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Forum Name: Pediatric Topics

Question: 4 yr old and toilet training


 lindsayparents - Fri Dec 26, 2008 12:45 pm

My 4 yr old step daughter is still not toilet trained. I'm becoming concerned with this. Her mother enrolled her in JK without her being trained. The child pees her pants at school and is expected to hide this from others. We have tried everything to get her to use to toilet but she continues to go in her pants. She will sit in pee as well as feces and not say a thing. We've been very patient but are out of answers. Her lifestyle at home is not the greatest, could this be part of the problem???
 Debbie Miller, RN - Mon Dec 29, 2008 1:03 pm

User avatar Hello,
The child should be examined by a pediatrician to see if there are any developmental delays or physical problems. Yes, home life that is chaotic, unstructured and otherwise unstable can contribute to these problems, as can abuse and other trauma. If all physical concerns are ruled out, emotional treatment might be in order with a child and family therapist. There are books on subject as well, but it will take the support of the family at home as well as yourself to be effective. Toilet Training Without Tears by Elizabeth Pantley would be a good resource.

Best wishes

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