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Disturbing behaviour

My nephew is thirteen, he poos himself and recently we noticed he has it on his hands and on his teeth can anyone help
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I would say that at the age of 13 a child would be expected to know how to use a lavatory and exactly what it is for. It seems quite a severe behaiviour. Does he do this at school? Has he any diagnosis at all? It is certainly something that a health proffessional would be able to help with, i strongly recommend getting specialist support for this. Good luck
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