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Elimination Disorders

DOI: 10.1176/appi.books.9780890425596.434171

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Elimination disorders all involve the inappropriate elimination of urine or feces and are usually first diagnosed in childhood or adolescence. This group of disorders includes enuresis, the repeated voiding of urine into inappropriate places, and encopresis, the repeated passage of feces into inappropriate places. Subtypes are provided to differentiate nocturnal from diurnal (i.e., during waking hours) voiding for enuresis and the presence or absence of constipation and overflow incontinence for encopresis. Although there are minimum age requirements for diagnosis of both disorders, these are based on developmental age and not solely on chronological age. Both disorders may be voluntary or involuntary. Although these disorders typically occur separately, co-occurrence may also be observed.

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References

Philichi L: When the going gets tough: pediatric constipation and encopresis. Gastroenterol Nurs 31(2):121–130, 2008
[PubMed]
 
von Gontard A, Heron J, Joinson C: Family history of nocturnal enuresis and urinary incontinence: results from a large epidemiological study. J Urol 185(6):2303–2306, 2011
[PubMed]
 
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