Change in toilet environment – such as new or undesirable school toilets, or being told to hold on when they feel the urge to go (typically at school).Holding on further hardens the poo, and makes the next bowel movement even more painful. Holding-on behaviour – a child may begin to ‘hold on’ after a painful or frightening experience, such as doing a hard poo when they have anal fissures.Toilet time should be set aside three times a day, every day, to allow for regular, undisturbed visits to the toilet. Many young children are too busy playing and put off going to the toilet. Bowel habits – such as ignoring the urge to have a poo.Natural tendency – some children have slow gut movement, which causes constipation.In most cases of constipation in children, no serious cause is found. Medically, soiling is called ‘encopresis’ or ‘faecal incontinence’. The poo can then pass into your child's pants, without them feeling it. Your child may not get the urge to go to the toilet because the rectum always feels stretched. This happens if your child's rectum (bottom) is full of poo for a long time and it becomes stretched. Long-term constipation can cause your child to soil themselves (do a poo or large smears in their pants). If your child is constipated, they might look more bloated than usual, and you may even be able to feel hard lumps of poo if you press gently on their tummy.
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