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11 year old pooping pants all the time

My nephew is 11 years old.  He is always pooping his pants and he smells all the time.  His parents have taken him to the doctors in the past.  The doctors gave them medicine to give my nephew  three times a day and they are supposed to give him an enima once a day at night.  They are not consistant with the treatment so it has not helped any.  When my nephew was younger he would hold his bowels as long as he could.  What happened over time is his bowels get very hard because he holds them so long and now his colon is stretched out.  (according to the doctors)  When my nephew is asked why he does this he replies by saying he doesn't know.  He is no longer allowed a day care because he can't keep his pants clean.  I don't know what the problem is but he he is getting older and the problem isn't improving.  If anyone has some information on what I should do, or if you have some insight on what could be causing an 11 year old to poop his pants I would love to hear it.  I would love to smack some sense in to his parents but I don't know if it is my place or not.  I can't figure out if this is mental or physical.  Please help with some information.  
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Avatar universal
I am in the same situation my son will be 12 at the end of November and soils himself like 3 or 4 times a day. We live with my brother who is very hard on my son and he constantly yells and puts him down.i have taken my son to the Dr. And specialist we've done xrays clean outs and nothing has been a permanent fix. I have a psychiatrist appointment set up.fpr him this month and I am hoping and praying we can get to the bottom of all this
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i know this post is old but my 11 year old is doing the same thing and has been for years n years we have taken her to doctors for years they say there is nothing wrong with her they said its a mental thing did you ever have any luck on finding out why ur nephew was doing that. my daughter will say the same exact thing as ur nephew when we ask her why did she poop her pants she replies i dont know
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Avatar universal
Well I think he should of took some mirolax
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My brother soiled himself from around 3 years of age, up until he was around 16 years of age when he had the A.C.E procedure,

https://www.shinecharity.org.uk/spinabifida/aceprocedure

"The Antegrade Continence Enema or ACE is a way of managing bowel emptying at a convenient time each day, and should reduce both constipation and soiling episodes. The procedure involves sitting on a commode or toilet whilst a washout is given through a small opening or stoma on the abdomen."

He finally had it reversed after about 3-4 years of treatment, and now functions normally - in the bowel department.

We initially thought it was laziness, causing severe constipation and leaking, however I now after a lot of research believe it's caused by ADHD, all due to an answer to another post I found

http://www.medhelp.org/posts/Child-Behavior/Why-is-my-10-year-old-soiling-his-pants/show/2734788#post_answer_header

The link in the answer on the post didn't work so I took to google and found this,

http://www.webmd.com/add-adhd/childhood-adhd/news/20131021/kids-with-adhd-often-prone-to-bowel-problems-study#1

I was diagnosed with ADHD on 29th of January 2016 just before my 29th birthday in March, I'm the younger sister, by 2 years, I believe my brother has undiagnosed ADHD, I have also been diagnosed with Autism, as has my nephew, and Hyperactivity and Autism have the same cause, as per what I found here,

http://www.youramazingbrain.org/Res_1st_Angelica_Ronald.pdf

So if you haven't already looked at the possibility, that the child/adolescent soiling themselves has ADHD, I think you should check this out, it may help :)
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Avatar universal
What kind of doctors has your nephew been too.
Has he seen a therapist and a gastroenterologist. Mental and Physical. Is there a lot of fiber in the diet, and maybe it's time for a colonoscopy, to make sure the pipes are looking how they are supposed to be looking, plus they can do some biopsies, during the procedure, and test some of the bacteria in the intestines, and maybe an endoscopy for the stomach as well.
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Avatar universal
My 9 year old keeps pooping himself. He can be in the house just downstairs watching t.v. and will not get up to go to the bathroom. He has been to the doctor's and there is nothing wrong with him. But this just keeps happening.
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