Toileting

Some autistic children may have difficulties with learning how to use the toilet. If you are worried about your child’s health, please speak to your GP.


 
This could be for lots of different reasons:

1. Not knowing when to go

Some children may not recognise the feeling of a full bladder or bowel due to sensory differences.

2. Communication difficulties

They might not know how to tell someone they need the toilet or may not understand phrases like “go to the toilet.”

3. Sensory sensitivities

Bathrooms can be overwhelming due to loud flushes, bright lights, strong smells, or cold surfaces.

4. Fear or Anxiety

They may be scared of germs, flushing sounds, or unfamiliar toilets.

5. Difficulty generalising skills

A child might learn to use one toilet but struggle to use others in different places.

6. Health issues

Constipation, bladder problems, or other medical issues can also affect toileting and should be checked by a doctor. If you are worried your child may be experiencing constipation, bladder problems or medical issues, please speak to your GP.

7. Smearing or withholding

Some children may smear poo due to sensory seeking or struggle with withholding due to anxiety or discomfort.

 

You can access support for toilet training from the BCHC Health Visiting Service or School Nursing service.

 

 
More information about toilet training

 

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