My nearly 3 year old started withholding about 4 months ago. He's been potty trained for about 10 months and this was initiated by him and we had no problems. He was always very regular with his poos but preferred to go at home. A while back we were out of the house a couple of days in a row and so he held it in. Then when he finally went it was a very painful constipated accident. This must have been quite painful for him as ever since he's been withholding every few days.
It's now got to the point where he goes 2-5 days without a poo. Every day that he's holding it he gets more and more uncomfortable, irritable and doesn't want to run around or even walk sometimes. It's obviously so uncomfortable. When the poos do come they're soft looking and there is a lot there. I'm worried it might be overflow and he's backed up more but I'm not sure how to tell. Often on a poo day he will go a few times in the day. The difference in his behaviour and happiness are incredible after a poo! It's like our old happy little boy returns.
In worse episodes he's had poo accidents where it seems like it's leaking. He's also woken up a few times in the night really distressed and we've taken him to the toilet and he's had quite a long and uncomfortable sounding poo.
We've really been working on his diet and talking to him about it. It seems to be more psychological than physical now. Sometimes you can see him shifting around trying to keep the poo in. I think we've been making it into a huge issue for him though so I don't know if we should talk about it less. In the past rewards (a kinder egg for a poo) and sitting with the iPad have helped. I'm not sure if any of these are very good for him though and they don't seem to really work now anyway.
We have a doctors appointment in a couple of days. I want to know what to ask him, what's relavemt to tell him and what has worked for others? Also what will the doctor do? I don't want to freak him out - any tips on how to explain the appointment to him?
Any help would be so so so much appreciated. I feel so sad and stressed out about this and I just want him to be happy and carefree again x