Signs and symptoms of encopresis may include: 
Leakage of stool or liquid stool on underwear, which can be mistaken for diarrhea
Constipation with dry, hard stool
Passage of large stool that clogs or almost clogs the toilet
Avoidance of bowel movements
Long periods of time between bowel movements
Lack of appetite
Abdominal pain
Problems with daytime wetting or bedwetting (enuresis)
Repeated bladder infections, typically in girls
