Stool Holding Page 3

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ups, but don't let him wear them all day. Keep him in loose-fitting underwear so that he has to decide
each time he has an urge to pass a BM whether to use the toilet or to come to you for a diaper. To help
him make the right choice, offer major incentives, such as a trip to a favorite restaurant or toy store, for
BMs in the toilet. Offer minor incentives, such as candy, for BMs in the diaper. (Note: Keeping your
child in underwear also give him an incentive to maintain bladder control and stay dry.)
Help your child change his clothes if he soils himself. Don't ignore soiling. Your main role in
this treatment program is to enforce the rule that "people can't walk around with messy pants." Your child
will probably need your help with cleanup, but keep him involved. Make changing underpants a neutral,
quick interaction. If your child refuses to let you change him, ground him or put him in time-out until he
is ready.
Call our office during regular hours if:
• You think your child's bowels are blocked
• Your child's bowel movements continue to hurt
• You have other questions or concerns

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