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Control issue regarding bodily functions  

post #1 of 6
Thread Starter 
Let me describe a situation that comes up occasionally with my son. He's 5 now. He readily learned how to use the toilet without pressure or even much suggestion, just decided one weekend at about 2 1/2 that he was going to do it, and was running off to the bathroom every couple of hours saying "I have to pee!". Pooping in the toilet went about the same (he wanted to do it in a diaper for a few weeks, but then he was done with that). But here we are, 3 years later, having a wee bit of a problem because he seems to have this thing about controlling his bodily functions. You can see him squirming, doing the potty dance, but he just won't go. Diplomatic inquiries as to whether he needs to use the toilet are met with stonewalling. And he will sometimes engage in this behavior which to me seems odd, when he needs to poop, he'll sit on the toilet and try hard to not let it come out. He'll also hold it until it's almost too late, not sitting on the toilet, same deal as with needing to pee, he's squirming, etc. The other night, my husband was getting him ready for bed, they were in the shower and our son was doing this odd, butt-squirming-clenching movement, hubby asked what was the matter, son answered "nothing", hubby checked son's butt and there was (sorry to be so indelicate) a small turd in there sticking it together. My husband asked him to please get out and get on the toilet, son threw a hissy fit. Much wailing and gnashing of teeth ensued, hubby insisted, eventually picked him up and set him on the toilet. He did his business, and of course by this time snot was streaming out of his nose as well (he has a mild cold, plus crying on top of that). So another battle was carried out about blowing his nose, with son insisting he didn't need to and didn't want to try, hubby insisting no children with snot all over their faces in the family bed (more tantruming at this point). Finally, he blew his nose sufficiently, and fell asleep wimpering. This is the most dramatic example, but similar scenes occur now and then. I don't believe there's any physical pain or discomfort complicating things.

What I'm looking for is tactics for defusing situations like this. I don't want to force him (son) to do things with his body he doesn't want to do, but I also don't want him pooping in the shower or snorking the snot back up into his nose all the time or wiping it on his arm. It seems very much to me like a control issue. We're not the type of parents that are constantly asking "do you need to go to the bathroom?" or chasing him around with a tissue to wipe his nose, most of the time it's not a problem. Hubby was raised in an authoritarian household, and he tends to fall back on that kind of interaction if he's frustrated or tired; I was raised very differently, treated much more respectfully by my mother, but I also find this behavior confounding and frustrating. I've tried explaining that it's best to go use the toilet as soon as you feel even just a little bit like you need to. I've tried offering choices, like "which bathroom would you like to use?" or "would you like me to wipe your nose, or do you want to do it yourself?", which worked when he was younger but not now. Any suggestions?

ETA: He also does not want to wipe his own butt. Won't try. Acts like it grosses him out. We've always been matter-of-fact about it, never said anything like "yuck, look at that poopy butt!", I'm not sure where this hang-up came from.
post #2 of 6
I'd love to hear some suggestions too.
post #3 of 6
We have this issue as well. She also was out of diapers in her 2s, but continues to hold everything in until the urge is *very* strong and is affecting her behavior (she gets short tempered, rude, etc).

One thing that helps us with urination is requiring her to *try* to make a pee before _____. (whatever it is: dance class, bedtime, getting in the car). If she gets on the toilet, she usually pees---and recently said to me "sometimes you have to go and don't know it!". That suggested to me that she needs a really strong urge to recognize the urge, making this a partially physiological problem for her.

When I remember to do the "try to pee before we _____" rule, things run smoother, cause she does not get "overdue". It seems to me that the stronger the urge, the more she resists.
post #4 of 6

I hope this helps...

I can't help from a parenting standpoint, because I only have a 4 month old ds, but I personally had a similar experience as your son when I was a child. I'm a little embarrassed to talk about it, but will try to be as *biological* as possible, and hopefully give a few suggestions.
I started holding bm's after an experience with constipation when I was around 4.5 or 5 yrs. old. I vividly remember the pain (anus actually split), and from that point, I was afraid to go to the bathroom. This became a struggle from 5 yrs. old until I was around 11 or 12. I would hold bm's for anywhere from 6 days to 14 days. Not sometimes, every time. Though it started because of fear, it very much became a control issue. I learned that I had control of my bodily functions...but here's the bad part...I also learned that I had control of my mom.
I grew up in a very AP family (homebirth, babywearing, family bed, etc. ), but as my mom has described my temperment/personality, "Stephanie was an only child who happend to have three siblings." I craved and needed one on one attention and was able to get it by the control I was having over my body. Talking about it as adults and understanding it better in hindsight, I've likened it to having an eating disorder (I hope that doesn't offend anyone who has gone through that, but I would think that the control aspect is similar) I got attention from mom (sitting on the tub while I tried to go-helping me relax and concentrate, etc.) and I'm sure that that's the reason that my struggle with it lasted so long.
SO, my first suggestion would be to try to have a discussion with your ds about why he doesn't want to go to the bathroom when he has the urge. Is he afraid (and why)? Is he too busy? Maybe if he can talk about it with you, you can help him with a solution.
Secondly, don't give the situation so much attention that it becomes a way for him to get attention from you (I'm sure this isn't an issue...and in my mom's defense, she was just trying to love me through something the best way she could...I'm the one who manipulated it, even if it was somewhat subconciously).
Lastly, do be aware of whether the problem is continuing or not for an extended period of time, because this is the other reason my situation lasted for so long. Over time, your colon physically stretches to the point that you no longer have the urge to go to the bathroom the way everyone else does (daily, multiple times a day, whatever). So of course you hold it for longer, and of course it's going to hurt.
I realize that your ds isn't having a problem with this to the extent that I've described, but I wanted to give some perspective from someone who had lived with a control issue of some similarity.
And I TRULY hope that this wasn't TMI. : This is only my second post at MDC, and I sure don't want to be remembered as that chick with the bathroom issues. :LOL
post #5 of 6

2

I think all kids go through a period of "can't be bothered to go" or " hang on as long as possible" or "I'm just too busy doing ..." etc.

These are combined with the inevitable little accidents. (Please don't ever react negativley to a little accident, ever. Much better to just deal with it matter-of-factly, like they need a glass of juice).

Always thank them for notication of any accident, if they don't, just change them, give them something (apple slices), and get them to help clear up.

Like it has been mentioned, pee b4 trips, dinner, bed etc.

Visits to the loo are unspoken compulsary hand led and no argument here in this house. I never talk about it. If it is obvious, I get up, take them by the hand, lead them to the loo.

"sit there and count to 25!" is all it take to get them to flow.Concentrasting on counting means they can't concentrate on holding .

Hope this helps.

a
post #6 of 6
Thread Starter 
Quote:
Originally Posted by tannersmommy
: This is only my second post at MDC, and I sure don't want to be remembered as that chick with the bathroom issues. :LOL
Thank you so much for relating that story! It gives me a good perspective. And I promise I will not remember you as "that chick with the bathroom issues."

Alexander, thanks. We have used the kind of matter-of-fact attitude you describe, and it's not a problem when we're out, it always seems to be at home. I think I need to be more aware, again (as when he was potty-learning), of just working it into the day, as in "let's go to the bathroom before we play this game" or whatever.
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