This new situation happening with my 4 year old boy is making me worry a lot. J hadn´t been eating much and I hadn´t seen him go to the toilet for the past 4 days. One night he would stand up, hold his penis as if he were about to pee and then came running to me asking for me to hold him. He had peed though but his face reflected pain. I was worried, I told my husband to observe his behavior, he thought he was manipulating us to get our attention.
Next morning I called the doctor, I suspected a UTI, he said J was probably looking for attention and gave me an ointment in case he had a rash. He said it could work as a placebo if manipulation was the case.
This same day we went out for lunch, J could hardly sit at the table and was clearly in pain, he sat, stood up, joined his legs as if he were about to pee. I thought he was in pain and told him we were gonna go to the restroom to check him out. He screamed and gave a step back and said he didn´t want to go to the restroom. I started suspecting abuse (but from whom if he is all day with me) and ask him if someone had scared him. This is where I hit the nail. He said: "You once told me that blood came out with my poop, so I´m going to bleed". This is where I understood what was happening, that he was resisting to go. I then remembered the occassion he had mentioned where I had told him that he was bleeding...
He had used the toilet and there were specks of red in the poop. My first impression was that he had bled. I said: "Oh, J, you´re bleeding". I looked closely and saw that it was a mistake. J was immediately anxious, as he is scared of bruises, cuts, and blood. And then I said "Oh, I´m sorry there is no blood, I made a mistake, maybe it´s something you ate". He got anxious and fearful but soon forgot this episode.
A month or so afterwards is when the poop withholding episode suscitated. He finally used the toilet but was very anxious. Everytime he´s gone (twice) he said he was gonna bleed. I´m so worried by the pain and what he has been inflicting on himself. And it might get worse. Besides he has this fear that when he bleeds the wound is not going to close up.
Please help, I ´m so worried.