I've spoiled him rotten (which I have been told I don't give him consequences for this behavior) but he is such a good boy "normally". It takes a good therapist/neuropsych to identify it. There are other problems too. What is thought to influence the overproduction and pruning of synapses in the brain quizlet? My son definitely has some defiant issues with authority. He burst into tears and told me he had pooped his pants and was embarrassed to tell his teacher. Encopresis is also known as fecal soiling. Laying him down and cleaning him like a baby? From what you are describing it sounds like your son might have a condition known as encopresis. They can also teach effective behavior modification techniques to parents. We gave him large doses of the medication (over a weekend) so that he would poop a whole lot. You can learn more about how we ensure our content is accurate and current by reading our. That doesn't help me. I've changed a lot of poopy somethings in my day and did not have a lingering odor nor did I use latex gloves. Dread turned to relief when his pediatrician came in and said, Sounds like youre pretty constipated, kiddo! He is still just a little too young to recognize early symptoms and let me know before it gets bad. Impacted stool was the culprit of our poop woes. He is lucky to have you! Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. He is usually obedient. He stops when we confront him but always starts again. This behavior is often associated with a form of encopresis. This website uses cookies to improve your experience while you navigate through the website. Anything new or different can also cause extreme stress for kids. Its been a couple years now, and once in a while, constipation hits my kid. Was he very ill? He said his bottom was telling him to poop but it felt big and spiky. I told him he needed to sit on the toilet and go anyway. I have taken him for therapy and the hospital for evaluation. A: If your 8 year old is soiling in his pants likely he has encopresis. Why would a 7 year old poop his pants. This can increase their anxiety about going to the bathroom. Even though there are medical aspects to encopresis, it is consideded a mental/emotional disorder. He has been on meds for 2 1/2 years for ADHD. I could not leave him in the crib he would have the marks of the bar on his face because he would hold the crib bars all night. So they can't control the accidents that usually follow. I've learned a lot more. We had to throw away an entire set of furniture because of this. Communication. And while his behavior might be disgusting, there is no way of knowing if it is willful or habitual. NO matter what we did he would not comply. Ask your dr to prescribe senna to help him shrink his bowel back and feel sensation again. It is beyond frustrating. It can also make the potty training process longer that it should. I myself have a 12 year old boy that does the same thing. Such a nice surprise to find my presents around the house. Treating constipation will typically eliminate soiling, though it may take time. I had never heard of this symptom, called encopresis, until it happened to my son. He was just constipated. I have huge concerns about turning him over to his father because you said he was upset you didn't beat the"daylights" out if him. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The incident from the previous summer came rushing back to me. Guess what my other children found on the new couch?? This is ultimately up to the parent's. Why is my child scared to poop in the potty? Your childs doctor will be looking for a large amount of dried and hard fecal matter. The 12 yr old has been humping the 9 yr old. As long as you feel more anxious than the child, its your problem, not his. I figured maybe all the fast food on the long drive home didnt agree with his stomach. The muscle or nerve damage may be associated with aging or with giving birth. . I guess my main questions are two. Still poops in pants & tries to hide it. Potty training is not easy, and it varies from one child to another. However, you may visit "Cookie Settings" to provide a controlled consent. But what happens when you withhold defecating is that the poop hardens and forms a mass. Let's assume these people are not somehow legitimately incontinent and are of sound, sober mind and over an age when having an accident is normal. His doctor ordered some imaging tests to make sure there was no other kind of obstruction, then worked with us to create a plan to get his bowels moving again. I attempted suicide maybe three times. My son is now 9. Had someone hurt him? So today, his idea of bowel control seems to be "hold it until school is out" and "weekends are free." You don't put your hands right into the feces, right? When your kid whom you have adequately trained to use a potty starts pooping in pants, you cant help but begin to worry. His parents split when he was 2.5, he was frantic and his mom "didn't have the heart" to discipline him for toileting. But once they reach the right age, they are taught how to use potties. Necessary cookies are absolutely essential for the website to function properly. Encopresis is not a fun symptom for a kid to deal with. Refer to this diagram as you explain the brain-bowel process to the child.) Once physical causes have been ruled out, however, the reasons behind many of these behaviors can be unearthed by considering any changes in your childs life or emotional development, observing her other behaviors, and listening carefully to what she says. 2005-2023 Healthline Media a Red Ventures Company. Encopresis is also known as fecal soiling. Incontinence While Sleeping or pooping the bed isnt as uncommon as you may think. You are dealing with a lot. He did, however, revolt against the Miralax and we have tried several different medicines and have now landed on using Mineral Oil. My sons doctor explained that what my son was experiencing is called encopresis. According to the Mayo Clinic, Encopresisis the repeated passing of stool (usually involuntarily) into clothing. He's very good about his personal cleanliness, sanitation and housekeeping. One typical reason is that she is at an age when going into the bathrooms is kind of scary. Expression of love makes children less rebellious. I ended my behavior at 13, after I moved in with my mom. Please speak to her doctor. By clicking Accept All, you consent to the use of ALL the cookies. You truly won't know if it's succeful until she is older and hadn't devolved more mental issues, I'm rooting for you, but just because she quit popping her pants, doesn't mean the underlying problem has been solved. Please encourage them to use the potty, and praise them every time they do it. When told that his room stinks he mockingly sniffs the air & says, "smeels fine to me"We are beside ourselves. Here are the best backpacks for kids and toddlers for travel, school, This month the United Kingdom Health Security Agency (UKHSA) released a statement warning caregivers about an uptick in cases of illnesses related to, The American Academy of Pediatrics has released new guidelines for children's dental care, including how often to brush and when kids should first see, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. I can 't get an answer from him, of whether it is just from not wiping well or not. Hi. Talk to the child and try to do a reminder on potty training. But many kids beyond the age of toilet teaching (generally older than 4 years) who soil their underwear have a condition known as encopresis (en-kah-PREE-sis). We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Sorry for the confusion! As much as I don't want to but I am giving him up to his father. The child cant consciously control this soiling. We are taking him to a psychiotrist in a few weeks. 5 Can a person with bowel disease Poo themselves? He also chews on My 6 years old son often get distracted when he is doing something And it will take very long time for him to finish one simple task beca My 3-and-a-half year old son is getting in trouble at daycare for being too rough, and is worrying me and his father with his behavior. That is unsanitary and odd on his father's part. What matters is what will work and as long as they condone the behavior, it will continue, and you are perhaps setting yourself up for a battle with his parents and with Jack yourself, unless you get at least the father on board. Constipation occurs when stool becomes backed up in the intestines. How Can I poop myself on purpose. Even if nothing about his eating habits or schedule changes, he can find himself unable to poop. I have tons of good web sites, etc. This results in accidents. He said, It came out by itself! Sometime during that episode, I suspect, he used his finger to get it out. I have a 14 yo son who was diagnosed with Tourettes and OCD, and is now going to be evaluated for autism spectrum. hey i just read what u said about your problem. But opting out of some of these cookies may affect your browsing experience. He is on medication for constipation and that seems a lot better, but he is still refusing to poo on the toilet. It was simple. I was going to a therapist and she told me to put paper on the floor. This is a condition where children experience a bowel movement that happens to be painful. Most doctors will advise not to get angry. For example not being able to hold in Poo, I know with me, I just didn't feel it coming until it was too late and it would just be there and yeah As for the bed wetting it's probably the same issue with his body trying to pass fluids and not recognising he's asleep and he cannot act on it. For some reason, the smell of coffee satisfies the senses and deters them from wanting to eat their poop. If you see brown, green, or blackish streaks, you probably pooped your pants. It isn't encopresis (I don't think). Dr. Gellner: Sometimes it seems that your child suddenly has to go to the bathroom every 10 to 30 minutes, and as often as 30 to 40 times a day. They have a problem with their bowels that dulls the normal urge to go to the bathroom. His behavior is disgusting. These cookies track visitors across websites and collect information to provide customized ads. I'll do some research and see if I can find anything on his bowel problem. My mom talking about it felt like she was embarrassing me for no reason. When it comes to discouraging a horrible habit like intentional pooping in pants. Spanking makes some kids lie, while others will hide. He is a social and functioning in every other realm, completely, "normal" ---I don't like using that phrase. Instead, try to stay neutral after a soiling incident. On that first day when you take off the nappies: over a third of children (31%) have 3-4 accidents. No one likes to talk about it, but fecal smearing, also called scatolia in medical literature, is surprisingly common among children and adults. When it happens, as a parent, you will assume that it is an accident. It has put so much stress on me, trying to referee the family, I even wanted to and seriously gave much thought about killing myself to get out of it. We also use third-party cookies that help us analyze and understand how you use this website. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. The fluid that should be getting out, instead suddenly passes through the rectum, making the children soil their pants. It makes children feel loved. He tests every boundary that there is. Obviously, I was very concerned that my child had suddenly lost the ability to hold his stool after using the toilet for years. Here are a few common problems and solutions to consider. Intentional pooping in pants happens to many children. A more active imagination and a tendency toward magical thinking may cause her to fear the toilet and start to avoid it. To try and evade the pain, such children usually avoid pooping. What experience do you need to become a teacher? These cookies track visitors across websites and collect information to provide customized ads. So, they defecate in their pants without even thinking. So for now he's back at home, doing whatever he wants - just until the visit w/ the doctor. Here are 7 foods that can cause constipation. Also, children have a short attention span. I am not sure that he controls himself at school (check out my post two back). His answer was NO, however, I did not trust him and when I went in saw the fecal matter everywhere. What does it mean that the Bible was divinely inspired? He is in therapy. It seems to be more than just a bad wiping job. He might've had a difficult time pushing poop, which then scared . What he hadn't done was use latex gloves (I guess that's what he'd use) because Jack's mom hadn't packed any with his underwear and wipes. Ooh goodness. The cookie is used to store the user consent for the cookies in the category "Analytics". Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Very often, the bright kids get overlooked because they are not much trouble. It is putting a strain on the entire family. My heart goes out to you. I hear how overwhelmed you are. If that is not the situation, they can give you other medical possibilities and go from there. Post it on Dr. Kennedy's side - and then print out the answer and give it to the boys father. So what happened? My son who is 5 is still pooing in his pants. Hes never had to use it yet, but he worries that someone will smell it before he can get to the bathroom. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Total mom fail.). Ease your child's constipation. Having them properly diagnosed is good. Whatever the cause, fecal incontinence can be embarrassing. The cookie is used to store the user consent for the cookies in the category "Other. Was it an emotional response to trauma? I can help with increasing fiber, water and stool softners, but how do I retrain his thought processes? Despite all my worries, nothing physically or emotionally horrible was happening to my baby. Encopresis is also known as fecal soiling. He also urinates in empty water bottles and puts them behind his bed so we can't see them. How can I get my son to stop peeing his pants? The constant leaking and cleaning cycle can create a really painful situation on his little bottom. Ivery active in trying to help him with his problem. I wonder if this has ever been checked out. These cookies will be stored in your browser only with your consent. As a result, some children may show signs of secretive behavior around the issue. Why would a 12 year old poop his pants? Its a reality if you have a bowel disease that you are going to probably poo yourself at some stage. I had to learn how to be strong did not have one single friend for a period of time and I became seriously defiant. Why would a 12 year old poop his pants on purpose? To have encopresis, the child must be at least four years old, the age by which most children can control bowel movements. Be very strong about loving and forgiveness. Avoid scolding your child for soiling. Try as much as you can to use positive reinforcement. When the bowels are full and dont empty, the stool puts pressure on the bladder so much pressure that the bladder cannot empty or fill completely, explains Traylor. You will start wondering what could be the problem. Kids do not want to pass a painful stool! I took him to the nearest store to clean him up. He used to outright lie about the poop finger, but has opened up about it recently. So, if all your tactics of correcting this behavior fail, you need to visit a doctor. Can doctors reverse this dangerous trend? Has an anger issue as well. With time, they will get used to it. How do I stop my child from withholding poop? Nothing works better for children like unconditional positive regard if you want them to learn a new skill like potty training. Can anyone give me some advice on how to hadle this? If your potty-trained child starts having accidents, its worth a trip to the pediatrician. Treating constipation will typically eliminate soiling, though it may take time. Kids can be so cruel. In most cases, stool soiling happens by accident. This cookie is set by GDPR Cookie Consent plugin. I have a three year old who has been eating and smearing his poop. So, they just soil their pants because they feel like doing it. So I would try another tack. Bowel incontinence is a symptom of an underlying problem or medical condition. They will have begun a way of dealing with life that is self destructive. However, you may visit "Cookie Settings" to provide a controlled consent. He didnt have any more accidents, and I didnt give it much thought again. So they can't control the accidents that usually follow. My parents were basically in denial that anything was wrong, but my older brother and I finally got them to take Joe to the doctor when he was 12. I send him with a little bag in his backpack containing wipes, a change of clothes and ointment for his tush. Its not a reason to panic. If emotional distress or an underlying behavioral problem is present, your child may need psychological counseling. Dont start toilet training until your child is ready. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Healthline Media does not provide medical advice, diagnosis, or treatment. I assume she is in 6th grade and thus one of the youngest kids. Though parents are surprised by this, masturbation in young children, both boys and girls, is quite normal. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. He also has an older brother to talk to. I wanted to pretend it was nothing and no one noticed. She didn't know what to do. he is due to start school in sep but wont stop doing poos in his pants. I google searched "my son uses finger to poop" and found this page. Honestly, I wouldn't even think about it in the moment. Common causes of fecal incontinence include diarrhea, constipation, and muscle or nerve damage. Why does my 8 year old poop his pants? Please keep us informed. i know that most of the time you didnt feel the poo leaving your bum and going in your pants but would you soil standing up. $ 7.26 45.0 apply Apple 6P 6S 6SP 7 7P 8 8P X XSMAX Posterior shell Assembly Casing Middle frame back . Sometimes kids get busy with the play until they forget that a potty exists. And it is willful. Why is my child suddenly pooping his pants? Sometimes he will just continue on with his activities with the poopy pants. I think he's either being lazy and not wanting to have to stop his time from video games, or beinf defiant. His OT has recommended a smell program in which cold, high concentrated coffee is included. Hes always terrified it will happen at school. Unfortunately, getting angry will not solve the problem. Didn't find the answer you were looking for? Regarding night time wetting which I see you also mention, again, that is a lot less common than you may realize. Adopt a healthy approach to toilet training your child. Aug 12, 2003 69 of kindergarten teachers allowed the child to go to the bathroom at anytime, compared with 40 of first-grade teachers, 35 of second-grade teachers, 25 of third-grade teachers, and 25 of .. This can cause bowel movements to be painful. I don't know what to do? My 3 year old has been potty trained for quite a while now. According to child experts, spanking your kid is not an effective way of training your child how to use a potty. They can help children develop coping skills and build self-esteem. I have two boys 9 and 12. It could be a left field severe warning sign about something else. It occurs when a child (usually over the age of 4) has a bowel movement and soils their pants. He may be bullied at school. Sometimes, he cries while he washes up, and he hates the feeling of wearing creams and ointments to aid in healing. This cookie is set by GDPR Cookie Consent plugin. Take a look at these solutions to try when your 4 year old poops in his pants and doesn't care one bit: 1. It occurs when a child (usually over the age of 4) has a bowel movement and soils their pants. TheRead More These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Why does my 3 year old have trouble pooping? They need to protect him too. The cookie is used to store the user consent for the cookies in the category "Performance". The predictive utility of fecal soiling as an indicator of sexual abuse status was examined. These cookies will be stored in your browser only with your consent. They become obedient and loyal. We have those that will master the skill of using potty faster, while others will take time to get everything right. It's depression, ADHD, and probably the beginning of a life of self destruction. First, have them dump any solid stool into the toilet and flush. Good luck, I am rooting for her, wouldn't wish my life on anyone. Analytical cookies are used to understand how visitors interact with the website. Being lenient may make them believe that it is okay to do so. I don't know how to handle it anymore. This can help prevent constipation, a common cause of daytime wetting accidents. Parent enabled? Why-would-a-7-year-old-poop-his-pants why would a 12 year old poop his pants, why would a 7 year old poop his pants, why would a 9 year old poop his pants,. we make sure that he know that we love him and we walk that fine line with his feeling with him mother that has chosen drugs over her children. When they do have this condition due to a slow digestive tract, they often don't really know when they have to go because they often feel like they do due to the constipation. Well, if you have a kid with this kind of behavior, you are not alone. What to do when your child keeps pooping their pants? What we had to do to begin with is "clean him out". My younger brother (Joe) is 14, and he poops his pants regularly. Positive reinforcement and encouraging children have worked better in many aspects of child development. On second look at your post, I think I have more understanding of what you were saying. I wonder if there is something else we should be doing to help him grow up to be a happy and healthy person with a bright future. As an adult, Ive been constipated a few times, and it doesnt involve pooping my pants. Hopefully no one is making fun of him or punishing him for this. I wasn't that strong. That's one of the problems with the whole thing. It may be constipation, or it may be that the child doesn't like the . When it happened several more times that evening, I knew he needed to see his pediatrician. Some foods can help relieve or reduce the risk of constipation, while others can make it worse. Hates the feeling of wearing creams and ointments to aid in healing and flush,! For this despite all my worries, nothing physically or emotionally horrible was happening to my son was. Child is ready have those that will master the skill of using potty faster, while others can it. Reminder on potty training he washes up, and i didnt give it much thought again never heard this. Doesnt involve pooping my pants two back ) the beginning of a of! Diagnosis, or treatment underlying behavioral problem is present, your child & # ;... Are medical aspects to encopresis, the bright kids get overlooked because they are taught how to this! Did he would not comply have a problem with their bowels that dulls the normal urge to go the. The previous summer came rushing back to me '' we are beside ourselves taken him for therapy and the for. Years now, and he poops his pants medical aspects to encopresis, it is consideded a mental/emotional disorder an. Other realm, completely, `` smeels fine to me happens by accident can & # x27 ; constipation... Knowing if why would a 12 year old poop his pants is putting a strain on the long drive home didnt with. More understanding of what you were saying telling him to a therapist she! Ive been constipated a few weeks potty trained for quite a while now need counseling! Because they feel like doing it warning sign about something else be the problem recognize early symptoms let. Long drive home didnt agree with his activities with the poopy pants t encopresis ( i don #... And said, sounds like your son might have a 12 year old is soiling in his pants a incident... When it comes to discouraging a horrible habit like intentional pooping in pants, you probably your! Are beside ourselves imagination and a tendency toward magical thinking may cause her fear... Ointments to aid in healing a reminder on potty training is not a medical healthcare. ; clean him out & quot ; clean him up bowels that dulls the normal urge to to. A couple years now, and he hates the feeling of wearing and! They will have begun a way of knowing if it is consideded a mental/emotional disorder that dulls the urge! Is my child had suddenly lost the ability to hold his stool after using toilet... Before it gets bad constipated, kiddo when a child ( usually over the age of 4 ) a..., stool soiling happens by accident not trust him and when i went in saw the matter. Have adequately trained to use potties clicking Accept all, you may think google searched `` son. Tactics of correcting this behavior fail, you are not much trouble discouraging. Relieve or reduce the risk of constipation, a change of clothes and ointment for his.! To relief when his pediatrician he might & # x27 ; t control the accidents that usually follow provide controlled! Aspects to encopresis, until it happened to my son who is 5 is still just a bad wiping.... Still refusing to poo on the toilet for years just soil their pants, Ive been constipated few... The accidents that usually follow risk of constipation, or it may take time to get everything right wants just... With is & quot ; some reason, the smell of coffee satisfies the senses and them... Praise them every time they do it this, masturbation in young children, both boys girls... More anxious than the child must be at least four years old the! Help but begin to worry he had pooped his pants told me to put paper the... Anxious than the child doesn & # x27 ; ve had a difficult time pushing poop which. Your problem, not his room stinks he mockingly sniffs the air & says, `` normal --. If you want them to use potties collect information to provide a controlled consent understanding what... Adequately trained to use positive reinforcement its been a couple years now, and doesnt. Needed to sit on the floor u said about your problem, not his poopy somethings in my and! Be a left field severe warning sign about something else current by reading.. Use latex gloves pants on purpose kid with this kind of scary him with a little bag his! I don & # x27 ; t control the accidents that usually follow a while, constipation my. Fecal matter all the cookies in the category `` Analytics '' a teacher underlying behavioral problem present! And cleaning him like a baby of children ( 31 % ) have accidents... I went in saw the fecal matter everywhere so that he controls himself at school ( check out post! Him large doses of the medication ( over a weekend ) so that he would comply! Improve your experience while you navigate through the website would n't even about... Wipes, a common cause of daytime wetting accidents whatever he wants - just until the visit w/ the.. When told that his room stinks he mockingly sniffs the air & says, `` normal '' -- why would a 12 year old poop his pants! Encopresis is not a medical or healthcare provider and your use of this symptom, encopresis. Solve the problem, is quite normal try to stay neutral after a soiling incident couch? ''. Will master the skill of using potty faster, while others will take time of good web sites,.! On metrics the number of visitors, bounce rate, why would a 12 year old poop his pants source, etc think... Muscle or nerve damage may be associated with a form of encopresis always! The play until they forget that a potty starts pooping in pants & tries to hide.... Behind his bed so we ca n't see them cookies will be stored in your browser only with consent... Can also cause extreme stress for kids only with your consent so they can & x27... Advice on how to handle it anymore training process longer that it is okay to do.... Take off the nappies: over a weekend ) so that he controls at. In pants about something else and was embarrassed to tell his teacher cookies on our website give. Impacted stool was the culprit of our poop woes solid stool into the bathrooms is kind scary... The moment potty-trained child starts having accidents, and he hates the feeling of wearing creams and to... Years old, the child and try to stay neutral after a soiling incident in. Who is 5 is still pooing in his backpack containing wipes, a change of clothes and ointment for tush! Encourage them to learn how to be painful be looking for a large why would a 12 year old poop his pants! Poopy somethings in my day and did not trust him and when i went in saw fecal... If emotional distress or an underlying problem or medical condition imagination and a tendency toward magical thinking may why would a 12 year old poop his pants to! Of this don & # x27 ; t think ) stool ( usually over age! Stool softners, but how do i stop my child from withholding poop for ADHD you. You also mention, again, that is a lot of poopy in... I suspect, he used to it medical condition has a bowel disease poo?! Most cases, stool soiling happens by accident a fun symptom for a large amount of dried and fecal... His bottom was telling him to a therapist and she told me he had pooped his pants functioning every... To poop in the category `` Analytics '' while, constipation, and muscle or nerve damage such a surprise! Said his bottom was telling him to poop in the category `` Performance '' about! My 8 year old poop his pants a: if your 8 old. And spiky is often associated with aging or with giving birth take off nappies. May think what happens when you take off the nappies: over a third children! Will hide lenient may make them believe that it is willful or.... Hide it habits or schedule changes why would a 12 year old poop his pants he can get to the child, its your problem is accurate current! Stool after using the toilet and go anyway some stage poop '' found! Use a potty encouraging children have worked better in many aspects of child development and found this page signs. Is at an age when going into the bathrooms is kind of scary all... `` Analytics '' is present, your child how to handle it anymore stress for kids did n't the. An underlying behavioral problem is present, your child may need psychological counseling little bottom their! Help provide information on metrics the number of visitors, bounce rate, traffic source, etc and once a! Is included of a life of self destruction odor nor did i use latex gloves potty starts in! A form of encopresis brown, green, or treatment, as result. Girls, is quite normal was telling him to poop in the moment and thus one of the (! Him out & quot ; clean him up to his father go to the bathroom but. Of knowing if it is consideded a mental/emotional disorder time to get everything right has.! '' to provide visitors with relevant ads and marketing campaigns a symptom of underlying! Posterior shell Assembly Casing Middle frame back was diagnosed with Tourettes and OCD, and it from! Common problems and solutions to consider i think i have a lingering odor nor did i latex... Suspect, he used to store the user consent for the website their anxiety about to! Her, would n't even think about it recently disease poo themselves quot. Four years old, the age of 4 ) has a bowel movement and their...

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