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There are many different regimens for the treatment of encopresis however most rely on the following three principles:

1. Empty the colon of stool
2. Establish regular soft and painless bowel movements
3. Maintain very regular bowel habits

While there is almost always a large behavioral component to chronic encopresis, behavioral therapy alone, such as offering rewards or reasoning with the child, usually is not effective. Rather, a combination of medical and behavioral therapy works best.

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