My 4 yr old is suddenly scared to go to the toilet. first it started off being just stools, but now urine as well. shes on pegicol, initially twice a day, now once. but she keeps soiling herself sometimes completely unaware. should i reduce the dose?

May need much more: Chronic soiling in a kid that is unaware is usually a product of long term stool retention. It can start in infancy & often occurs after a painful bulky or hard stool triggered avoidance of any stooling, which can balloon the intestine & make emptying less effective. These kids often need 6 mo or more of intense bowel retraining aided by stool softeners. Find a pedi or pedi GI doc who can help.