Here a distinction made between primary and secondary cleanliness problems. Upon being - In primary problems the child has never been toilet trained, potty problems secondary to the child was potty trained, but there is a relapse. In secondary potty problems, the focus should be primarily focused on the underlying problem. The pants pooping / peeing is a signal that something is going on, only when the underlying potty training problem is solved can be good again picked up (if this is necessary, sometimes it stops pants pee / poop once the underlying problem is addressed). Carol Cline Review says also, a distinction is made between retentive and non retentive. In retentive defecation problems the child clogged and there is a physical problem (intestines are too slow, constipation with overflow diarrhea, abdominal bowel / rectum). A physical problem must be treated by a doctor. With the help of laxatives and a diet blockage can be overcome. But laxatives should not be used for too long as this could actually lead when stopped with laxatives. Blockage again - The laxative agent only creates the condition to address the problem with the pants pooping and is not the solution of the pants shitting themselves. For non retentive firing sting problems the child is not clogged. Almost half of the children in their pants pooping pee also still in their beds, it is best then to tackle first the pants pooping then and then bedwetting.
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Click to See Some Other Issues