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

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[quote=Anonymous][quote=Anonymous]OP here—I think I am going to try this: first I’ll go back to the pediatrian and discuss what’s been going on. I’ll be sure to ask her: how can a GI issue be rules out?; At what point would you recommend a specialist.

Second, I’ll do whatever the pediatrian suggests.

Third, (and assuming pediatrian agrees) I am going to have her wear “thin” underwear all the time, including at pre-school. (The weigh of a pullup or “thick” undies seems to make sensing difficult.) I am also going to ask that they make sure she uses a stool on the potty and that she sits for 5 min before going on the playground. (From talking to her I know that most of her accidents happen on the playground.)

I think this is the best I can do.

I suspect there is one mom posting to this whose kid has some unusual GI diagnosis. I don’t think that’s what going on. I’ll defer however to my pediatrician who I trust and know to be very knowledgeable and experienced.

If there is something else anyone suggests to do, especially with the pre-school, I am open to suggestions.[/quote]

Constipation is not some unusual GI diagnosis for preschoolers. It's incredibly common. Withholding poop and then having poop accidents, or always saving poop for nighttime diapers, is extremely common in 2/3/4 year olds as a response to potty training. Constipation where the kid still poop but don't seem to realize they need to (because the constipation is getting in the way of sensing when they need to go) is also pretty common. Giving kids miralax during potty training is super common. None of these are unusual issues.

Also, there are multiple people telling you about this, because again, many parents encounter this issue during potty training. It can present several different ways. In my DD's case, she never had daytime poop accidents but she would withhold all day and then poop in her diaper at night, sometimes in the middle of the night. But it's the same set of problems -- withholding which leads to constipation (this can often be exacerbated by uneven toddler diets as they start resisting certain foods), and that leads to accidents and issues with toilet training because constipation disrupts their ability to sense when they need to go, as well as their ability fully relieve themselves when they do go.

I don't think this is going to improve until you address the constipation.[/quote]

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