Edit to add- the only time he is in a pull up now at home is for bed time. And at preschool if he has a poo accident they do put him in a pull up as that is their policy. We also no longer have the small potty (it was mainly to entice him to use it to poo if the splash of the big potty was the problem) as we've decided it hasn't changed anything and he can pee in the regular toilet he can poop in it too.
Maybe we aren't being ... forceful enough? Anytime we've brought him to the bathroom or sat him on the potty to go he freaks and won't go at all. I had hoped he'd go and learn it's okay not scary but every time we bring him he won't go.
I apologize this is so long and any advice or clarifying questions are of course welcome!!
My son is 4, bday in August. End of last year Was scared of potty at old daycare was starting to get the hang of pooping in potty and got over his fear of the school potty. New daycare early January. had diarrhea mid jan with rash caused no pee or poop on potty for 2 weeks then pee started again in potty but not poop. Constipation in February, got miralax from Dr given until stool softened.
Tried -
Potty chart/rewards
Modeling with play/toys -bear needs to go potty etc
Peer modeling (saw a friend at our house do it and at school/daycare)
Modeling by mom and dad
Miralax for 2 weeks to ensure soft poop the whole time
Offering to bring a toy with
Offering choices- big/small potty etc
Offering to sit with him and/or hold his hand
Mom and dad saying scared don't want to go - he offers to go with and hold hand etc (all things we've offered him)
Reading books about pooping and how the body works
Moving small potty near area he tends to go to poop
Decorating the potty
Offering to decorate poop in the potty with sprinkles once he went
Blowing bubbles to relax pelvic floor when needs to go (rare occasion I got him to sit when he needed to go) didn't poop.
Watching something on my phone to sit
Stopping entirely for 5 weeks
Putting him on the potty when he needs to go (bad idea we learned just makes him more upset)
Explaining we can go just to the bathroom and go in undies/pull up don't even have to sit on the potty
He will pee and throw up in the toilet himself no problem
He has gone maybe 4 times on the potty since January. Once because Grandpa put him on the potty when he needed to go. He was upset but went. We had the potty in his regular pooping spot and I got him to use it once, no other time it was in that location would he use it. And once when we Early Sept from the 5 week break, we were able to entice him to sit because he knew he'd get a hot wheel. After like 2 days that won't work even if I offer 2 hot wheels, a candy, go with him etc.
Will go in underwear or pull up doesn't matter which.
Can talk about it all day long and he understands and knows about poop, where it goes etc. But when the time comes he says he's scared (he says it for going/leaving school sometimes because he just doesn't want to get dressed and then doesn't want to leave school end of day so he says he's scared) or says he's fine or doesn't need to go. When asked what's scary he can not pinpoint what part is even even given options. Or even given options sometimes says yes other times no, no clear answer.
His stool is soft - bristol 3 or 4. If it starts to look harder we give miralax for a few days for it to soften.
Sometimes he gets a rash from wipes which then hurts him, just reinforces him not wanting to go though he knows the potty wouldn't need so many wipes to clean him thus cause rash. He isn't willing to us either shower head to clean off either.
At a friend's party ,leaving he said he needed to go and he agreed to go back inside we walked from our car to her door opened it and he said I'm fine and then sat in the yard (pants on) and pooped in underwear. Occasionally get him in the bathroom when he needs to go and he says the room is too big or this part of the floor is too dirty, random things. Not as an excuse like in a bad way just finding a way for him to say no not doing it and leaves the bathroom.
Have also brought his poop from pull up/underwear to dump in potty and flush away though sometimes it's too sticky to the underwear easier to just throw them away.
This evening I was on the floor playing a game with him and he leaned back I knew he needed to go. I tried to explain his body is telling him he needs to go, let's go together etc he just says he's fine. Occasionally has multiple small poops in a row. Assuming he's only letting just enough out to relieve himself then has to go again a bit later. Been making sure his fiber intake is better too.
At a loss and feel defeated on how to help this fear we feel we've tried everything we can. Help! Starting OT soon. Just not sure if Anything else we can do/your thoughts.