The poop is probably coming out too fast because she is holding it in for a long time until she no longer can. Stool withholding is a common problem seen in toddlers. I am also wondering if he is starting to masturbate and he eliminates during this excitement. Sometimes, liquid stool leaks around the hard mass and winds up on underwear. I have a lot to say in it. Fear of toilets is known as ‘toilet phobia’. Learning to use the toilet will not look the same for each child. Often this can occur when a child has constipation and is experiencing pain when passing stool. And good luck with your kids. You can also read this article on creating body awareness – https://autismawarenesscentre.com/interoception-and-autism-body-awareness-challenges-for-those-with-asd/ of visit Kelly Mahler’s resource page for more ideas. These problems typically resolve with time, although some may require further investigation and treatment. I believe this why our son was picking – because of the itch and by removing some fecal matter, he could relieve some pressure which allowed him to continue to hold in his stool. Magnesium citrate can also help with bowel movements, but please read this information about it carefully – https://www.drugs.com/mtm/magnesium-citrate.html . I sometimes keep an asd seven yr old girl with toilet issues. Sometimes she’ll also say it’s too hard and hurts her. She replied, “OK” and the process was done in one day. How did you work with the school regarding your son’s issue? Continued. I do not know of any training courses on this topic. Her doctor prescribed a bed wetting alarm but I’m not sure if we will have success with it. Sometimes toilet training children with autism spectrum disorder (ASD) is associated with other behaviour problems, like being afraid of the toilet, going in places other than the toilet, filling the toilet with paper and other materials, continually flushing the toilet, smearing poo on the wall and other places, and refusing to poo. It was just easier to give in and go back to using Pull-Ups. Yes, a high fiber diet will also help with bowel movements, but expanding a diet can be very difficult for individuals with ASD. When she was 6, I told her if she went to the bathroom in the toilet, she could have some Smarties. We have a gastro appt next month, but any other tips for just helping him relax and at least go in his pull up? This can be combined with a stool softener or similar treatment to help achieve success. Emily may have had a genuine fear of toilets which led to her stool withholding behaviour. He just won't go and it's making his autism worse if that makes sense, loads of head banging, not cooperating, loads of echolalia, it's heartbreaking to see as he had a lovely summer and made loads of progress. At 2 years age, he started standing and pooping in diapers wherever he was. When a child withholds their stool, it becomes harder in consistency as the days go on leading to constipation. But it stopped him withholding and made it more routine. Despite endless Google searches and countless calls to her pediatrician, none of the recommendations produced the desired results. This is a misunderstood behavior and one that tends to be the most upsetting. by Shawn (Connecticut) My child won't poop. Thank you for the information. I am definitely going to listen to your suggestions. To date, studies show that 1 in 68 children are diagnosed with autism. I always gave up with the training the third week into it because I couldn’t handle the daily clean up. He sees a gastro specialist that says continue with balloons etc but it has been 4 months and he still can’t poop it out, unless I give him the micro lax enema, You may want to take my toilet training webinar for more ideas as you have a complex problem here – https://autismawarenesscentre.com/shop/webinar/teaching-toileting-to-individuals-with-asd-webinar/ This is also an excellent book to consult if you are having toileting difficulties – https://autismawarenesscentre.com/shop/life-skills/skills-for-independence/toilet-training-and-the-autism-spectrum-asd-a-guide-for-professionals/, Thank you so much, Maureen, i willl read the article you spotted. DS is 3 and recently diagnosed as autistic. The act of blowing relaxes the diaphragm and can help with releasing bowels and bladder. Also – understanding the need to go to the bathroom has to with interoception. 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