For some children, especially those with complicating medical conditions, toilet learning is not the easy task the parents expect it to be. It's worse than that because almost no one can explain to a toddler how to push a stool out or how to retain one until a socially appropriate time and place. Frustration and anger build while the child's and the parents' self-esteem plummet. Prevent painful defecation by using enough oral lubricant to soften stools without creating further soiling. Mineral oil can often be hidden in juice, applesauce, ice cream or chocolate syrup.
Dietary fiber is optimal and can be found in fruits, vegetables, and grain.
New products with fiber appear on the grocer's shelves regularly. Make toileting a positive experience rather than one the child resists. We often will keep favorite toys by the toilet or have a parent sit next to the child in the bathroom and read to him or her. We have even set up television in the bathroom temporarily to help a child get over his or her fear. The sticker calendar also helps me keep track of the child's frequency of defecation.