遗粪症

定义

遗粪症是在不适当的地方重复排便。如果在已达到通常预期控便发育年龄（4岁）的个体中反复出现不适当的排便（例如，几个月内至少每月一次），则应诊断为遗粪症。大便失禁可能是出生时出现的（即正常婴儿失禁的非典型延伸），也可能是在获得性大便控制一段时间后出现。如果粪便污染完全归因于其他健康状况（如无神经节性巨结肠、脊柱裂、痴呆）、先天性或后天性肠道异常、胃肠道感染或过度使用泻药，则不应诊断为遗粪症。

Encopresis is the repeated passage of faeces in inappropriate places. Encopresis should be diagnosed if inappropriate passage of faeces occurs repeatedly (e.g., at least once per month over a period of several months) in an individual who has reached the developmental age when faecal continence is ordinarily expected (4 years). The faecal incontinence may have been present from birth (i.e., an atypical extension of normal infantile incontinence), or may have arisen following a period of acquired bowel control. Encopresis should not be diagnosed if faecal soiling is fully attributable to another health condition (e.g., aganglionic megacolon, spina bifida, dementia), congenital or acquired abnormalities of the bowel, gastrointestinal infection, or excessive use of laxatives.

子条目 共 3 条

• 6C01.0遗粪症伴便秘或溢出性失禁
• 6C01.1遗粪症不伴便秘或溢出性失禁
• 6C01.Z未特指的遗粪症