Bowl Trouble with a four year old

Patient

Q: I have a 4 year old boy, he will be 5 in September. He has been potty trained as far as going pee in the toilet for about a year and a half. how everwe are unable to get him to go poo in the toilet. He says that he does not know when he needs to go. When he does mess his pants it is only poo and it is not wet from pee. Which leads me to beleive he is not straining or pushing using his muscles to go. Is it possible that he could have a spastic bowl or something that is causing him to really not know when he needs to go poo?

Doctor

A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

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