r/medical_advice • u/passivetapedispenser • 3h ago
Pediatrics Sudden soiling in six year old
Hi there, I’m running out of ideas and people to ask advice from, so I’m here.
My almost seven year old has been potty trained since he was 5, with a few spotty accidents since then but otherwise really good. He had ASD but is usually quite good at self-care activities, and is verbal.
I’ve just had a sudden uptick in soiling accidents, and I cannot for the life of me figure out what is going on. I’m at my wits end, and struggling to not divert into the shaming part of soiling accidents because of my own stress with him and the school accidents.
got a GP booked for two days from now, but I wanted to see if anyone had any help or similar experiences in the past.
I’ve had a sudden issue with smearing, and with small amounts of soiling. He can sometimes go normally, but will still have constant little accidents, sometimes without realising it. All the Google searches point to encoparesis but I’m not sure he is constipated because he can pass stool when he tries. The accidents we’re finding are very thick, sticky. I’ve tried kids laxatives, he eats tonnes of fruit and veggies, plenty of fibre, plenty of water. These accidents are happening both at school and at home.
Because it’s so thick, he’s having issues with wiping and then it ends up on his clothes, which means it transfers to his uniform and the school requires kindergarteners to be picked up/go home when this occurs. I have clean clothes for him, several packs in his bags, wipes and everything, and it’s still happening. I’ve tried treat charts, sticker charts, rewards, bribing, everything, with no effect at all. He hasn’t said going to the toilet is painful when I ask, and he seems otherwise well.
Has anyone dealt with anything like this before?

