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Child Behavior  (Expert Forum)
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242606?1193281291
4 year old pooping his pants
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

4 year old pooping his pants

by gilly80, May 08, 2008 04:14PM
Can anyone give me any advice my 4 year old son started pooping in his pants a few months ago after being completely trained for at least a year.  I have tried everything from making him wash his pants to taking thing from him and nothing is working he has 2 to 5 accidents a day.  I was in to the Doctors and they say it is for attention but he gets positive attention for everything he does and this is getting him negative attention.  Please any advice is greatly appreciated .

by Kevin Kennedy, Ph.D., May 10, 2008 04:13AM
I am skeptical about the feedback you received from the medical personnel. However, the visit to the doctor was the right idea. Impacted bowels is the most common cause when children become encopretic after they have clearly mastered toilet training. I suggest you continue to pursure this with the doctor, including having some imaging study (e.g., KUB) performed. It is likely this behavior has its roots in the 'medical' domain, not in attention-seeking or other emotionally-based reasons. By the way, has he undergone any trauma of which you are aware? Have there been any changes in his environment? Has the family moved? Have any persons in the family or among the relatives dies or in some other way been lst to him? Have any of his good friends moved away? Any reasons such as these can prompt regressive behavior.
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