How can you differentiate between soiling due to constipation or if your child just pooing themselves.
I posted the other day about increasing dosage & behaviour (post - here we go again)
I’ve upped the dose and she’s passed some “proper” poos but we’ve also had soiling. Not the hard gritty bits or a bit of leaking but bigger accidents.
She’s won’t tell us when she’s soiled, and when I ask her when it happened she has a melt down. It’s only recently she’s been leaving it and not telling us or not getting herself cleaned up. I’m now starting to wonder if the soiling is from the constipation (although soiling has happened after proper poos)or if it’s habit. (I know sensation can be lost but soiling is at its worst at the moment.)
We’ve tried reward charts, toilet time (which is a battle) we’ve talked to her and explained about toilet time, self care etc. (She’s 5 1/2)