witholding poop

iVillage Member
Registered: 01-30-2006
witholding poop
2
Wed, 04-01-2009 - 10:46am

Hi, my name is Tegan and my daughter, Audrey, is going to be 3 in May. She is pee potty trained and has been for about a year. She wears underwear during the day and asks for a pull up to poop. The Dr. has her on mirolax daily because if she is not on the laxitive she will withhold poop, pull up or not. When I tried to re-introduce her to pooping on the potty a few months ago she was on the adult dose and able to hold in the poop. So now I have had her pooping in the pull up, in the bathroom. We did it for two weeks. No pressure just getting her used to pooping in the bathroom. This week I tried sitting on the potty in a pull up and then moving on to the hole in the pull up. Well guess what? She is witholding her poop because she cries that she cannot poop that way, she needs to stand. I am so frustrated, any ideas on how I can even just get her to poop in the pull up sitting on the potty. TIA

Tegan

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iVillage Member
Registered: 04-11-2004
In reply to: teganh
Wed, 04-01-2009 - 10:11pm

Audrey, Hi and welcome to the Toilet Teaching board.

Have you tried putting a stool near the potty so she can put her feet on it while she sits on the potty and tries to poop. Having the stool there she could press down with her feet to give her the effect that she is standing. I hope that helps. Please keep us updated on your DD progress.

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iVillage Member
Registered: 06-25-2005
In reply to: teganh
Thu, 04-02-2009 - 10:28pm

If your dd is afraid of sitting on the toilet while wearing the pull-up to poop, there's not really any benefit to having her sit on the toilet in the pull-up. That method is more effective for children who don't care where they are, whether they're standing or sitting, as long as they have a pull-up.

Unfortunately, the only way to help your dd overcome her toileting fears is to make her use the toilet regularly until she is no longer afraid of it. Whether you do it now or later is up to you and what you think is best for your dd.

I have a dd with a severe bowel dysmotility, so I've learned a fair amount about laxatives over the years. I was stunned to learn how MUCH laxative (incl Miralax) can be used -- assuming it's necessary. If your dd can continue to withhold her stool, then she is not on a high enough dosage of laxatives. Some people need a half dose of laxatives, others need multiple doses of laxatives. You need to use as much as is necessary for HER body. You just don't want to give her so much laxative that she gets chronic diarrhea and gets dehydrated, but otherwise, don't be afraid to use more laxatives to prevent your dd withholding. The dosing guidelines on the bottle are average dosages for average people with average problems. Your dd has a more severe problem and needs to be treated accordingly.

The PP idea of a footstool is a good one. Although it won't enable your dd to stand while pooping, it gives your dd better traction for pushing and eliminating her poop.

With my children, on the day we began poop training, when they asked for a pull-up, I took them to the toilet instead. Since they asked for a pull-up, I knew their urge to eliminate was strong, so I took advantage of it and made them sit. Thankfully my kids' fears weren't to the level your dd fears are, but even still, they were fearful for a good couple of weeks of daily toilet usage, and mildly fearful for another month. It takes lots of repeat use of the toilet before the toileting fears are overcome.

I can't get a good sense from your post on whether this is a good time to push your dd to toilet train or whether you might actually want to back off. Sometimes it's more important to get a child over their withholding habits than it is to get them out of pull-ups. Depending on how things continue, you may ultimately want to consult with a pediatric gastroenterologist (GI doc).

You may want to still have dd use the bathroom to stand while pooping. It at least keeps her in the habit of going to the bathroom when she needs to poop.

Best wishes.