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Encopresis, ADHD, Autism, Almost 12
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An_243773 posted:
I am at my end of figuring this out.
My son, who is all of the above, has been seen by specialists and have ran tons of tests. One says it is medical and the other mental....neither one will help anymore.
The problem has started to happen at school....3 times this week. This is a new development. He usually holds it until he gets home then poops himself.
When I can get him to sit on the toilet, he does nothing but yell and scream and if we give him something to do while on there, he concentrates on that and won't go. What he leaves is sand consistency but will leave a bowel movement in his underwear.
We have rewarded (which will work until he gets what he wants then he stops) and punished (before we realized it wasn't the way to go).
He is the same size of his 7 yr old sister who is small for her age anyway. He just outgrew size 7 jeans in length but not waist and still wears 6/7 shirts.
Any suggestions??
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Roy Benaroch, MD responded:
This is a very difficult situation. Managing encopresis is difficult; managing autism is difficult; put them together, and it really can be a tremendous challenge.

Do you have access to a multidisciplinary autism or developmental clinic to help with these challenges, and to help design a specific behavioral plan that fits your child? That's the way to go here. You need someone on-scene who can really learn about your individual child, his strengths and weaknesses, and can then come up with a plan to work-- and guide you through it and the inevitable setbacks.

Best of luck!
 
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An_243773 replied to Roy Benaroch, MD's response:
There isn't anyone in the area with those qualifications. The Dr we were using for Autism has moved on and she wasn't much help anyway (told me to put him in pullups).
Thanks for the ideas though!