours):
Was your child upset or angry before the soiling?
Had your child been corrected recently?
Was your child holding back before the soiling?
Use of the Toilet
Did the soiling occur while your child was on the way to the
toilet?
Did it occur after he used the toilet?
Did your child use the toilet? If so, what were the results?
Your Observations
What do you think was the cause of the soiling this time?
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