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Child Behavior (Expert Forum)
4 year old girl with potty issues
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
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4 year old girl with potty issues
by rhill4455, May 01, 2007 12:00AM
My child was fully potty trained at the age of 3. She did great with going potty in the potty for a full year. She even was night trained. She of course had the occasional accident which was expected. about a month ago she started to "hold it" to the point she would go a little in her pants before finally relieving her self in the toilet. The problem slowly got worse. Now she hardly ever goes in the potty and has several accidents throughout the night. It seems as though she doesnt even know she has to go until she has pee'd all over herself and the floor/bed. Is it possible that she has stretched her bladder to the extreme and can no longer feel contractions telling her she needs to go? If this is possible is there any way I can fix this problem?
I am at my wits end and dont know what else to do. Please help!
I am at my wits end and dont know what else to do. Please help!
Doctor's Answer
by Kevin Kennedy, Ph.D., May 01, 2007 12:00AM
, May 01, 2007 12:00AM
The possibility you suggest is not at all likely, but consultation should occur with her pediatrician and, perhaps (depending on the pediatrician's advice), with a Pediatric Urologist and/or Pediatric Gastroenterologist. The first step is to have her checked out medically. If she is cleared on that front, then you can proceed to address the matter from a behavioral perspective. You might want to confer with a pediatric mental health professional of behaviorist to devise a plan. The importance of that consultation will be the collaboration between you and the clinician, rather than any face-to-face time with your daughter. By the way, it's not unusual for children who have been trained early to develop some problems or show some regression. They generally rebound quite well. Do you think there is any reason why she might have regressed in this area? Has she been subjected to stess, changes, etc.?
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do a gooogle search for dysfunctional bladder- interesting reading which may help.
good luck