Just wanted to add that we've dealt with encopresis with my daughter too for the several years, since she was a toddler. (She's 6 now.) It's mostly under control because I have her sit on the toilet with books at designated times of the day, and she's on Miralax. When I took her to a pediatric gastrologist last year, he said that in fact she probably couldn't feel the stool leakage. He said that what happens is they hold it so long, the BM gets impacted and stretches out the colon, reducing sensation. The stool that leaks out looks like diarrhea, but is in fact like an "overflow" that goes around the impacted BM. In fact, when she was a toddler, I thought she was having diarrhea. It took us over a year to figure out the opposite was going on. I think she just didn't like soiling her diapers, so she started holding it in. It makes me think we should have tried early potty training for number 2, like they did in the "old days."