4 year old girl is refusing to use the toilet for poo (and sometimes wee). Even after loosening medicine, a laxative and 3 sepositories (which finally worked after 8 days). She continues to struggle away from the toilet and hold on to poo. Is this physical or psychological?
Helloyou should get a complete physical examination of your child especially examination of the anal area to rule out the possibility of anal fissure or rectal polyps as they have painful defecation as a symptom. But in absence of these, it could be psychological.