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Welcome to ParentingwithSara.com
featuring Parenting Advice, Child
Care and Child Raising Advice.  Sara
not only has children and grand
children, but also has a degree in
Psychology, a masters degree in
Family Counseling and was a family
specialist in Lousville, Ky for more
than 10 years.
Dear Sara answers parenting and child raising
questions from readers, new columns are
posted on Mondays and Thursdays, this column
was published
June 17, 2010


Dear Sara,
I have a 6 year old son who can’t
poop on the toilet.  He poops in his
underwear all day long.  He is going
into first grade this year and he can’
t go through another year having
accidents at school.  

I am sure the other kids have said
something to him. His doctor gave
him a laxative but that only works
for a couple of days.  He says he can’
t feel it when it happens.  His
stomach gets so constipated that he
has lumps that you can see.

He was born 3 and a half months
premature and has learning
difficulties and anxiety issues.  So
please see if you can suggest what I
can do to get him to go poop on the
toilet.  

I would greatly appreciate any help.  
I have tried everything from bribing
him to having a treasure box for
every time he goes , to reading, to
letting him watch a movie.  Nothing
works.  HELP!
Christa

Dear Christa,
It sounds like your little guy needs
some help.  Premature babies
sometimes have bowel problems
caused by an immature intestinal
tract, so he could still be experiencing
some problems because of this.  Some
things to think about are his diet and
having a regular toilet time.

Some kids are picky eaters and don’t
get the fiber they need to move their
food through their intestinal tract.  
See if you can increase his intake of
fruits and vegetables and add some
over the counter fiber to his diet (one
brand comes in chocolate!).  You also
will need to encourage him to drink
lots of water.  

Talk to your doctor about anything
you try in his diet and ask about
putting your son on some regular
medication so that his bowel
movements can become regular and
more comfortable for him.  It may take
a while for his bowel movements to
become normal so don’t give up.

It sounds like you have been using a
reward system to get him to sit on the
toilet.  This is a great idea.  You could
also let him take his favorite book to
look at or read to encourage him to sit
there for a while.  After meals is a
good time to encourage him to use
the bathroom.

I hope that you can get this under
control before school starts but if your
son is still having problems, you could
consider using a small pad to line his
underwear that he could change
when he goes to the bathroom.  Good
luck.

Sara