I have a 4 year old son that will pee in a toilet with no problem, but for the past year he will not go poop in the toilet, he will sit on the floor and hold it in and rock back and forth til he doesnt have the urge to go anymore, and eventually he will hold it for so long it will leak out into his underwear. The doctor said he was really constipated.
I started with giving him clear fiber drinks, just in a lower dosage. I was using a Poop Chart, and everytime he would poop in the toilet, we would put a sticker on the chart and if he goes a whole month with no accidents and poops in the toilet once a day then he will get to go somewhere special. That seems to be working really well. Then the doctor introduced this disease called incopresis to me. It is very common in toddler boys. http://www.kidshealth.org/parent/general/sick/encopresis.html this is a link that will explain it to you a little better.
What i did when i read this and realized this is exactly what he has, i began to try many different things, one was explaining to him that his body makes poop and when the body is done making poop everyday it wants to come out and into the toilet. and that is where he has to come in and help his poop come out everyday. i know that it sounds silly, but it actually worked, and encouraging him to sit on the toilet about 10 minutes after he eats helps too.
In my sons case, it was hurting him to go to poop, so he was just holding it in, so i started giving him fiber drinks and fiber bars and that helped soften his stools.
He is doing much better now, and i dont see him holding it back that often, i make it like a game for him and that way he see's that it is not a bad thing.
let me know if you have any questions
I also have a four year old son who always has pooping accidents. It is frustrating b/c he always pees on the potty. If you find a solution ley me know good luck.
Any one? Please don't tell me I'm on my own?