Identify your child’s problem

Three diagnostic groups - three treatment methods

When I first thought about writing this book, I wanted to share my success in helping hundreds of children by solving problems of toilet anxiety, soiling, and constipation. I hope the detailed descriptions of these problems and the treatment methods we’ve used in my clinic over the last thirty years will be stepping stones for families worldwide toward solving their problem. I describe in detail three different behavioral treatment methods for three different diagnostic categories. Below, you’ll find a short account of each category’s chief characteristics. If you’re really concerned, you can identify the problem you’re facing, right now and start learning about it. Still, I do recommend reading the entire book.

Group 1 - Toilet anxiety

“Mom, I need a diaper.”

  • Do you hear this request every time your child needs to poop?
  • Are you unsure whether to give him a diaper or not?
  • Have people advised you to tell him you’ve run out of diapers?
  • Did you take that advice, but then your child stopped pooping for several days?

Perhaps this is your relevant diagnostic group.

We generally see toilet anxiety in kids of 2 to 5 years. They simply can’t poop in the toilet. Instead, they poop in their underpants or ask for a diaper to poop into.

Group 2 - Soiling

“I don’t feel anything.”
“I don’t smell anything.”
“I didn’t do anything.”
“I’ll go to the toilet soon.”
“I just need to finish the game.”

  • Does your child always release a little feces before going to the toilet?
  • Does your child poop everywhere and then carry on without changing his underpants as if nothing happened?
  • Have you seen your child doing his best to withhold, and then denying it when you suggest he goes to the toilet?
  • And do you also get these responses from your kid when it’s obvious he has soiled his underpants?

Perhaps this is your relevant diagnostic group.

This can happen to children aged 5 to 11. While they poop in the toilet, they also soil their clothes. They release varying amounts of poo into their clothes, wherever they are, and continue as if nothing has happened, with a bad odor emanating from them.

Group 3 - Soiling plus severe and prolonged constipation and withholding

  • Does your child withhold her poo?
  • Does she reach a point where she can’t eat or play because of the burden of her constipation?
  • Does she release tiny amounts of feces many times a day but never do a full bowel movement?
  • Have you had to take your child to the emergency room to extract hard chunks of feces from her congested colon?

Perhaps this is your relevant diagnostic group.

This affects children who—for long periods, sometimes even years—tend to retain their poo, with long periods of constipation, which last days or even weeks. It usually happens in kids of 3 to 11. Now and then they’ll release varying amounts of poo into their clothes, but they have very little experience of fully pooping into the toilet. Kids like these suffer physically and psychologically. Most of their attention is focused on trying to avoid pooping.

Encopresis. You can beat it!

Game changing solutions for:
Toilet Anxiety, Soiling and Constipation

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