12 answers

3 Year Old Won't Let Her Poop Come Out

My 3 year old daughter continues to have "poop" issues. She will basically hold her poop in until she cannot hold it anymore. In the meantime little bits come out over the course of the day in her underwear. If I catch her holding it in, I put her on the toilet and it comes out soft and easy. She is then so proud and happy, so I don't think she is scared of the poop leaving as I have read about. She is not constipated as she doesn't have to push or strain and the stool is soft. She is actually very uncomfortable trying to hold it in most of the time. She will strain and cry to hold it in. I believe it is a behavioral problem, but I don't know what to do. She is potty trained and has been for nearly 9 months. I have tried ignoring the problem, bribing/rewarding for success, offering to use a diaper or pull up when she needs to go and everything else I can think of. Does anyone have any advice? I have heard this is a relatively common problem.

What can I do next?

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I would suggest that you make a big deal of the instances where she does actually go on the potty. Tell her how proud you are of her and that she is such a big girl for letting the poop come out in the potty and not her underwear. Lots of applause, hugs, and kisses!

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I would suggest that you make a big deal of the instances where she does actually go on the potty. Tell her how proud you are of her and that she is such a big girl for letting the poop come out in the potty and not her underwear. Lots of applause, hugs, and kisses!

I agree with the advice that you should first attempt to sit her on the potty when you know she typically has a BM. As smart as 3-year olds are, they need to be shown how to establish their routine. She might not yet "get" that she should sit on the potty as soon as she should, just waiting til she's ready to burst.

If that works, no worries. If you still have challenges, call your doctor's office for additional advice or consultation to see if this is really anything medical.

I have 2 boys who have approached the potty in very different ways. My oldest sounds like your girl (he's now 8) and my youngest (3 1/2) is great on getting to the potty with plenty of time - no accidents ever.

Good luck! And it's great that you're being so supportive and relaxed with her - that's what they need: positive reinforcement.

There are a couple of techniques that you can try. Usually holding poop is a control thing for toddlers, and not a big deal. Think about it from their perspective they want so badly to control their lives but there is really little they actually have control of.

You can create a clean panty chart. You do pants checks throughout the day, and the times she is clean she gets to put up a sticker on her chart, if she then fills up the chart for a day (if the accidents are daily occurrence or a week if a weekly occurrence) she gets a special treat.

That way she is still in control, it just shifts the motivation to not holding her poop.

Are you scheduling time for her to go to poop? Since you know when she eats and seem to have been observing her long enough to know that she is holding it in, see if a pooping schedule will help. Maybe she's holding it in because she's trying so hard not to soil herself. If she's on the toilet you say it comes out soft and easy. Maybe she needs more opportunities to go.

Good Luck!

I am going through this with my daughter. I think (crossing my fingers) we have this problem finally under control after working with her pediatrician and then a pediatric GI doctor.
She too would have little pieces of poop that came out in her panties throughout the day that were soft so I didn't think she was constipated. But she would always try and hold it in. Turns out she was constipated and what happens is there is usually a big hard mass of poop in the colon/intestines and the new soft poop leaks around this and comes out in pieces or very soft. Which leads you to believe your child is not constipated when they really are. The pediatrician had us do 2 enemas and give karo syrup and mineral oil to "clean her out" which was ridiculously hard and something I wont do again! The GI dr. had us do the same thing only with Miralax and Senokot syrup. Takes a little longer (a few days in our case)and is pretty messy but it worked. She now gets a capful of miralax in her juice every other day and it has helped to keep her from becoming constipated or holding it in. This can be VERY FRUSTRATING for both the child and parent but hang in there. And I would talk to your doctor about Miralax.

This is a common problem. I would talk to your pediatrician. Her holding it in could lead to some physical problems.

My daughter did the same thing.
Out of desperation my husband had the idea to promise her a 'parade' when he got home if she used the potty.
We-including her brothers-would march through the house with her on daddy's shoulders while he hummed a marching tune.
Maybe you can get creative?

I don't think it's behavioral, although lots of time it's a control issue. If she sits on the potty and goes and is proud and happy, that doesn't sound very control-oriented at all.

It sounds to me like she is missing the cues that her body is putting out. You know...that sense of "oooh, the poop is RIGHT THERE" that we have LOL. That is a sensory issue and can be addressed although I am not sure how. I have a nephew who went through this although it started at age 1. My sister thought he was constipated. He wasn't, really, he was holding it in. (You could actually see the kid struggling to keep those buttcheeks tight. He'd stand super-straight, legs locked.) Well at 2.5 he ended up in the hospital (with seizures) and they found a "mass" in his belly. Turns out that was a year's worth of poo backed up in his body. (Yeah, seriously...ew!)

So I would talk to your pediatrician and also try to talk to her about the feeling she might be having. Know that if she is having a sensory issue, she really might NOT be feeling what we feel. She may have to be taught other cues.

Good luck.

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