Your last sentence (surgery) got my attention! I said, "no, no, no!"

Encopresis is a condition that occurs after the child has a painful bowel movement. After that, they withhold and fecal material builds up in the colon. New liquid feces can leak around the solid material and leak out Often the child doesn't know it happened and can't control it. Parents are confused as the child IS moving his bowels and they don't realize there is a mass of bm builr up in the colon. Sometimes you can feel lumps in abdomen, and the abdomen can get quite distended. The child can be in pain and they lose their appetite.

The colon is stretched very large. Treatment: clean out the colon, give stool softener (Miralax) and have the child do regular toilet sits--such as after each meal and at bedtime. The goal is to retrain the bowel, have it return to normal size and regain normal nerve function.

Pediatric gastroenterolists treat this condition. I suggest reading up on encopresis and then getting an appointment with a gastroenterologist.

We have gone to see a GI and this is exactly what he said. My son is on Miralax, however, he either has uncontrolable diarea on the meds or he can't go when he is off. The GI is the one who said that surgury is the next step.