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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is Child Controlling Stools?

I have a son who is 6 years and he is impacted because he holds it in when he needs to poop, and refuses to sit on the toilet. We spoke to a pediatrician and they told us to give him Miralax twice a day and my mother-in-law says that she wanted a second opinion and that she thought the pediatrician should have done more for him. Do you think this is the case, or is what the pediatrician correct. Thanks
Tue, 12 Jan 2016
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Psychologist 's  Response
Dear,
Welcome to HCM
We understand your concerns

I went through your details. Children at this age are usually averse to pooping not because of lack of training or pain or something. This is because of their developmental period's peculiarity. Sigmund Freud explains it classically as phallic stage. The phallic stage is the third stage of psychosexual development, spanning the ages of three to six years, wherein the infant's libido (desire) centers upon his or her genitalia as the erogenous zone.

In this case, the child is getting some sort of pleasure in withholding the stools. I know this do not last for days together. When the urge becomes uncontrollable, the child will evacuate it. This is part of the development and there is nothing to worry about it. Just keep advising and motivating your child against doing it frequently.

If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible.

Hope this answers your query. Further clarifications are welcome.
Good luck. Take care.
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Why Is Child Controlling Stools?

Dear, Welcome to HCM We understand your concerns I went through your details. Children at this age are usually averse to pooping not because of lack of training or pain or something. This is because of their developmental period s peculiarity. Sigmund Freud explains it classically as phallic stage. The phallic stage is the third stage of psychosexual development, spanning the ages of three to six years, wherein the infant s libido (desire) centers upon his or her genitalia as the erogenous zone. In this case, the child is getting some sort of pleasure in withholding the stools. I know this do not last for days together. When the urge becomes uncontrollable, the child will evacuate it. This is part of the development and there is nothing to worry about it. Just keep advising and motivating your child against doing it frequently. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.