• Consider the possibility that constipation is keeping your child from wanting to move his or her bowels, because it is painful. If it's not chronic, you can help by keeping the children company while they're sitting on the toilet, lubricating the anus with Vaseline, or even helping hold the "cheeks" apart to make it easier to move the bowels. Dietary changes can also help. Chronic constipation can put pressure on the bladder and cause daytime, as well as nighttime, accidents in which case it's time to seek medical attention.
Possible Emotional Complications
Don't hesitate to seek professional help if you think there's an emotional problem you can't solve. Getting help from a therapist doesn't mean that your child is in serious trouble, and you may find that things improve rapidly after only a session or two. Children are often more open with a neutral third party person than with a parent. Remember that children often keep silent about fear or shame they're feeling. Therapists are trained to help children learn to express and deal with these feelings.
• Remember that the emotional makeup of a human being is extremely complex. It's not realistic to expect that just because a child is small in stature, he or she will have a small range of emotions. And handling all these strange feelings and sensations is doubly hard for a child because of his or her undeveloped wisdom and lack of information.
• Watch for interference from others. Siblings can set a child off by playing on fears and expectations; friends or even teachers may say the wrong thing.