Conditions + Treatments

Toileting Issues in Children

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Almost 25 percent of all children have some degree of difficulty learning to use a toilet after the suggested age of 36 months.  Toileting difficulties include inability/refusal to toilet train, constipation, encopresis (fecal soiling), daytime wetting and bedwetting.   These toileting challenges can be very stressful for children and families, and the clinicians in the PIP clinic have expertise in evaluating these problems from both a medical and psychological perspective.     

How Boston Children's Hospital approaches toileting difficulties:

As part of the Developmental Medicine Center, Boston Children’s Hospital has a dedicated Pains and Incontinence Program (PIP) which offers comprehensive clinical evaluations and treatment plans for children with toileting challenges from 4 years through 16 years of age.  Following an initial in-depth evaluation, our clinicians will create an individualized toileting plan based on the needs of your child.  This may include treatment of constipation, behavioral interventions and/or any appropriate referrals. The clinician will follow your child on a frequent on-going basis to support you and your child.  Additionally, some of our patients will attend a six week “Toilet School” program, which is an innovative group approach to toileting difficulties for children between the ages of 4 years and 6 years 11 months. 

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944