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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Reason For A Child To Have Accidents In Spite Of Being Toilet Training?

I have a 4 year old son that I am having problems potty training. He knows how to use the toilet, one and two, and has for about two years now. But he constantly has accidents, four or five a day. I have tried everything and am at a loss on how to get this to stop. What do I do?
Tue, 14 Apr 2020
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Pediatrician,  's  Response
Hi,

The most important condition to be ruled out in this setting is chronic constipation / habitual bowel holding. When children are constipated, defecation is painful and they try avoiding it by holding the bowel and this further aggravates the condition. When rectum is full, it cant hold anymore, causing spontaneous and involuntary passage of small amounts.

So kindly get him examined once to see whats going on. If constipated, a suppository to unload the rectum, followed by a short course of laxatives will help.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What Is The Reason For A Child To Have Accidents In Spite Of Being Toilet Training?

Hi, The most important condition to be ruled out in this setting is chronic constipation / habitual bowel holding. When children are constipated, defecation is painful and they try avoiding it by holding the bowel and this further aggravates the condition. When rectum is full, it cant hold anymore, causing spontaneous and involuntary passage of small amounts. So kindly get him examined once to see whats going on. If constipated, a suppository to unload the rectum, followed by a short course of laxatives will help. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician