Reply to Almost 4 year-old girl poops pants 2-4 times daily

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[quote=Anonymous][quote=Anonymous]OP - you keep insisting that what the ped said about it not being a medical issue is the absolute truth. 
And I see several people trying to tell you it might be, and get a second opinion from a GI specialist. 
In encopresis you still see soft poop, mostly in accident form, as these are the bits that leak around the hard, big poop that blocks the rectal area.
Shaming or offering rewards to a child that has this won’t work. They simply don’t even feel it when they need to go. It takes a long time to clear. 
You can watch the video “the poo in you” on YouTube to understand what people are trying to tell you about. [/quote]

All of this. And worst of all, trying to fix it with behavioral methods can make it worse because it will increase the stress your child feels around toileting, which only leads to more withholding and makes the constipation worse.

The good news is that while it can take time to clear, usually just regular doses of miralax are enough to do it over time and you don't need any more intervention than that. It can cause what looks like a regression in toileting at first but in the long run it actually resolves potty training issues because as the constipation clears, the child has an easier time recognizing when they need to go and also starts to associate using the toilet as a relief instead of a source of anxiety.

But a GI specialist will be able to tell you exactly how much to give and at what time, and will be able to monitor the problem so you know when it's actually resolved. Some will actually do scans so you can see the compaction.[/quote]

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