Potty Training Myths Dispelled or Supported: Expert Advice from a Pediatrician
Categories: Potty Training, Books

Do a search online for "potty training" and you'll get hundreds of thousands of pages. But when parents really want to get an idea of how to potty train their precious little one, most will ask their doctor.
Dr. Mark L. Wolraich is the Director of the Child Study Center at the University of Oklahoma Health Sciences Center. He literally wrote the book on potty training for the American Academy of Pediatrics (AAP). Dr. Wolraich was kind enough to speak with us about some of the concerns and misconceptions parents might have when potty training their children.
ParentDish: True or false: Girls are easier to train than boys.
Dr. Wolraich: I think that's an impression that some parents have. [But] it's not based on a lot of hard data. Generally, it seems like they are, but the objective evidence is not strong.
ParentDish: True or false: You can train a child to use the potty in one day.
Dr. Wolraich: Some children you can. I don't necessarily know the advantage to it. People tend to want to do things quickly; [they think that] if you train a child early, it's better. I don't know that if you get them trained in a day, that's better. Children will get trained when they're developmentally ready. You need to enable them to have that opportunity and try to worry less about how long it takes.
"Quick training" treats toilet training as a problem or disorder that you are trying to correct. What we recommended in the book is that toilet training is a natural part of development, like learning to walk or speaking. It will come most quickly when children are developmentally ready to make that step. It doesn't necessarily require intense training.
Some parents can become frustrated and angry with their kids. Then the process may become more punitive. You don't want it to be a battle.
ParentDish: True or false: The best age to potty train a child is 2 years old.
Dr. Wolraich: 2 years is the average age, but there is a wide variation. Some children will have their bowel movements on the potty but will still have urinary accidents, and some will be trained during the day but still wet the bed at night. Another factor is that when children are in stressful situations, like having a new sibling coming into the family or a move, they can regress. They may be potty trained and than go back to having lots of accidents.
Some parents expect that children will be potty trained at a younger age, rather than the best time for the child. But there is a range and not a set age.
The other issue that comes up from parents is the pressure they feel because they are trying to get their kids into daycare or preschool, and some schools or centers require that the child be potty trained.
Certainly by 4 or 5 years of age you expect the children to be toilet trained, although you might still have some accidents. If they are delayed in potty training, it is important to check a child's developmental level in other
areas. Delays in multiple areas warrants further evaluation of multiple aspects of development and learning.
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Reader Comments (Page 1 of 1)
maggie wendt 6-08-2009 @ 7:11PM
where do i begin? my son is almost 4and half and is developmentally ok in every way now. he has some speech delays, had speech therapy and is mostly on target now.
he is able to urinate in the toilet but won't poop. we have just now bribed him to tell us when he is going poop and we give him a reward for telling us, he was not even doing that until one week ago. he does not care if he is in it. the only reason he tells us now is because we give him a car.
our next step is to have him tell us and move into the bathroom and then eventually reward him for going on potty.
why is it taking soooo long? i was sooooo frustrated for soo long that i think i made it worse. but i see the error of my ways and do not get upset any more.
if any one has any advice or can relate.
let me know
desperate mom
ps. i have tried every game in the book!!!!!!!!!!!!!!!!!!!!!!!!
Reply
Melissa 6-12-2009 @ 8:26AM
Maggie,
Been there ~ Done that ~ Still kind a there~Hang in there! As a mom of 4, our older girls were not a problem when it came to potty training. But, our 6 yr. old twins are a different story. Our son has been pee-ing in the potty regularly since he was 3, but is just now conquering the poop department.(still with a few minor poop accidents on the way to the potty.) Our little girl is just now conquering the pee-ing department (accept at night, she still sleeps in a pull-up). She was diagnosed with a urniary tract reflux a year ago, odds are she's not fully emptying her bladder so, during the night when her body is totally relaxed - it empties itself. She is still working on the poop ordeal.
Please believe me when I say we have tried every positive & negative reinforcement out there. It never seem to work. I googled one night "potty problems with 6 year old twins" and was amazed at what popped up. Many, many other families with kids ages 5 - 10 are having the same problem. We are not alone.
The best thing that we have done is explain to our twins the importance of trying to poopy in the potty everyday. I've shown them simple diagrams of the human anatomy and explained the large intestine as their "poopy balloon". Basically, I briefly explained that that is where the "yucky stuff" goes in our bodies so that it can go thru the special tube/tunnel to get out of our bodies so that our body doesn't get sick. This seems to be working so far.
Every child is different. Be patient. Be consistent. Pray alot. It'll happen in his time, not ours.
Hope this helps!
joyfully~ Melissa
Celeste 6-12-2009 @ 8:04PM
My son is 7 and he was trained right before he turned 4. Oh if I could tell you the stress I put on myself and him to have him trained before that. The school he was going to was good-they accepted pull-ups and also tried training him. I was pregnant with twins and wanted him trained before they arrived so I didn't have 3 in diapers. Well, no luck! My sister and a friend of mine--who's a social worker-both told me "he'll do it when he's ready. Leave him alone." I finally decided to listen and then one night--about 2 months after his sisters arrived he said he had to go to the bathroom. I showed him the toilet and that was it. He was ready! I know he wasn't 4 1/2 or 6 but it was when he was ready. Now I'm trying to get my 3 1/2 year old twin girls to train. One will go on the toilet but goes as soon as I put underwear on her so she's still in diapers. My other daughter has yet to even pee on the toilet. She won't do it! And with nursery school in our near future I can feel the stress coming on but I have to remind myself that she'll do it when she's ready. I know it's hard but try to not stress out. It will happen!
Mary 6-16-2009 @ 9:56PM
My mom always used to say "they will be potty trained by college".
Now that I'm a grandmother, I agree. I also agree that temperment is an issue. Some little people are "pleasers" and some are not. Evenutally though, they all experience the social pressure to use the potty!
Reply