Strong-willed 5 Year Old Son Refuses to Poop in Toilet - Any Advice?

Updated on April 10, 2008
L.M. asks from Los Gatos, CA
4 answers

I am the mother of a very strong-willed almost 5 year old boy who refuses to go poop in the toilet. We have been trying to help him with this issue for almost 2 years now and nothing has worked. He has developed a problem of being completely backed up from holding his poop in (he also sometimes goes but only in his pants, rarely in the toilet). We are going through a process of "cleaning him out" that his GI doctor has prescribed and we will be trying once again to help him to use the toilet. My question is this...the GI doctor says that after he's cleaned out we should start trying to train him again by using a sticker chart. This was the sum total of her advice. We have done sticker charts with our son numerous times, to no avail. We know he is not scared of the toilet so that is not the issue. We were advised to not engage in power struggles with him over the issue by our pediatrician but to have our son go and sit on the toilet after each meal to try and go. The problem is, our son absolutely refuses to do this and reacts by screaming and getting very upset. I feel that if we physically force him to go sit on the toilet after meals when he gets like this, we are just creating another power struggle, negative situation. The mere mention to our son that we need to go clean him up because he has pooped his pants results in screaming refusal, ie., he screams that he hasn't gone in his pants when we know he has and refuses to go. We have to actually carry him to go get cleaned and we do this regularly because he has a horrible rash and we can't let the poop sit there. We honestly feel that we've tried everything.....empathy, ignoring, rewarding, trying to engage him in having to clean up after himself, many, many sticker charts and reward programs...nothing has worked. Has anyone else had an experience like this with their child and could offer some good advice? Thank you!

What can I do next?

  • Add yourAnswer own comment
  • Ask your own question Add Question
  • Join the Mamapedia community Mamapedia
  • as inappropriate
  • this with your friends

More Answers

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

P.W.

answers from San Francisco on

Wow, tough one. I had a child who held his poop but it was not quite as bad as your situation. But I have enough experience to know that it is true that you should not get into the power struggles, since power is what holding poop is all about, and when you fight with them, they win.

The only thing I can think of is find SOMETHING that he values enough to reward him with. Some toy, money, outing -- bribery goes a long way sometimes. I would definitely go the bribery route before I would go the punishment route -- negative attention is not good in this situation. Has anything changed in his life recently, has he had any traumatic experiences? Or has he always done this?

Hopefully you'll get some other good advice, otherwise time WILL take care of it. In terms of cleaning it up in the meantime, I wouldn't say much to him but just use whatever physical force (not brutal, obviously) you have to to clean him up until this issue is resolved.

Happy parenting!

p.s. - Has he been to school yet? Maybe being in school will take care of it.

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

S.J.

answers from San Francisco on

L.,
I completely understand what your going through. My son being only 2 1/2 years old, He's barely understanding the whole potty training so that has been put off for a bit due to him being constipated bad, this is the 2nd time he's been so bad that we have to actually clean him out again. It's a 9 day process and I feel for the little guy, he's holding his poop, (this time around he goes every 2 days but it's a lot that comes out) and he had a yeast infection on his butt a few weeks ago which is gone now. I thought he was holding due to that hurting but that wasn't the case. I saw a GI dr. yesterday and she said it's common for children to hold their poop and that we have to clean them out and then make them regular so they know it doesn't hurt and then back to normal poops then start getting him to poop on the toliet. I know you feel since his age he should be going on the toliet, but you have to pick a battle to beat 1st and the one I think that's important is to get him cleaned out and back to a normal bowel movement.
I found out today after yersterday's blood work that my son is extremely anemic as well, OH MAN talk about constipation now, Iron is suppose to constipate you.
So the dr. recommended the following to clean him out, not sure if your GI did the same
Day 1 Childs fleet enema
Day 2 1/2 Suppository (Durculux, Spelling is probably wrong, but I know they cost more than normal suppositories)
Day 3 17 grams of Miralax
Repeat that for 9 days, then after that is done if no poop for 2 days another 1/2 suppository and continue the miralax to get him regular daily
And she had me give him soy milk now because of being anemic.

The GI dr. also mentioned the sticker chart as well and I have started rewarding him everytime he poops (yes in his diaper) only because I want him to know it's ok for him to poop.
Go to a dollar store and buy a bunch of little toys and have a little special box with different items in there for each time he poops, and once he starts realizing that it's a good thing then you can move onto the toliet.
Even make toliet time fun, go in with him read a book with him, make it a routine before his bath. (I don't know if it will work, but a co-worker told me she did this with her son that had the same issues with her son)

So just wanted to let you know your not alone. I was feeling like such a bad mom finding out my son is anemic, UGh but the dr. made me comfortable by saying it's so common and it happens, so it will get better.
Also I heard alot about Chirorpractor's helping, I started bring my 2 1/2 year old to one that deals with children really well, and my son even said 'the lady helped my back."
I hear it helps align their hips and maybe helps with constipation. Worth a try if you believe in Chirorpractor's some people don't.

Best of luck to you.......
Let us know an update....

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

M.J.

answers from Sacramento on

Have you tried BIG rewards? Our son is also very strong-willed and we've had numerous potty training setbacks. Nothing worked with him either, until he developed an interest in video games. Bingo. He earns 10 minutes of video game time for just using the potty. Knock on wood, no accidents since we started this up. He, too, could care less about charts, stickers, dollar store items.

With some kids, I think you have to up the rewards far more than others. Think of something that really matters to him -- maybe the chance to go to a special park, extra 10 minutes up past bedtime, whatever is your son's "ticket." Each time he poops in the potty, big reward.

Good luck!

Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

S.S.

answers from Sacramento on

I had a little bit of problem with my oldest. As we started the potty training she got constipated and it hurt to go on the toilet. It took six months later for her to go on the toilet.
A thought would be to add ground flax to his diet daily to stop the contstipation. You can get it at Costco. I put it in oatmeal, fruit smoothies, on yogurt or in salad. IT really keeps the whole family regular. Good luck.
Oh how about a trip to disneyland after he is good for two whole weeks??
Stac

For Updates and Special Promotions
Follow Us

Related Questions

Related Searches