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Posted by Grandma Peg-With some apologies on June 07, 2000 at 17:56:23:

In Reply to: Re: Smearing of Fecal Material - Pediatric Advice posted by HO-HO-Grandma Peg on May 29, 2000 at 15:21:21:

: :

: : Clinical Reference Systems: Pediatric Advisor 10.0

: : Smearing of Fecal Material

: : A child in diapers smears pieces of bowel movement in places such as the bed, walls, or bathroom. Rather than being deliberate to offend the parents, this behavior usually arises from a chance discovery. A bored child, perhaps one who is left in bed too long, discovers bowel movement in his diaper and decides to paint with it. Unlike parents, a child is not usually repulsed by the act of touching bowel movements.

: : Tell your child the rule: "Don't get any poo-poo on your bed or the walls. Poo-poo is messy. Poo-poo goes in the toilet."

: : Without yelling or showing anger make it clear to your child that you do not approve of what he has done. Clean up your child without any entertainment or conversation. Then clean the room, with your child's help if possible.

: : Avoid any physical punishment. If you overrespond the first few times your child does this, you may start a power struggle. Your child may persistently smear bowel movements to prove he has some power.

: : If you are toilet training your child, pressure him less about his toilet performance.

: : Supervise your child more closely. Don't leave him alone for more than 10 minutes at a time.
: : When your child awakens from his nap, lift him out of bed promptly. Leave toys in the bed to play with if he awakens early.
: : Put your child's diapers on tightly so he can't easily get his hands inside.
: : Praise your child for telling you when his pants are full and he needs to be changed.
: :

: : Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
: : Copyright 1999 Clinical Reference Systems
: :

: REPLY; Sure..!! If your child is "NORMAL", these instructions Might apply. I think the answer above re; heavy metal toxicity is The answer for most of our ASD-NIDS kds. TNX for That One.-Grandma Peg

REPLY; The expert ped. Dr. at the Children's hosp. told us the same as the instructions above recently. The only differences between 'our kids' and the 'normal kids' are that the re-inforcin- training steps- have to be done over and over many more times than with a child who 'gets it'...but even They take a lot of repeating. It reminded me of a bit I'd heard about training puppies, they usually All 'go' about 1 hour after eating, so watch them for there 'signs'...then get them to the papers or outside, etc. It's sort of the same with all kids, we hae to watch and learn their 'signals' and hurry them to the faclity. It also doesn't hurt to take them everytim there's a diaper change, but better on a regular basis. We do the flush then singsong thru' the water, soap, washing-drying hands routine and he doesn't try to wriggle away during that. The grandson doesn't seem to have a 'regular' ime, like 1/2 hour, an hour or 2, after he eats, but we have seen definite times when he was straining. He still didn't get the push idea and does do an occasional fecal smearing, some of which could've been caught, some are 'surprises' yet. Another poster says she makes it definately not an 'entertainment', she washes him off in a cold running water in the tub, of course, some kids don't seem to feel the difference, some do. So, as the poster above said, watch them closely, for as long as it takes for You to learn Their signs. My apologies all over the place...Grandma Peg Also investigate the metal accumulation problems...

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