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4 year old potty issues: ongoing accidents

post #1 of 11
Thread Starter 
Here's the background: My daughter started using the potty part time around 18 months, was mostly cloth diapered (disposable at night and about 20% of the year when traveling) until age 3, and switched to underwear about a year ago (3 yrs 3 mos), but I put her back in pulls up for a couple months mid-2009 because she was having lots of accidents and I was getting fed up with laundry. She has never been consistently dry at night, and sleeps in a pull up.

She still has LOTS of accidents, both pee & poop, but also has some days where she stays clean and dry all day so I know she CAN do it.

I used a potty training app for the iphone last year and she liked getting "woo hoos!" every time she kept dry. We also used jelly beans as a reward for a while, but I really would like to avoid rewarding for staying dry at this age.

I think I enabled her for a long time, by bringing a bag with a change everywhere, but now I try to just go home when we have an accident while out and about.

We have added a routine of lots of time reading to her on the potty each day and got her a nature's platform for squatting on the potty both of which help her to do her pooping on the potty rather than in her underwear 90% of the time, but now the pee accidents are increasing in frequency again.

I mentioned it to doc at her 4 year appointment, but was feeling pretty laid back about it at the time and doc followed my lead.

She is in a preschool that requires potty training and does OK there since it is less than three hours long and we use potty before and after, plus they have a potty break built in.

Her brother had a similar issue, but it resolved around 5 years so maybe it just takes my kids a little longer or maybe it is something we are doing or not doing.

Over the years I have checked out many books from the library, but none of them seemed to help.

If there is something I can do to help her get on track I'd really love to live in a world with less laundry and less stinky carpet. Have any thoughts or advice???
post #2 of 11
Have you checked into dietary or activity related causes. My dd has accidents if she has juice or bubble baths. There is a lot of sugar in juice and it is hard on some kids bodies. If you do give her juice or other sugary drinks then I suggest cutting those out and sticking to fresh fruit, milk, and water. Bubble bath, and baths in general, can be very irritating on girls genitals and they make peeing painful. Having the doctor test her pee for a bladder infection and diabetes may be a good idea to rule out something medical. Bladder infections can sometimes have accidents as their only system. My dd's doctor always tests for diabetes when kids have accidents a lot but I am not sure what the reason for that is.
post #3 of 11
Thread Starter 
Thanks for the response!

My instinct is that it is a behavioral rather than physical issue, but I'd hate to overlook a physical issue.

I am guessing that it is not a bladder infection since it has been such a long term issue.

She only gets juice occasionally and it is usually diluted, but she does love baths. We use either baby soap (to wash) or almond oil (to moisturize) in the tub. Maybe I'll try switching to showers only for a few weeks and see if I notice a difference.

More thoughts?
post #4 of 11
Quote:
Originally Posted by jtbuko View Post
Thanks for the response!

My instinct is that it is a behavioral rather than physical issue...
Why would she want to have wet pants?
post #5 of 11
Thread Starter 
Good point! She does not seem to mind them one bit though.
post #6 of 11
My DD is 4 and started peeing in her pants again both during the day and at night. She had been day trained for over a year and night trained since last spring. We have been flummoxed by this. We wondered if it was because of the holidays and some other big changes at her preschool. She also became a big sister last September. I never thought of diabetes! I'll have that checked out this week. Thank you.

I've tried to be nonchalant about this but is getting frustrating for all of us. She seems utterly surprised when it happens. Even on a day where I set a timer to remind me to remind her she still went 4 times on the carpet.
post #7 of 11
Thread Starter 
Quote:
Originally Posted by Masel View Post
I've tried to be nonchalant about this but is getting frustrating for all of us. She seems utterly surprised when it happens. Even on a day where I set a timer to remind me to remind her she still went 4 times on the carpet.
Sounds like we are in a similar boat.
post #8 of 11
I know! I was going to start a thread but found yours. So frustrating.
post #9 of 11
Thread Starter 
6 months later, approaching age 5...

Cleaning up accidents (4+ per day, usually at least one poop) is still the norm around here and I am so sick of it that it requires lots of active effort to stay calm by the end of the day.

Doc ruled out physical issues based on extended consult with dd and with me shortly after my original post, but did not do any tests.

We have tried sticker charts, iphone apps, ignoring the problem, timers, affirmation books, helping with clean up, extended book time on the toilet, miralax, discussing where pee and poop belong and why, discussing the things our family can do together (go to pool, learn to ski, etc.) when we no longer have to deal with accidents, and I even closed my daycare to focus more on my own kids.

I guess I am ready to push to have her seen again to check for diabetes and other dietary issues (she was dairy sensitive as a baby, and anemic as a toddler), but I really don't know where to start.

I am looking for:
* kids book recs with an older (4+) protagonist solving a potty training problem
* advice on how to keep my cool
* advice on how to approach ped
* any other advice or empathy you've got for me and dd
post #10 of 11
My DD has had phases of doing well, then going back to accidents since she learned at age 3 to use the potty. Now she is just about 5 (in 9 days), and has been doing really well most of this summer. With my DD, I think some of it was due to anxiety over some changes going on...new baby sister in January, thinking about starting kindergarten in the fall, having more "big kid" type expectations placed on her, etc. Some of it was also probably due to her bladder muscles being slower to mature (I had some of the same issues as a kid -- accidents at night, and even at school in first grade -- that got better as I got older), and the fact that she gets so involved in her play or what she is doing that she would wait till the last minute to try and go, and then sometimes have an accident on the floor in front of the toilet.

What I do/did: she has to take off wet/dirty clothes, put them in the laundry room, get new clothes and put them on (or if poop, I help clean her up first), and then help me wipe up the puddle. To help with frustration on my part/less laundry, when she would have more than 2 accidents in a day, she would wear a pullup for the rest of that day, and we would start over again the next day. Also, she could pick out a "nice" (ponies) pair to start the day, but after that, mommy would pick if there was an accident. So if she wanted to wear the "cool" ones, she had to keep them clean and dry. Having a routine of going at certain times (like wakeup, before meals, before bed, etc.) helped reduce accidents too.

I hope you can find something to help her soon!
post #11 of 11
Thread Starter 
Thanks for taking the time to reply, Jill!
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