My son, who will be 8 in October, has recently started soiling his underwear. It's quite extensive--not just a little bit. He claims he has no knowledge of it happening--and is always surprised when I tell him to go check his underwear because I smell something. He thinks that it just pops out when he passes gas--but honestly, it's a large amount. He also wets the bed--but that's something that he's always done. The fecal soiling is new.
He loves fruit and veggies and gets plenty of fiber. We only eat whole grain breads, pasta, etc. We eat legumes probably every other day. I've asked him about constipation, but he says that he has a BM every morning at least.
My husband is a physician--although not a pediatrician. He views the bed wetting as deliberate in spite of the medical articles I've given him. Our pediatrician has even spoken to him about it--but he still feels that my son is doing this somewhat consciously. It's taken a lot of effort on my part, but in the past year--he's just let it go. My son has Goodnites which he puts on himself, and takes care of. If he leaks, he tells me, and we take care of the problem together. He knows that there's no shame in it, and I simply told him his bladder needs to catch up with the rest of him. He does seem to have a small functional bladder--based on what I can tell.
What are some possible explanations for the fecal soiling? Could it be tied with the bed wetting? Do I need to take my son in to see his pediatrician or a gastroenterologist? I really don't want to do that and deal with the co-pays if she's going to simply tell me to make sure he gets more fiber or some such thing. I have had IBS throughout my life--and part of the issue was fecal urgency--but that is always very conscious. My son says that he has no knowledge of this even happening. It's not like he tries to hide the soiled underwear or anything.