Causes of soiling
You may feel angry or frustrated when your child keeps pooing themselves. But they aren't doing it on purpose and may not even realise it's happening.
Soiling usually happens when a child is so constipated that a large, hard piece of poo becomes stuck at the end of their gut (rectum).
Fresh poo from higher up the gut then runs around the hard poo and leaks out, staining their pants.
Check if your child is badly constipated
Your child may have:
- runny poo (you may mistake this for diarrhoea) or bits of hard poo appearing regularly in their pants
- pain when they poo – they may try to hold in their poos because of this
- tummy pain that comes and goes
- big, hard poos, or "rabbit droppings"
- fewer than 3 poos a week
When to get medical help
See a GP if:
- your child is regularly soiling their pants
It's important not to try to sort out soiling by yourself.
Treatment from a GP
Your GP can prescribe laxatives to clear out the hard poo and get your child pooing regularly and comfortably again. This can take a few months to work. Your GP will want to see your child regularly to check how they are doing.
The soiling may get worse before it gets better.
Things you can do at home
- set up a regular toilet routine for your child – for example, they could sit on the toilet for 5 to 10 minutes every day after breakfast and again after their evening meal
- be positive and encouraging – you could use a star chart to reward your child for sitting on the toilet (whether or not they do a poo), or leave some toys or books next to the toilet
- encourage your child to go to the toilet as soon as they get the urge to during the day
- make sure your child is drinking plenty of fluids and has enough fibre in their diet
- encourage your child to be physically active – see physical activity ideas for under-5s