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Child Behavior (Expert Forum)
5 Year Old Messing his pants and biting his fingernails
Answered by
Kevin Kennedy, Ph.D. - Child and Adolescent Psychotherapy, Family Therapy, Crisis Intervention
Harvard Vanguard Medical Associates
This forum is for questions and support regarding child behavior issues such: Child Discipline (behavior management), Normal Child Development, Parent-Child Communications, Social Development
5 Year Old Messing his pants and biting his fingernails
by smiller, Mar 30, 2003 12:00AM
My son is five years old. He has a problem with messing his pants. He says that he can't feel it coming but I know he can. We have tried being nice about it, taking away some of his favorite things...nothing seems to work. He also has a bad habit of contantly biting his finger and toenails. He bites them until they bleed. We have been trying the approach of not saying anything and just telling him to go change his pants because they don't smell good. What can I do?
Doctor's Answer
by Kevin Kennedy, Ph.D., Mar 31, 2003 12:00AM
, Mar 31, 2003 12:00AM
Is this behavior a regression? That is, had he achieved good toileting habits and now has regressed? The first thing to rule out is chronic constipation; impacted bowels is the most common cause of encopresis in children who have already achieved toilet training. Be sure to have this checked with his pediatrician. The nail biting is likely a stress/tension reduction behavior. It would be prudent to have your son evaluated by a mental health clinician. The evaluation will also help you to develop some sound approaches to managing the behaviors at home.
He wanted attention...etc, etc.
His father and I rejoined, began to think that could be it. But when it all boiled down to it (after the long talks, me even cryin, yelling at him and Shamefully spanking him for telling me "he didn't know") this is what he told me. When he was in kindergarten he went to the bathroom. It hurt really bad so he decided he wouldn't go anymore. He began to cross his legs which took me a while to catch on to, but he did it. Yep, controlled something on his own. It became so bad I was ashamed, but after educating myself more I only became ashamed of me. Your child isn't lieing. If they have been doing this for awhile, then more than likely the sphincter has become stretched and unaware of the occurance of a bowel movement. (my kid could hold it even when given barre liquid to drink), But that was because he was so constipated. Listen to your child, I wish I would have had more compassion. The next thing to go will be their socialization for fear of rejection for his/her problem.
Just in case it may be, you may want to check out sites on Encopresis. It helped me a whole lot! All the luck to you and your child.