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Toller training can be a challenge in
children with an autism spectrum
disorder these children have difficulty
with speech and language communication
social engagement as well as wanting
routine and tend to be perseverate even
at times rigid so all these three core
characteristics and features can come in
the way in order to be toilet trained
you need to have a word for it you need
to have the awareness of it and being
speech delayed or not having the
language can be an impediment so finding
a word getting the child familiar once
they have a few word vocabulary whether
you choose want to use poop or toilet
time or whatever language and whatever
lingo you want find a consistent word
where when the child has a dirty diaper
you need to say it have them repeat it
if possible you also need to pick up on
some of the cues that your child will
give you before they have a bowel
movement for example even in their
diaper you see a change in expression
whether the face gets flushed or they're
going into the corner if you can use
that time to get them to come onto a
toilet seat it would be helpful having
them watch and monitor other people
using the toilet see if they will do it
through imitation getting them a little
toilet seat I mean a lot of this you use
for regularly developing kids and you
can use the same strategies but with
kids with an autism spectrum disorder
you need to be a little bit more
sensitive to their sensitivity which may
be sensory they may not like the sound
of the flush they may not like the
texture of the seat they're on they may
get comfort by actually wanting to have
the bowel movement in the diaper because
they use to that sensation and that
proximity so doing things on a gradient
and actually analyzing what the issues
are with your particular child one of
the tips that I do find helpful and
parents use is something known as the
gastrocolic reflex they're generally
after a meal when there is the
gastrointestinal system is active soon
after you have a bowel movement
and watching your child for what is
their routine when in their day do they
end up having a bowel movement you can
use that time I've had kids hold on to
their bowel movement as a control issue
and you see that happening to the point
of stool leaking out and it's becoming
something we call incorporators and for
that you need to speak to your primary
doctor because stool may have been held
on to and gotten constipated and
impacted those kids need medical care
and medical intervention of laxatives
and soft stool softeners etc but routine
toilet training as you develop language
as there's flexibility as there's a
change in routine and a lot of kids just
one day decide watching somebody else
are I want to use the toilet I've had
cases where kids have been toilet
trained overnight and for some kids it
becomes an issue of sensitivity till
they're much older and you have to work
with your child involving not just the
pediatrician to rule out medical issues
but possibly the occupational therapist
and the psychologist if there is a
behavioral piece to it the many
strategies out there they can choose
which one works for your child and share
it
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