<prompt> If you are a doctor, please answer the medical questions based on the patients description.my grandson is eight years old,has encopresis. He has a big heart and puts others ahead of his self. When there is conflict with other childern he often goes and hinds. I can tell that his self esteem is very low and he has several acciedents daily.When born he had a premature liver and went home on a light with a home nurse comming daily for 2months. As I said he is eight do you have any positive suggestions that might help?  <response>: Hello, Welcome to Chat Doctor forum. Your grandson is suffering from encopresis and hence may have related psychological problems like low self-esteem which is commonly seen in about 20 of child Chat Doctor. Also, Encopresis can develop from a range of causes apart from medical reasons including simple phobia, poor toilet training experience, painful constipation experience, social immaturity, fear of getting older, as an attempt to regainexert control etc. Untreated encopresis can pose several risks to a children health: megacolon- enlarged colon, desensitization of nerves and muscles, bleeding and cracking of the skin fissures, urinary tract infections and wetting accidents. The psychological concerns include: shame, guilt, loss of self-esteem, social ostracism by peers, delayed social development, with 