Although toilet training given to children can be easily handled naturally, it can be challenging in some cases:
Enuresis (Bedwetting): After the age of 5, from the first day the child is born. If he/she could not stop bedwetting, this problem is called primary enuresis. Secondary type enuresis: It is the type in which the child achieves urinary control after a certain age and then goes backwards in toilet training due to a sudden psychological reason (birth of a new sibling, changing school or some fears, etc.). While in the primary type, reasons such as genetic predisposition and lack of adequate toilet training are active in the child, in the secondary type, there are psychological conditions due to more temporary reasons. You should have your child examined by urology and pediatric neurology to make sure that your child has the type of primary bedwetting, which cannot be controlled from birth until the age of 5, and as a result, you should make sure that it is not caused by any anatomical or physiological problem. In the next period, if your child has accidents at night, day or both times, you should monitor the toilet.
You can try the following techniques for both types of bedwetting problems:
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You should take your child to the toilet every 1 or 1.5 hours, depending on the situation, in order to prevent your child from skipping toilet time due to urinary incontinence during the day. In fact, to make this exercise more fun, you can organize a table on his behalf, put signs such as sun (when the bed is dry), rainy cloud (when the bedwetting occurs) on the table depending on the accidents, and make little surprises that will motivate him as the sun increases.
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In cases of bedwetting, it is an effective method to reduce fluid intake 1 hour before bedtime and to go to the toilet before going to bed.
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You can also apply the "90+180 min" technique for bedwetting problem at night. According to this technique, the child should be woken up 1.5 hours after falling asleep (it is important for this technique that your child wakes up completely, not a sleep-walking wake-up), and 3 hours after falling asleep, go to the toilet again at night. should be produced. For example; A child who falls asleep at 21 pm should be woken up at 22:30 and after falling asleep again, he should wake up at 1:30 at night. You can then end the night without waking the child. When you apply this technique every night without exception for about 20 days, a bio-rhythmic clock will be created for your child, so he will wake up spontaneously in the following days and accidents will not occur.
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The child should never be diapered while applying these techniques (with this assurance, again A mattress pad that does not leak or a sheet that does not leak liquid can be used without the child's knowledge.
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In the secondary type, that is, the bedwetting problem that develops later, you should notice the situations that stress the child and talk to your child about these issues. It would be appropriate to talk to him, empathize with him and if these are not enough, get help from a child psychologist.
Encopresis (Fecal Incontinence): After the age of 5, if the child has not been able to control stool since the first day of birth, this problem is called primary encopresis. Secondary type encopresis: It is the type in which the child achieves stool control after a certain age and then goes backwards in toilet training due to a psychological reason that develops suddenly (such as neglect, abuse, exposure to strict disciplined approaches, obsessive compulsive disorder, attention deficit hyperactivity disorder).
Again, in this case, the child should undergo the necessary examinations to make sure that he or she has an encopresis problem, and it should be known that it is not due to a physical cause (insufficient fluid intake, irregular nutrition, digestive system disorders, etc.).
We have listed below what you can do for your child regarding encopresis;
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Poop If the incontinence problem is not a physical condition, it is more related to your child's emotional state. Especially emotions such as anger and jealousy push the child to fecal incontinence. You should review the situations that will make him angry and cause him to behave passive aggressively in this way (if you are making punitive approaches to your child with a strict authority or if your child is constantly frustrated in some way).
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Sometimes chaotic home environments can also push the child to this behavior. Home environments where constant domestic conflicts are intense and the rules and boundaries of the house are unclear may also cause this problem.
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Such problems are also common in children who are neglected or abused. How much quality time you spend with your child or whether your child has been exposed to abuse (sexual or physical) is also a determining factor in this problem.
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This problem is also seen in children with obsessive-compulsive disorder. Pay attention to what your child is constantly tripping over.
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In attention deficit and hyperactivity disorder, children may sometimes delay going to the toilet because they act spontaneously and impulsively. Stay tuned; You may need to remind him/her for a while.
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You can use the motivation table we mentioned about the enuresis problem here and get positive results.
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Taking your child to the toilet within 2-2.5 hours is a practice that will prevent accidents.
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While applying these techniques, the child should definitely not be diapered (with this assurance, he/she will put it in diapers again) and use a mattress pad that does not leak without his/her knowledge. or a liquid-proof sheet can be used.
Constipation:
In this section, we will discuss constipation in children from a psychological perspective rather than physical causes. If there is no problem during the physical examination, your child may be expressing emotional distress through constipation.
During the preschool period, a child's defecation is perceived as breaking off a piece of his/her body, losing it. This can be scary and upsetting at the same time. The toilet bowl can be perceived as a large, dangerous place where you can fall into it. Although it may seem like unnecessary fears to us, what the child experiences is often a real panic and makes defecation difficult. Changes in defecation frequency and constipation may occur. This is a natural process that should not be perceived as a problem. It is expected to end with the child growing up and gaining spiritual maturity.
There are things that families can do to deal with constipation. We have listed the methods below; Insistent attitudes exhibited by parents, overly meticulous, clean parenting model, frequently punishing, authoritarian, tense adults being in close contact with the child, etc.) may cause the problem of constipation. If you are engaging in this type of behavior, remember that this issue is entirely your child's business and that you should keep your calm when he gives signals that his poop is coming. Avoid forcing, panicking, or exaggerating reactions or rewarding him when he poops. Maybe your child thinks that he/she attracts your attention in this way and is trying to use this situation to his advantage.
If your child is too inactive, this may be a reason that increases constipation. You can encourage your child to spend more time outside, have him do regular sports, or support his physical development with indoor games.
Pay attention to your child's diet. Excessive solid foods, ready-made foods, foods devoid of fiber and lack of water consumption can also fuel this problem.
If the stool that has not been passed for more than 2-3 days worries you very much, consult a pediatrician for constipation relief. You can use medications, but never interfere with your child with enema or suppository-like medications, as this will exacerbate this problem.
Make sure your child does not experience any tearing or irritation in his butt during the constipation process. This will cause constipation to continue.
The child should never wear a diaper in case of constipation problem. Even though some families continue to use diapers, thinking "at least they are doing it for their diapers", this attitude will increase the problem. It would be appropriate to take it to the duck or to the toilet. Even though the child objected that the toilet was not available, he said to her: “You know, you are having trouble using the toilet these days, so I arranged the toilet hours for you. You can approach this by saying "You don't have to go to the toilet, but I want you to wait a bit", very If he/she has difficulty or objects, the practice can be stopped.
Scolding or belittling your child during this process can reduce your child's self-confidence and make him/her feel bad about toilet training. When he succeeds, make him feel it and show him that you are proud. Keep your cool throughout this process and always be consistent. The most important thing is to be patient, wait until your child is ready for this job, and give them your loving help. Remember that this is a natural process.
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