Conditions involving the inappropriate elimination of urine or feces, usually first diagnosed in childhood.
Repeated passage of feces into inappropriate places (e.g., clothing, floor), whether involuntary or intentional, occurring at least once monthly for at least 3 months, in a child with a chronological or developmental age of at least 4 years, not attributable solely to a substance or a general medical condition other than through a mechanism involving constipation.
Repeated voiding of urine into bed or clothes, whether involuntary or intentional, occurring at least twice weekly for at least 3 months (or causing clinically significant distress/impairment), in a child with a chronological or developmental age of at least 5 years, not attributable to a substance or a general medical condition.
A residual classification for presentations with urinary or fecal elimination symptoms causing clinically significant distress or impairment that do not meet full criteria for Enuresis or Encopresis, most often due to route of elimination, frequency, or age of onset.
Apply the age-5 minimum criterion distinguishing Other Specified Elimination Disorder from Enuresis.
Recognize Enuresis as the urinary elimination disorder, distinguished from Encopresis by the substance involved and the typical underlying mechanism.
Recognize Encopresis and its common constipation-and-overflow mechanism, distinguished from Enuresis by the substance involved.