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Doctor insights on: Potty Training 4 Year Old Boy Still Having Accidents

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My 4 year old knows her letters, shapes, colors & numbers. But its a struggle potty training her, is she autistic?

My 4 year old knows her letters, shapes, colors & numbers. But its a struggle potty training her, is she autistic?

Not likely: Autism diagnosis encompasses delays in language develpment, motor development and social-emotional development. Although very little information is given, struggling with toilet training is not likely to be diagnostic of autism. Your child might an underlying medical issue like constipation or is having oppositional defiant disorder. ...Read more

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Dr. Allyson Pizzo-Berkey
76 doctors shared insights

Potty Training (Definition)

Training a child ...Read more


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Is it normal for a 4 year old not ready for potty training ? He can talk and is developmently normal. He can even read. It doesn't make sense .

Reading at age 4 is : not developmentally typical. Hyperlexia, reading decoding above age & grade level, sometimes occurs in kids with non-verbal learning disabilities, oddly enough, or Autistic Spectrum Disorder without cognitive impairment. Combined with a delay in self-help skills, it warrants evaluation by a developmental/ behavioral pediatrician & a child neuropsychologist for accurate diagnosis & treatment. ...Read more

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I have a two year old boy im potty training him but he freaks out he doesn't want to take off the diaper?

I have a two year old boy im potty training him but he freaks out he doesn't want to take off the diaper?

Too early?: Parents are highly motivated to toilet train their children ( less mess, less expense). Unfortunately, toddlers frequently are not ready as soon as the parents would like. Boys in particular are later to be ready for this training. I do not think that your son is ready for toilet training developmentally, and would recommend waiting until he is older. ...Read more

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I am potty training my 3 year old who has a strong personality.The only method that has worked is by having her naked. She still bed wets. Any advice?

I am potty training my 3 year old who has a strong personality.The only method that has worked is by having her naked. She still bed wets. Any advice?

Put her clothes on: If you have done rehearsal & she knows where the stuff is the best thing you can do is become her assistant, not her drill sergeant. A strong willed child must first understand when she gets the feeling she needs to go, & feel happy she is responding to that need.Telling her no more than twice a day that you will help is crucial. You can provide incentives for doing big girl things but relax. ...Read more

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Been potty training my daughter since she was two years old, She's now four &will sit on the potty, do nothing,Is she being stubborn or something else?

Been potty training my daughter since she was two years old, She's now four &will sit on the potty, do nothing,Is she being stubborn or something else?

Adaptive/Self-Help: Delays require medical, neurological & developmental assessment. Medical causes may require referral to a specialist. Behavioral causes from parents' accidentally having reinforced toileting refusal may require referral to a child psychologist & a pediatric GI to manage stool-withholding & constipation wth techniques like those in comments, if health is fine & development is otherwise typical. ...Read more

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I've begun potty training my 3 year old daughter, but she fearful & is holding it for a long time (one day for 18 hours). What can I do to help her?

Several things: First, the ability to be toilet trained depends on neurological maturation. Second, toilet training is a skill that is easily shaped through positive reinforcement. Failures should be ignored and successes praised. Putting too much emphasis on the toilet training and failures can increase the child's resistance. Most children learn this skill easily if done in a relaxed manner. ...Read more

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Can focalin (dexmethylphenidate) cause a 5 year old to stop potty training?

No: If you are having problems with daytime accidents at age 5, you should discuss with your md if evaluation by pediatic psychologist is warranted. ...Read more

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Can focalin (dexmethylphenidate) cause a 5 year old to revert back and forget potty training?

Possibly: Any stress can cause a regression, many medications have side effects and a more detailed discussion would be important to determine if the regression is related to the med or possibly something else. At 5 there might be a number of things that might cause a regression in potty training. Need to rule out a uriunary tract infection. See your pediatrician or Focalin (dexmethylphenidate) prescriber. ...Read more

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How do I explain to my 3 year old when he asks me why is my penis big? I started potty training and he is asking so many questions

How do I explain to my 3 year old when he asks me why is my penis big? I started potty training and he is asking so many questions

Short simple answers: A 3 yo is curious and their questions can be difficult when you let the issue of genitals/sex cloud the picture. At that age short simple answers are the best. Don't launch into lengthy discussions. "that's how it is"is honest & developmentally appropriate.Expect the same ? Seveal times (they don't take notes).After he gets to 7-8 the questions can be answered in more depth. ...Read more