POTTY TRAINING: How To Get The Job Done
Potty training is a big step for kids and parents alike. The secret to success? Timing and patience. Is it time? Potty-training success hinges on physical and emotional readiness, not a specific age. Many kids show interest in potty training by age 2, but others might not be ready until age 2 1/2 or even older and there's no rush. If you start potty training too early, it might take longer to train your child. Is your child ready? Ask yourself these questions: • Does your child seem interested in the potty chair or toilet, or in wearing underwear? • Can your child understand and follow basic directions? • Does your child tell you through words, facial expressions or posture when he or she needs to go? • Does your child stay dry for periods of two hours or longer during the day? • Does your child complain about wet or dirty diapers? • Can your child pull down his or her pants and pull them up again? • Can your child sit on and rise from a potty chair? If you answeredmostly yes, your childmight be ready for potty training. If you answered mostly no, you might want to wait, especially if your child has recently faced or is about to face a major change, such as a move or the arrival of a new sibling. Ready, set, go! When you decide it's time to begin potty training, set your child up for success. Start by maintaining a positive attitude — and recruiting all of your child's caregivers to do the same. Then follow these steps. Pull out the equipment. Place a potty chair in the bathroom or, initially, wherever your child is spending most of his or her time. Encourage your child to sit on the potty chair with or without a diaper. Make sure your child's feet rest firmly on the floor or a stool. Schedule potty breaks. If your child is interested, have him or her sit on the potty chair or toilet without a diaper for a few minutes several times a day. For boys, it's often best to master urination sitting down, and thenmove to standing up after bowel training is complete. Read a potty-training book or give your child a toy to use while sitting on the potty chair or toilet. Stay with your child when he or she is in the bathroom. Even if your child simply sits there, offer praise for trying — and remind your child that he or she can try again later. To maintain consistency, try to bring the potty chair or a portable potty with you when you're away from home with your child. Get there, Fast! When you notice signs that your child might need to use the toilet such as squirming, squatting or holding the genital area, respond quickly. Help your child become familiar
with these signals, stop what he or she is doing, and head to the toilet. Praise your child for telling you when he or she has to go. Teach girls to wipe carefully from front to back to prevent bringing germs from the rectum to the vagina or bladder. When it's time to flush, let your child do the honors. Make sure your child washes his or her hands afterward. Consider incentives. Reinforce your child's effort with verbal praise, such as, "How exciting! You're learning to use the toilet just like big kids do!" Be positive even if a trip to the toilet isn't successful. Ditch the diapers. After several weeks of successful potty breaks, your child might be ready to trade diapers for training pants or underwear. Once your child is wearing training pants or regular underwear, avoid overalls, belts, leotards or other items that could hinder undressing. Sleep soundly. Most children master daytime bladder control first, often within about two to three months of consistent toilet training. In the meantime, use disposable training pants or mattress covers when your child sleeps. Know when to call it quits. If your child resists using the potty chair or toilet or isn't getting the hang of it within a few weeks, take a break. Try again in a few months. Accidents will happen. Youmight breathe easier once your child figures out how to use the toilet, but expect occasional accidents and near misses. Here's help preventing — and handling —wet pants: • Offer reminders. Accidents often happen when kids are absorbed in activities that — for the moment — are more interesting than using the toilet. To fight this phenomenon, suggest regular bathroomtrips, such as first thing in themorning, after eachmeal and snack, and before getting in the car or going to bed. Point out telltale signs of holding it, such as holding the genital area. • Stay calm. Kids don't have accidents to irritate their parents. If your child has an accident, don't scold, discipline or shame your child. Youmight say, "You forgot this time. Next time you'll get to the bathroom sooner." • Be prepared. If your child has frequent accidents, absorbent underwear might be best. When to seek help Occasional accidents are harmless, but they can lead to teasing, embarrassment and alienation frompeers. If your potty-trained child reverts or loses ground — especially at age 4 or older — or you're concerned about your child's accidents, contact his or her doctor. Sometimes wetting problems indicate an underlying physical condition, such as a urinary tract infection or an overactive bladder. Prompt treatment can help your child become accident- free.
Written by: Mayo Clinic Staff
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