Hi, B.. Don't know if you are still having a problem with this. If you are, maybe my story can help. It was at the age of three. Our 4 and a half year old, who was then 3 and a half, was potty trained going pee and we were working on the poop end of things. Sometimes he would go and sometimes he wouldn't. We rewarded him every time he did something in the potty. He would do great some times and then fall back, way back. When it got to the point of him going in his underpants all the time, and not big stuff, it was little runny stuff, which we couldn't understand because he hadn't gone for a couple of days - so he really should have a good bowel movement. No go. Finally he would go and it would hurt - understandably. I called the ped's office. Normal for some kids to go every couple of days is what they said. If it continued to be a problem for him or go longer than a couple of days we needed to come in and have him be seen. We ended up in the doctor's office the very next week. Long story short, it's called soiling. They hold the poop in, for whatever reason, and the only stuff that comes out is the stuff that's loose enough to get past the big stuff that can't come out. Our son was so bad he was impacted and he had lost control of the muscle which pushes the poop out. No wonder it hurt to go poop and no wonder he couldn't go poop! Our ped's treatment for him was this: We had to do three junior enemas (no kidding, it took that many to get him cleaned out), and he's been on Miralax ever since. Absolutely no pressure about going poop in the potty. We didn't even talk about it but one time after he was cleaned out. Told him he had to teach the poop to come out. The poops job was to come out and go to the poop party (it worked for us). Oh, it was slow going at first. We put him back into pull ups, wore them all the time. He even back slided all together with going to the potty. I thought it would never end. I had to put him on the potty every hour that he was awake to train his brain to train the poop to come out, for 5 minutes a pop. If he went great, if he didn't - no problem. Lots of times nothing would happen in the potty and I would put the pull up on and then it would come out. We had to come to grips with the fact that it didn't matter where he went poop (pull up or potty) as long as he went, daily! It has taken a year and I am so thankful to say that he is fully potty trained! He does everything in the bathroom all by himself! It was frustrating at times because you want him to go in the potty so bad instead of changing pull ups or underpants all the time. Knowing that his body had a problem and it needed time to heal kept me from becoming extremely frustrated. It wasn't his fault. Don't push and pressure kids to use the potty; when they are ready they will. Pressuring them and threatening them or taking things away from them because they don't use the potty will only make it worse - I speak from experience. Praise them for any small amount that ends up in the toilet. We even praised him and rewarded him when he pooped in his pull up! Talk with your ped and find out what the best thing is for your child. What worked for us might not be what will work for your child. You will have great days and then bad days. Don't let the bad days get to you. A kind talk with Alex should help. Let him know you aren't mad at him, that it's OK to poop in the pull up (underwear just got too messy for us during this time and I was constantly doing laundry). Tell him he is a big boy and it's his job to teach the poop to come out. Then let it go. Don't keep hammering it into the ground (that was hard for daddy). The more you don't talk about it - the more he will go in the potty. Remember to praise, praise, praise! We would call daddy at work and tell him and be so excited when we called. When everyone was home they got called into the bathroom to see the poop! It's been a journey.