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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 have a new student this year who is 11 and soils a few times a day. I am working on having him go to the nurse to clean himself up every time it happens but I want to help him get control of it.  I am very concerned that he could have been or is being molested . Do you have any suggestions on how to best help him?
Helpful - 0
189897 tn?1441126518
COMMUNITY LEADER
   While molestation might be a problem, the fact he is doing this several times a day points to more physical problems.  The nurse should talk to his parents.  At the least, the parents need to know what is going on.  I also kind of wonder if they are not giving him some kind of a laxative.  Kids do not go poo several times a day.
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Avatar universal
I am in a very similar situation. My son is currently 11 years old and has been spoiling himself for the last 3 years. It started off to where it was every once in a great while and has increased severely over the last three years. However my son has gone through a very traumatic incident involving his biological father. His father didn't want to pay child support when we divorced so he thought kidnapping them and lying to the courts and CPS about my oldest son who was 7 years old at the time saying that he had done some things to my younger two children. He eventually admitted that he lied about all of it because he thought that it would be cheaper to raise his children than pay child support also CPS found no evidence to support his claims and eventually everything was dropped. My 11 year old was too young at the time that all this happened so he can't really remember any of what had happened. When he'd kidnapped them it took me 3 months to get them back, he took them out of state and the state of Idaho doesn't recognize that is kidnapping unless there is some type of court order in place but we hadn't gotten that far yet since we had literally just separated. So after three months of fighting for my children I got full custody and he got partial visitation but during those three months him and his girlfriend who he'd only been with for 6 months by this time constantly told my children that they would never see me again and we're trying to convince my younger two boys that their older brother did things to them but they don't remember any of it so it was a very traumatic experience for both of my children. Sorry if this doesn't make a whole lot of sense it's just there's so much and it would literally take forever to explain it all. My middle boy seemed fine and still to this day seems fine never had any issues with the whole situation but he was also old enough to understand everything that was going on and didn't believe anything that his father and girlfriend told him. However my younger boy started to have nightmares a few months after I got him back and when he would explain these nightmares to me it literally was the things that had happened to him while he was with his dad and girlfriend. He thought they were just bad dreams he didn't realize that these things actually happened to him and at that point that is when he started to soil himself. I immediately sought counseling for both of my children because of the experience that they had and the counseling seem to work for my youngest for a little while but then it just wasn't enough. He then started going to the bathroom in his pants at school in the car when we're driving somewhere and every time he would never say anything to me about needing to go to the bathroom. He then started having behavioral issues anger issues both at home and at school. I then got him into not just counseling through the school but also had him start seeing a psychiatrist twice a week. None of it ever seemed to help. I've taken him to the doctor we've had X-rays done we've had lab work done to determine if this was a medical issue which I knew it wasn't but we needed to rule it out. As somebody else said in another post on this thread he started to try and hold it as long as he could and then started to become constipated all the time and bowel movements were so large that his colon is now stretched. Eating became one of his coping mechanisms with everything that he was trying to deal with and so he ended up gaining some weight and I had to start monitoring what he would eat and how often he would eat and eventually he was able to lose that weight and I still have to keep an eye on him when it comes to eating because the second I turn around I'll be right back in the kitchen trying to eat something else. I put him on a fiber diet which didn't work very well he then stopped eating because he didn't like the food that I was feeding him so I decided to put him on fiber chewables instead and then make sure that the food that I buy is not high in fat and sugar that way we don't have the same issue again because obesity and diabetes runs very badly on his father's side of the family. As far as the behavioural and anger went I wanted to try anything and everything that I could before I resorted to putting him on any type of medication but after 3 years it just seemed like it was time. This last November he was put on Fluoxetine, he started on 10 milligrams and eventually was moved to 20 milligrams. Believe It or Not My Child now wakes up in a good mood and his anger and behavioral issues have subsided drastically. however he is still soiling himself on a regular basis and it's gotten to the point where he can no longer spend the night at his friends can no longer stay here because I don't want him to ever be made fun of and what not. Through counseling and talking to my son myself we've come to find out that he just does it and doesn't care. I finally had to start grounding him from all of his favorite things until he started taken responsibility for his actions. One of the punishments that he has is he has to hand wash his soiled Underpants because I cannot put them in my washing machine like that and at this point I have spent so much money on new underwear that I'm just tired of spending it. When he first started washing his own Underpants it did seem to help for a while and he was doing it less. however he just went right back to doing it again he says he just does it and doesn't know why. He doesn't try to hide it from me and he has gotten to the point where he will now shower just about every time it happens. I think it's been happening so long that it's just become a part of who he is and I don't know what to do anymore. His father has never been a part of his recovery process and will not admit that the things that he tried to do and the things that he did do when he kidnapped him and his brother were the cause of his issues. My son was diagnosed with chronic PTSD depression and anxiety disorder. Sadly his father has court-ordered visitation rights and the state of Idaho will not allow him to sign his rights over because this is the No Child Left Behind state. his father cancels just about every visitation does not conversate with his children at all he does not call he does not send them cards letters anything. The courts still will not drop the visitation and their father does not understand that he is doing more harm than good to his boys by not being a constant figure in their life. So I know that until he feels like he is loved by both parents that this is just going to keep happening. So I keep a log of all the visitation and phone calls that their father makes and cancels and how long can goes in between visitations and phone calls. This way if I do end up having to go back to court again I can prove that no matter what the courts try and force on him he is not going to do. Thankfully I have a loving husband who treats my children like his own and we've just recently found out that if my husband were to adopt my children we could get their father to sign over his rights legally but my children don't want that they want their father. Which is very understandable and hopefully when they get a little older and they might see what he's been doing and decide that they no longer want him to be a part of their life but until then I just I have to keep my mouth shut because it's never good to talk bad about a parent to their child. If anybody out there has any suggestions as to what may help other than what I've already done for my child I would be greatly appreciative for the input.
Helpful - 1
2 Comments
Jnu
I have a,special needs son who is 15. Cant walk or talk poops his oants pees his pants. Just have to bear with it. I kedo him in pampers and chang him.
TawnIS sooner or your son will grow out of it i did with my pooping myself problem
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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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 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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