dr j. golmirzaei child & adolescent psychiatrist
Post on 12-Jan-2016
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Dr j. GolmirzaeiChild & adolescent psychiatrist
EnuresisDefinitionEtiologyEpidemiologyDifferential Diagnosis
TreatmentRate of spontaneous remission 15% per yearBehavioral conditioning with bell and pad DDAVPImipramineAnticholinergicCombination
Outcome & follow-up6 months treatment6 months later treatment Observation 16%Imipramine 16%DDAVP 10%Behavioral 56% First line
EncopresisDefinationEpidemiologyEtiologyDifferential Diagnosis
SubtypesRetentive (most frequent)Non-retentiveVolitional(least frequent)
First line of treatment for retentive subtype is Education about bowel functioning
Physiological treatment (laxative or mineral oil)
BehavioralBiofeedback
Case report : Imipramine for non-retentive encopresis
Psychodynamic assessment for volitional encopresis
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