Crianças que seguram o cocô: O que pode ser? Como lidar? | Isa Minatel

Summary

In this video, the speaker, a pedagogue and psychopedagogue, discusses a common issue faced by children: holding in their bowel movements due to fear of pain. She explores the causes behind this behavior, such as past painful experiences, and offers strategies for helping children overcome it. She emphasizes the importance of patience, understanding the child's body signals, and offering support during the process. The speaker also highlights the role of school environments, the need for positive reinforcement, and avoiding invasive methods like laxatives. Ultimately, the goal is to help children regain trust in their body and manage this challenge with care.

Takeaways

• 😀 Children may refuse to poop due to past painful experiences, leading to fear and retention of stool.
• 😀 Trauma, like a painful experience during evacuation, can result in a child subconsciously trying to avoid the discomfort by holding in their stool.
• 😀 Interventions like laxatives and enemas can worsen the situation, causing more pain and reinforcing the child's fear of pooping.
• 😀 The cycle of fear around pooping can lead to liquid stool leakage while the solid stool remains impacted in the rectum, making future evacuations more painful.
• 😀 Helping a child overcome this fear involves understanding their body signals, such as stomach cramps and the feeling of pressure in the anus.
• 😀 Encouraging the child with positive reinforcement and an understanding of their body’s natural signals can make the process of pooping less stressful.
• 😀 Children may refuse to change their soiled diapers because they may not feel safe or secure enough to let go of something they view as theirs.
• 😀 If a child asks for a diaper even after being potty trained, it may be due to a sense of comfort or familiarity with the diaper and fear of the new experience.
• 😀 Patience and gradual support are crucial for the child’s transition from diapers to using the toilet, respecting their pace and comfort level.
• 😀 It’s essential to ensure that the child feels supported in school, where they may feel embarrassed or unsafe to poop due to a lack of privacy or teacher assistance.
• 😀 Understanding that potty training and bodily control develop naturally over time means avoiding forceful or hurried approaches, which can create stress and hinder progress.

Q & A

What is the main topic discussed in the video?

The main topic of the video is about children who hold in their stool, specifically focusing on the reasons behind this behavior, the challenges it causes, and ways to help children overcome it.

Why do children sometimes refuse to poop or hold in their stool?

Children may refuse to poop or hold in their stool due to a traumatic experience associated with pain, such as when the stool was too hard or large, causing them to fear further discomfort. This fear can result in them holding it in as a coping mechanism.

How can an experience of pain during bowel movements affect a child's behavior?

A painful experience during bowel movements can cause a child to associate pooping with pain, which may lead to them avoiding the act altogether. This avoidance can become a pattern of fear and resistance, making the child reluctant to release stool in the future.

What are some common interventions that should be avoided when dealing with this issue?

Interventions such as giving laxatives or performing intestinal washouts should be avoided, as they can cause additional pain or discomfort, worsening the child's fear and reinforcing the cycle of stool withholding.

What is the ‘fear cycle’ associated with children who hold in their stool?

The 'fear cycle' refers to the loop where children hold in their stool to avoid pain, but this leads to further discomfort as the stool becomes harder and more difficult to pass. This cycle increases their fear, making them even more likely to hold it in the future.

How can parents help children break the cycle of stool withholding?

Parents can help by creating a calm, supportive environment where the child feels safe to relieve themselves. They should be patient, explain the body’s signals, and gently encourage the child to listen to their body without pressuring them.

What role does a child's understanding of their own body play in overcoming stool withholding?

Helping a child understand the signals their body sends when it's time to poop (such as stomach cramps or a feeling in the anus) is crucial. By learning these signals, the child can become more confident and less fearful of bowel movements, leading to fewer instances of stool withholding.

What is the significance of the 'duck story' shared in the video?

The 'duck story' illustrates how a child can learn that holding in stool only leads to more pain. The story teaches that when the child listens to their body’s signals and allows the stool to pass at the right time, it becomes less painful, helping to break the fear of pooping.

How does school play a role in a child's fear of pooping?

At school, children may feel uncomfortable using the bathroom due to lack of support, embarrassment, or not knowing how to clean themselves properly. This discomfort can lead them to avoid pooping while at school, further reinforcing the behavior of withholding stool.

What is the recommended approach for dealing with a child who asks for a diaper after potty training?

If a child asks for a diaper after potty training, it may indicate they are not yet fully confident in their ability to use the toilet. Offering the diaper can be seen as a bridge in the transition, allowing them to feel secure while still encouraging them to eventually use the toilet independently.