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How do I know when my child
is ready to start toilet training?
Most children are ready to begin
the process between 24 to 27 months, but some children will be ready
earlier or later than that. If you start earlier, toilet learning
will probably just take longer.[1] How
to know when to initiate the process? Make sure they have most of
the readiness skills below, and that the time is right.
Look
for these readiness skills:
- Desire
to please (likes to give gifts, enjoys praise)
- Desire
for independence (takes pride in new abilities, wants to “do it
myself”)
- Imitates
adults and older children
-
Language skills: able to communicate needs, and understands words
about the toileting process
-
Motor skills: able to walk to the potty, get on and pull down
pants
-
Bowel movements occur on a fairly predictable schedule
- Has longer periods with a dry diaper, which means your child's
bladder is able to store urine. (Your child wakes up from a nap
dry, or stays dry for 2 or more hours)
- Is able to follow simple, one-step verbal instructions
- Shows
an interest in imitating other family members or friends in the
bathroom
-
Through words, facial expressions or a change in activity, your
child shows you they know when their bladder is full or when they
are about to have a bowel movement
- More
on readiness from the American Academy of Pediatrics
When
to start the process:
-
Begin only after your child has shown most of the "readiness
skills" listed above.
- Don't feel
pressured to begin earlier. If you start too early, it will just
take your child longer to train.
- It
can be easier to start in the summer, since your child will have
on less clothing, and it will be easier for them to undress themselves.
-
Don’t start at a high stress time, like around the time of a move,
or the birth of a new baby.
What is the average
age for toilet-training?
The physical maturity and readiness skills needed for successful
toilet learning appear at the same time in girls and boys-between
18 and 30 months of age. The average age for girls to be toilet
trained is 29 months, and for boys it's 31 months. Keep in mind
that these are averages. Ninety-eight percent of kids are trained
by 36 months of age.
What are some basic principles
behind good toilet training?
-
Proceed slowly, and take signals from your child.
- Give
your child a feeling of active participation, control and independence.
-
Deal with potty training matter-of-factly, using simple and straightforward
words for bowel movements (like BM, poop, or stool), urine (like
pee) and body parts (like penis, vulva and anus).
- Do not use
negative words like “stinky” or “dirty” to talk about poop. After
all, the poop came out of your child's body, and they made it.
Your child may feel it is still a part of them.
-
Never pressure or force your child.
- Praise
your child for every step in the right direction and keep your
attitude positive.
- Keeping a positive tone and using lots of praise will work
much better than punishing, criticizing or shaming your child.
How long does it usually
take for a child to become reliably trained?
An
average time frame for success in toilet training is three to six
months. It is common, however, for children to continue to wet at night
until they are five years old. By six years of age, most children
(90%) do stay dry all night. During the toilet training process,
many children refuse to train and even regress. This is usually
only a temporary setback that is best handled by continuing encouragement
and a "keep trying" attitude. If they become very resistant
it is a sign to back off for a while (a few weeks to a couple of
months), to avoid a power struggle. It is important not to shame
your child or make them feel like a failure.
What kind of potty or potty
seat should I use and where should it be placed?
Kids
need to feel comfortable and in control when starting to use the
potty. A training potty allows the child to sit with both feet
firmly on the floor. If your child prefers, a child seat can be
attached to the adult toilet. Make sure it is stable, and your
child has a stool to climb up on, and rest their feet on while sitting. It's
a good idea to put the potty in the family room or play room at
the beginning, so that it is accessible and not intimidating to
your child.
What are the steps
in the toilet training process?
- Let
your child get used to the potty seat without any other expectations.
Allow your child to sit on the seat fully clothed, perhaps looking
at a book or playing with a small toy. Let your child see parents
and older siblings using the toilet.
- Learn
your child’s behavioral cues that signal they are about to go
(for example, grimacing or stopping activity, often after mealtimes).
Talk about the feeling of having to go, and encourage your child
to notice it and tell you when they have that feeling. Praise
your child for recognizing and sharing this information with you.
-
Once your child is comfortable with the potty and maybe even showing
interest in using it, have your child sit on the potty right after
you take off a wet or poopy diaper. Put the used diaper in the
potty to show them what the potty is for. This step may last
a few days to a week.
-
Next, lead the child to the potty 1-3 times per day, take off
their diaper and encourage them to sit. After meals tends to
be a "high-yield" time for sitting. A few minutes should
be enough. Your child can look at books or play with a small
toy while they sit.
-
Praise, praise, praise for cooperation with sitting, even
if they don’t go.
-
Do not force your child to sit if they resist. This can
lead to opposition, which may set back the whole training process.
-
Gradually increase the number of sitting times. Guide sitting
times towards a routine, such as in the morning, after meals and
before bedtime.
-
After repeated success, graduating to training pants or underwear
is a big incentive for children to keep on using the potty.
-
Try giving an underwear party, and sing “Happy Underwear-day to
you”.
-
After the graduation, remember that accidents are common and that
they are not a failure but a part of learning.
-
Be matter-of-fact about accidents, and do not shame your child.
What are some tips for trouble-shooting?
- Disposable diapers these days keep kids feeling so dry they
are often not aware that they have wet. Consider forgoing the
"pull-ups" or other such disposable products and use
cloth training pants so your child can tell when they have wet.
Make the transition to cloth training pants a proud moment for
your child. Celebrate!
- If your
child shows no interest in using the potty, set aside the training
process and try again in a few weeks.
- Coordinate
closely with other caregivers. For example, if you child attends
daycare,
explain to the provider that you are using a toilet training method
based on positive reinforcement. Keep in touch with the caregiver
regarding which step of the process you are currently working
on. Share these toilet
training guidelines with your day care provider.
- For
tips on helping three- to five-year-olds learn to use toilets
away from home, the American Academy of Pediatrics has this
advice.
-
Many children refuse to train
and may regress at any point in the training process. View this
as a temporary setback and avoid shaming or scolding the child.
Continue to base your training on encouragement and praise for
a job well done.
-
Your child may continue to wet
their bed at night. This is normal and resolves on its own
in most children by age six.
-
If children feel pressured, they may attempt to "control"
the situation by withholding stool.
This may be more likely in children who are temperamentally "difficult"
to begin with. The risk of withholding is constipation, which
makes stools harder and more uncomfortable to pass, setting up
a vicious cycle. Your pediatrician can help with a behavior, diet
and laxative program to break the cycle. Do not give your child
laxatives unless your child’s doctor has prescribed them.
- If
your child is over three years old and shows no interest in toilet
training, seek the advice of your pediatrician. If there is no
medical cause for the delay, behavioral specialists can help you
and your child with successful toilet training.
- There
may be different reasons your child won’t use the toilet for bowel movements:
- Fear
of the toilet or being alone in the bathroom
- A
way to get extra attention
- A
way to be in control
- Not
wanting to stop playing to go to the toilet
- If
your child asks for a diaper when they have to have a bowel movement,
praise them for recognizing their body’s signal, and telling you.
Suggest that they go into the bathroom to poop in their diaper.
Gradually work toward pooping on the toilet.
-
Do not remind your child too much or express disappointment with set-backs. This is a kind of pressure,
and pressure sets up resistance.
What about children with special needs learning to use the potty?
Here are some tips:
What are some more toilet
training resources?
Here
are some resources with good advice on toilet training:
Related
topics on YourChild:
What are some recommended
books and videos?
Books
for parents:
- Parents’
Book of Toilet Teaching, by Joanna Cole.
- Toilet
Learning: The Picture Book Technique for Children and Parents,
by Alison Mack.
- Toilet
Training in Less than a Day, by Nathan Azrin and Richard Foxx
- Vicki
Lansky’s Practical Parenting: Toilet Training, by Vicki Lansky.
- Toilet
training resource list with many more books for parents and
children
Books
for kids ages 1-3:
- Going
to the Potty, by Fred Rogers.
- I
Want my Potty, by Tony Ross.
- Koko
Bears’ New Potty, by Vicki Lansky.
- My
Potty Chair, by Ruth Young.
- Once
Upon a Potty, by Alona Frankel.
- Today I Took My Diapers Off, by Martha and Hap Palmer.
- Everyone Poops, by Taro Gomi.
Videos
for kids:
- Once
Upon a Potty for Her (and for Him).
- It’s
Potty Time, Duke Family Series.

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Literature Cited
Written and compiled by Kyla Boyse, R.N. and Kate Fitzgerald, M.D.
Reviewed by faculty and staff at the University of Michigan
Updated May 2007
U-M Health System Related Sites:
Department of Psychiatry
U-M Pediatrics
Our editorial policy
The information and links we provide are reviewed by University of Michigan developmental and behavioral pediatricians and child psychologists who are experts in child behavioral health. In choosing the links we provide, we use strict criteria to ensure that the information is accurate, and the source is reputable. As much as possible, we focus on information that is based on research. In areas where there is inadequate research, we include information compatible with prevailing expert opinion.
This website is updated regularly, but because of the dynamic nature of the Internet, we cannot be responsible for misinformation that may be accessed through the links provided. As always, this website is not a tool for self-diagnosis, and is not a substitute for professional care.
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