We all have different sensory profiles. Maybe you feel energized when the sun is shining, relaxed when you chew gum, stressed in loud places, or calm when given a tight hug. These preferences have an impact on the kinds of activities and experiences we seek out or avoid every day. While 69-90% of children with Autism Spectrum Disorder (ASD) experience sensory processing challenges, 5-16% of “neurotypical” children do as well. The evidence suggests that in young children, this is related to problems with toileting.
What sensory characteristics of toileting could be uncomfortable?
· The temperature, texture, or shape of the toilet seat
· The sound or splash of flushing
· The feeling of urinating or defecating
· The smell
· The sound or feeling of hand dryers
· The lighting
· The sound and feeling of the sink water
· The feeling of wiping
Overall, the bathroom can be a sensory-overloading place for anybody, child or adult! It’s no surprise that 9-29% of elementary-age children experience problems with toileting.
What problems with toileting are common for these children?
· Constipation
· Toileting refusal
· Abdominal pain
· Fecal incontinence
Why does it matter?
These challenges primarily lead to a delay in potty-training, but it’s important to also consider how it’s impacting the rest of the child’s life. Does the abdominal pain or possible fear of defecating impact their play, social participation, sleep, or learning? Most likely, it’s all connected!
So, what do we do?
All professionals who work with children should recognize that anyone can experience challenges with sensory processing. Problems with toileting may not always be due to behavioral, cognitive, or underlying gastrointestinal concerns, so refer to an occupational therapist for evaluation if this sounds like a child you know!
For suggestions on how to modify the environment or tasks involved in toileting, check out this blog post:
https://www.missjaimeot.com/toileting-sensory/#sensory_processing_2
References
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Spencer, J. (n.d.). Toileting and sensory processing. Retrieved from https://www.missjaimeot.com/toileting-sensory/#sensory_processing
