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Added: Lashandra Surette - Date: 05.07.2021 01:15 - Views: 25269 - Clicks: 7632

No one likes to talk about it, but fecal smearing, also called scatolia in medical literature, is surprisingly common among children and adults. It occurs most frequently among individuals with developmental delays or post-traumatic stress, which means that the person may not be able to verbalize the reason for the behavior.

If you ask an occupational therapist, sensory integration strategies will be the recommended solution. A clothing manufacturer will suggest compression onesies and overalls to restrict access to feces. A psychologist will ask about a history of abuse leading to this behavior.

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A physician will look for medical causes. Sometimes one of these will be the right solution.

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But often, there are multiple causes and multiple approaches are needed. There are no simple answers for fecal smearing. Understanding the causes and treatments is the first step to customizing a plan to resolve the issue.

Some families report that scatolia occurs during periods of understimulation, for example, while the individual is alone in a darkened bedroom at night with a case of insomnia. If the person is deprived of appropriate sensory input, then frequent periods of supervised play with soft or sticky substances such as clay, shaving cream or bread dough can alleviate the need for handling feces. Substances with a strong smell, such as essential oils, scented lotions, spices or cheese may satisfy the craving for odors. Jumpsuit from AdaptiveClothingShowroom.

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Restrictive clothing is often recommended as a preventive measure. The main benefit is that it buys a few extra minutes for the caregiver to respond appropriately. Some examples of restrictive clothing are:. The problem with restrictive clothing is that it makes independent toileting impossible, so it is really only a temporary measure while treatment is being pursued.

Psychologists note that scatolia tends to occur in individuals with a history of obsessive-compulsive disorder, anxiety, schizophrenia, depression, bipolar disorder, ADD, autism or post-traumatic stress, especially trauma related to physical or sexual abuse.

Author Donna Williamswho has autism, points out that rectal digging and fecal smearing serve many real purposes that are often overlooked by caregivers and medical providers:. Inpatient psychiatric treatment may be needed for severe anxiety or OCD. Behavior is communication, and scatolia sends a strong message.

Parents report that a strong emotional reaction increases the frequency and messiness of scatolia. Wein suggests that the caregivers react in an emotionally neutral manner with as few words as possible, then provide positive attention for desired behaviors.

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Learning the facts about scatolia is the best way to prevent future incidents. PopularResources.

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Written on April 27, by: Karen Wang. Karen Wang is a Friendship Circle parent. You may have seen her sneaking into the volunteer lounge for ice cream or being pushed into the cheese pit by laughing children. View all of Karen Wang's posts. Therapy Tips.

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