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Tag: potty training

Starting Potty Training

Ready to start potty training your child? Are you unsure of where to begin? Do you feel hesitant to jump in without more information? Here are 6 ideas to do before you start the process of potty training. 

#1 READ! 

A great introduction to potty training for your child is to read books to increase the child’s understanding of what potty training means! There are numerous books available for your child’s understanding featuring their favorite TV characters, book characters, and many more. Some examples include A Potty For Me by Karen Katz, The Potty Book (one for boys and one for girls) by Alyssa Satin Capucilli, and Potty by Leslie Patricelli.

#2 BATHROOM SET UP

Next, make sure your little one’s feet are stable. Putting feet on a stable, flat surface, like a step stool, puts their pelvis in a perfect position to make going potty easier for the GI system.  It also helps kids feel safe and stable enough to relax and let things flow.

#3 EXPLORE THE BATHROOM 

Encourage diaper changing in the bathroom to help kids begin to associate that potty stuff happens in the bathroom, making the transition to the toilet easier!

#4 DRESSING

Have your child practice pulling pants and underpants up and down so they feel confident to remove clothing when an urgent need arises. Dress your child in easy to manipulate clothing so they can quickly undress themselves. 

#5 UNDERSTANDING SENSORY

If your child is sensitive to sights, sounds, or smells, the bathroom may be overwhelming. Remove any unnecessary visual distractions like excessive toys, decorations, or toiletry items that may clutter the room. Limit the use of air fresheners, scented soaps, or perfume. Reduce sounds by closing the doors and windows. If possible, dedicate one bathroom to use for potty training. 

#6 MAKE A ROUTINE

It a great idea to have a daily schedule and routine for how often your child should go to the bathroom.  You can make a routine with steps the child needs to perform. A visual schedule of all the steps a child needs to complete can help them visualize what is next and reduce anxiety since they will know the expectations. 

Example Routine: signal to use the bathroom, goes to the bathroom, pulls down clothes, sits on the toilet, urinates or defecates, grabs toilet paper, wipe, flush, pull up clothes, wash and dry hands, leave the bathroom. 

Toilet training is a complex task to master! When your child understands what is expected of them during the potty training process, your child will feel confident. If you have attempted to potty train your child several times in the past and you feel like you have hit a roadblock, BDI Playhouse offers free screenings with an occupational therapist to provide additional strategies and interventions to assist with potty training. 

Written By: Megan Wilkison, Occupational Therapist

Potty Training Problems? 5 Strategies to Help your Child Avoid Bladder or Bowel “Accidents” 

Is your child still having potty training problems? Bowel and bladder accidents that persist after training or make potty training difficult, could have an underlying cause.

Researchers have found that 40-60% of children complete toilet training by the age of 3 and 25% of 5 year old children experience day or night accidents. Experiencing “accidents” in potty-trained kids is not a normal part of development. Constipation, discomfort with restrooms at schools, poor diet, and lack of exercise are some of the most common reasons a child can experience bladder or bowel accidents. 

Diet: Constipation can be one of the causes of bladder/bowel accidents. It is important for children of all ages to maintain a balanced diet. Fiber intake and enough fluid are important to help with bowel movements. To determine the appropriate amount of fiber a child should consume is to add the child’s age plus 5. For example, a child that is 4 years old should be consuming an average of 9 grams of fiber daily. Remember to increase fiber intake gradually and never increase fiber intake without increasing fluid intake. Picky eating can impact children’s ability to consume enough fiber and fluids.

Posture: The position children assume on the potty is also very important to help the appropriate muscles relax to make peeing and pooping successful. Make sure your child uses a stool to support his feet. Their knees should be slightly higher than their hips and the child should lean forward with their arms rested on their knees. Encourage your child to say “shhh” or “grr” instead of straining. This will help to relax potty muscles. 

Exercise: Children with poor postural and breathing control have increased chances of having “accidents”. Exercising helps to increase the strength of muscles responsible for posture and breathing. Some exercises that can be done to strengthen these muscles are: frog jumps, sit-ups, squats, diaphragm breathing and breathing into a straw. 

Voiding schedule: On average, a child that is 1-2 years old voids urine every two hours. At age 12, voiding is 5-7 times per day. Children should have a bowel movement at least every other day, depending on what he/she eats. Parents can keep a log to determine the frequency of voiding during the day. Record the number of Bristol Stool Scale, if there was pain with poop, and the number of daytime and/or nighttime accidents. Using a schedule helps to track progress, motivates the child, and increases communication between parents and children. 

Colon Massage: Colon massage helps to stimulate the gastrocolic reflex. Children who have constipation may have a delayed response to this reflex. The best time to perform colon massage is a few minutes after a meal, ideally at the same time every day. Colon massage is performed in the direction the poop moves in the colon. Start by having your child lay down, place your fingers in the right lower abdomen, and apply firm pressure (NO pushing down). Then move your fingers upward toward the ribcage, towards the left side, and downward to left lower abdomen. You can repeat this movement 10-15 times.  

If your child continues to have bowel/bladder accidents after trying these strategies, therapists at BDI Playhouse In Orland Park and Naperville, IL are here to help your child and family have an accident-free day and night. 

Reference:

Hodges, S.J. It’s no accident: Breakthrough solutions to your child’s wetting, constipation, UTI’s, and other potty problems. 2012. Lyons Press; Guilford, Connecticut.