Encopresis, apopatophobia... “when it doesn't want to, it doesn't want to...”

Why Are Some Toddlers Afraid to Poop?

Parents often look forward to the day their child no longer needs diapers. When a baby successfully pees in the potty for the first time, it can feel like a big victory—sometimes too soon! While some skills develop quickly, others take more time. One common challenge? Bowel movements.

For many children, peeing in the potty is an easy step. But when it comes to "number two," things can get more complicated. Some toddlers may take months—even years—to fully overcome accidents or constipation.

So why are some toddlers afraid to poop? And how can parents help? Let’s break it down.

Apopatophobia: The Fear of Pooping

From birth, babies wear diapers constantly, meaning they stay in close contact with their bodily waste. Even though parents change dirty diapers quickly, the poop remains in direct contact with the baby for a brief time.

When transitioning to the potty or toilet, this changes: stool "falls" away due to gravity, and some toddlers feel like they’re losing a part of themselves.

For some children, this fear grows to the point where they hold in their poop, sometimes resulting in accidents or severe constipation. When this happens repeatedly, it can lead to a condition called encopresis, where a child involuntarily passes stool in their underwear. Encopresis can affect up to 4% of children over 4 years old.

Psychological Blockages and the "Terrible Twos"

Toilet training often coincides with the “Terrible Twos”—a phase of strong independence and defiance. When parents apply too much pressure or encouragement, some children may completely shut down.

How to Help?

- Stay calm and stop bringing up the subject. If a child feels too much pressure around potty training, they may lose touch with their body's natural signals, making things worse.
- Take a break. Give your child a few weeks without mentioning the potty.
- Avoid constipation. If your child is struggling, make sure they eat a diet rich in fiber to help regulate digestion.

If your child’s belly becomes painful or their symptoms worsen, don’t hesitate to consult your pediatrician.