Hi Dr. Aarti, My Son now. 5 yrs 10 months old is still wearing diaper. Me and my wife tried many times to keep him off diapers but to no avail. Though he occasionally urinates in washroom when without diapers and we ask him to do so, but he will always ask for diaper to pass out stool. If we refuse to put on a diaper he will simply just not pass out stool. Once we tried it for more than a day to not give him diaper but even after a day when he still did not pass stoll we gave him diaper thinking that keeping stool under pressure may hamper his health. Now he has to go to Class 1 and we fear how he will cope up, as till K.G. there are maids (aya's) who change diapers at school, if needed, and school time is also upto 3 hours. Please help us with what to do? Thanks in advance.

Ans: He needs to eat a proper breakfast and then give at least 10 mins on the commode to pass the motion. A good water intake throughout the day and good fibre intake like vegetables and fruits like papaya and banana are important too.

Ans: I can understand your concern for your son's health and education. It sounds like he is experiencing a lot of physical discomfort when he has to go to school, and this is making it difficult for him to attend. It's good that you have already taken him to a doctor for a sonography and have sought advice from religious gurus, but there might be other options to consider as well.

One possibility is that your son may be experiencing anxiety related to going to school. Anxiety can manifest in physical symptoms like stomach pain, and it can be difficult for children to understand and express what they are feeling. It might be helpful to talk to your son and try to understand what is causing his anxiety. You can also seek the help of a counselor or therapist who can help your son develop coping skills to manage his anxiety.

Another possibility is that your son might be experiencing bullying or other negative experiences at school that are causing him distress. It's important to talk to your son's teachers and school staff to find out if there are any issues that might be contributing to his discomfort. They might be able to provide additional support or resources to help your son feel more comfortable at school.

Finally, it's important to continue to monitor your son's physical health and work with his doctor to rule out any underlying medical conditions. If your son continues to experience pain or discomfort, it's important to seek medical attention and follow up with any recommended treatments or interventions.

Overall, it's important to be patient and supportive with your son during this time. By working together with your son, his school, and his healthcare providers, you can help him overcome his difficulties and feel more comfortable and confident in school.

Ans: She needs to consult a urologist

Ans: You will need to get her blood and urine test done. See a pediatrician for these

Ans: If he is dry in the day there is no need for diapers. Restrict any liquid 1 hour before bedtime. Empty the bladder at bedtime. There are special mats which sound an alarm on slight wetting so that he can be taken to the toilet. All this is assuming you have consulted your pediatrician and a urine test has been done.