In this lecture, we will discuss toilet
training, encopresis and enuresis.
So let’s start with toilet training.
Toilet training is important
for young children to learn
to control their bowel and
their bladder habits.
Generally, girls achieve
this earlier than boys.
usually comes first,
around two years of age.
However, there’s wide variability
and then later comes bowel control.
It’s generally accomplished by three
to four years of age in children.
So let’s talk about how to engage
a child with potty training.
How do we get then to
learn to use the toilet?
Generally, we’ll start when the child is
emotionally and developmentally ready.
Again, there’s wide variability.
Typically, in poorer families where
diapers are a substantial burden,
this is accomplished earlier.
Basically, we’ll start
toilet training when a child
has the ability to sense their
urge to urinate and defecate.
This can be as early as a year
or as late as three years.
We’ll start when the child has an ability
to tighten their external sphincters.
And when a child has the ability to follow
simple directions and communicate desire.
The most important thing about this is
to make it a very positive experience
with a huge a
emphasis on praise.
It may be that you give,
say, a yogurt-covered raisin
every time they
successfully use the potty.
With boys, sometimes it’s a cool trick
to throw a Cheerio into the toilet
and let them try and
hit the Cheerio.
Ways to get them to be
interested in the experience.
But the important thing is
there should be no punishment
because punishment creates a
negative experience around pottying
and then they won’t
want to do it.
So here’s how we might train the child.
First, let them sit on the potty.
Let the child sit on the
potty without clothes
and make it a very positive experience.
Read them a book, do something fun.
Then, put them on the potty
when they desire to go potty.
When they feel like they have to pee,
say, “Want to go sit on the potty?”
This will become a positive
experience for them.
And immediately when they
successfully go in the potty,
give them praise or small prize
like a yogurt-covered raisin,
give them some attention, give them love,
cheer, sing a song, do
Then, give the child plenty to drink
so that they have lots of episodes and
do it over a really intense weekend.
Take a weekend off as parents and
train that child all weekend long.
You can have success in just a few days.
Sometimes, things go wrong.
This is my daughter.
We were trying to train her,
she was curious, she fell in.
What’s key is you don’t punish
her for jumping into the toilet,
you make it positive.
For me, I took a photo because I
thought it was absolutely hilarious.
But what’s important is that I gave her
lots of love and lots of encouragement
and then she was okay with trying it again.