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학습 자료 둘러보기 →The priority intervention for a child with encopresis is to provide emotional support and educate the family that soiling is an involuntary medical symptom of overflow incontinence, not a behavioral choice.
Physiologically, chronic constipation leads to a fecal impaction that stretches the rectum, causing loss of sensation and tone. Liquid stool leaks around the mass without the child's awareness.
Do not initiate a high-fiber diet or intense toilet scheduling before disimpaction. Increasing bulk in an impacted, hypotonic bowel can worsen obstruction and pain. Bowel retraining begins only after the colon is cleared.
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