H.M.
Amy,
This sounds similar to my experience with my son. He refused to poop at preschool because he didn't want his teachers to help clean him up. This led to him holding it in, becoming constipated, and eventually a condition called encopresis. Because of the constant pressure on his rectum, the nerves there eventually died and the muscles weakened to a point where he actually COULD NOT hold it in, and had no sensation there to let him know that he had had an accident at all. Sometimes it was just a little accident, and once in a while it was the whole thing. Punishing your daughter could only make things worse because she will try to hold it in more, perpetuating the cycle. Talk to the doc right away about how to help your daughter. It may come to clearing her system out with a laxative and then scheduled potty times to keep her cleaned out, giving her rectum time to heal- strengthening the muscles and regaining sensation. It's a long, frustrating process. My son is 11 and still has some issues. But there is help out there, and you don't have to feel like your child is doing this to be stubborn. She likely isn't. Do some research on encopresis, and good luck! I'm here if you need to vent about it- I've cleaned more poop than anyone else I know!