Our 13 year old son refuses to poop in the toilet and when I have him sit on the toilet and try to teach him, he poops in the pullup back in his room on his own. Several years ago we got him "dry"over the hlidays, then, that fell apart. Any suggestions/advice would be greatly appreciated.
You have to figure out what the reason behind his toilet refusal is. In autism it may be more reason than in normal kids with encopresis, and so a broader answer to it must be searched. Some possible reasons may include:
-Sensory issues, like hypersensitivity to toilet sounds and toilet texture, or tactile hyposensitivity which make him in need of the stimulus of having dirty pants.
-Aversion to change the poop routine into a new environment.
-The impaired social skills may make it hard for him to understand the reason why it is better to use the toilet instead of the way he always has done it.
In addition, normal reason for encopretic behavior, such as constipation and regression should be ruled out. It is also worth to note that the muscular work in pooping in toilet differ from pooping in pants/diapers, and this may make it more challenging in itself after so many years to poop in toilet.
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