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Where or how to begin…

I have a 4 ¾ daughter who is having trouble peeing and pooping in the potty.

Also, I ask her to help me, or help herself sometimes (food, toys, trash) and she says "I'm busy" or "It's too boring." The 21 month old helps just fine.

She has been using the potty since she was two. This past summer she had a dozen or so times where I found her on her stomach laying on the ground just pooping. Then it went back to normal after we figured she was constipated.

Now, she has told us she puts her finger in her bottom, and she has poop on her fingers and sometimes wipes in on things like toys and the wall. She says it's to hide it. Anyway, I am concerned that she IS trying to hide, but WHY? AND, that the pooping "muscle" might be affected. I really don't know. Maybe she just prefers the little potty. The position or something.

I have a feeling it has something to do with her younger sister (the 21 month old) starting to learn the potty. The older dd has also recently started sucking her thumb and acting like a baby.

I have been putting disposable pullups on her since she pees in bed at night (she didn't used to) because when I try cloth diapers on her, she seems to get this horrible rash with red raised bumps on her bum cheeks.
 

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Mama, I haven't a clue as to what to do about this situation. If I were in your shoes, I'd call my pediatrician if I weren't finding any solutions elsewhere and probably scour pre-school behavior books for some clue as to what is going on if I didn't find my pedi to be helpful.


ETA: I doubt it's pinworms. Our dd had them this summer and they are most active at night or in the morning when the female worms exit the anus to lay their eggs. At this point, your child is physically uncomfortable and complaining of itching. They are highly contagious and if your older child has them, your younger child would most likely get them as they can live on surfaces for up to 2 weeks. Once on the hands or anything else that goes in the mouth, they are ingested and then set up residence in the intestines until the girlies come out to lay their eggs.
 
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