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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Refusing To Use Toilet Due To Physical Or Psychological Reasons?

4 year old girl is refusing to use the toilet for poo (and sometimes wee). Even after loosening medicine, a laxative and 3 sepositories (which finally worked after 8 days). She continues to struggle away from the toilet and hold on to poo. Is this physical or psychological?
Tue, 28 Mar 2017
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Pediatrician 's  Response
hello
you should get a complete physical examination of your child especially examination of the anal area to rule out the possibility of anal fissure or rectal polyps as they have painful defecation as a symptom. but in absence of these,it could be psychological.
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Is Refusing To Use Toilet Due To Physical Or Psychological Reasons?

hello you should get a complete physical examination of your child especially examination of the anal area to rule out the possibility of anal fissure or rectal polyps as they have painful defecation as a symptom. but in absence of these,it could be psychological.