Michele--Your doctor’s reaction, unfortunately, is fairly typical.  They are themselves subject to the same cultural forces as we all are about this very private area of the body and the elimination of highly malodorous bodily wastes, especially poo, which is, quite literally, a biohazard for its disease spreading potential. You already know this from your daughter’s repeated bladder infections. Fecal Incontinence is the number two reason why the elderly are placed into nursing homes; many adults suffering from Irritable Bowel Syndrome (IBS) are afraid to leave their homes; and even loving moms like you find it hard to maintain an unemotional response to poo accidents.  Verbal and nonverbal signs just have a way of breaking out; smell is a very primitive disgust “trigger”.   Your child hiding her soiled underwear is just another sign that she is picking up on the same cultural reactions.  This problem, encopresis, can result in physical and mental emotional problems that must be addressed.  In effect you all are caught in a web of medieval punishment, but we should expect or demand more of our physicians when they have so much ability to help you and other children by being more open to the Soiling Solutions protocol.  So be kinder to yourself and become a strong advocate or mother bear for your child.

 I developed the Soiling Solutions(SS) protocol while I was an invited visiting professor in Perth, Australia and began clinical applications when I returned to the USA.  I produced a manual in 1998 for sale over the internet at www.soilingsolutions.com which you have apparently discovered.  The Clean Kid Manual (CKM) has undergone three revisions largely based on feedback from parents on the exclusive Soiling Solutions Forum which comes with a manual purchase.  I cannot lend understanding and detailed procedures for an adequate home-based treatment except through that manual which you or your health service could purchase from my website (the store offers discounts for medical professionals). I suggest you read that manual and proceed with treatment.  If your doctor rejects assistance or agreement with following the protocol, tell him that you are placing him on the back burner and that you will report the results to him later.  I would be happy to talk with him via Skype at “SoilingSolutions” or a phone call.  Share this www.encopresis.org  Q & A column with him and he can read many recent parent reports by clicking on the “User Comments” link on the SS website. I will attach here my medical journal article on the history and explanation of Soiling Solutions, editorials regarding it, and a picture of my toilet stool trained cat which kids love.  Maybe, making copies for him when you inform him of your intent may help him toward some understanding, if not approval.  Look, they have failed you, period!  You have a right to be an angry mother bear. You could show him a copy of my manual along with your diary records of results later on.  My program will end the soiling within 1-2 weeks and you will be on a forum with other parents using the manual (some 300+ parents)!   Fortunately, even with older children, the mental and emotional consequences quickly fall away with success.  Let all of us know your doctor’s reactions if you follow through using the Comments option below this response!  DrC.