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504 Plan for Encopresis Form

504 Plan for Encopresis Form

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there are many things that probably precipitate this problem that cause the problem one of which is constipation if you take a child who's one and a half two years of age who has constipation or even earlier they may develop an aversion because of discomfort in terms of having a bowel movement and the more they hold back the more they hold back the more likely they are to end up sorting a stool after a child withholds for uh months or years i i do believe that there's a physical component that starts to also contribute uh to the end capreses that child who withholds for for a long time develops a dilated stretched out bowel and probably the motility the way in which the bowel actually works changes so that instead of responding to just a little ache or cramp or whatever as a message that that child has to have a bowel movement they now require a much greater urge they have a higher threshold so they don't decide that they have to use a bathroom as readily so the

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