Toileting changes are easier to discuss when the language is calm and specific. Notice what happens rather than labelling a child as difficult.

Notice hard or painful poo

Hard pellets, large stools, or pain when passing poo can be signs of constipation. Frequency is only part of the picture.

THE POINT TO REMEMBER

Pain and stool consistency are important clues to constipation.

Soiling can happen around retained poo

Runny poo can leak around hard, retained stool. Soiled pants do not necessarily mean ordinary diarrhoea or deliberate behaviour.

THE POINT TO REMEMBER

Overflow soiling can occur in a child who is constipated.

Seek help before the cycle continues

Contact a GP if you suspect constipation. Pain can lead to holding back, making the problem harder to resolve.

THE POINT TO REMEMBER

Early support can interrupt a painful withholding cycle.

Read it. Try it. Come back to why.

Original reflection: practise describing a toileting concern using observations: stool texture, discomfort, and soiling. Leave blame out of the description.

Practise all 3 questions →