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Index/All Things Sensory by Harkla
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#410 - Understanding Pediatric Pelvic Floor Health and Potty Training Struggles

All Things Sensory by Harkla · 2026-05-27 · 29 min

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Episode notes

If potty training, constipation, accidents, or stool withholding feel way harder than they should, you are not alone. In this episode, we’re talking about pediatric pelvic floor health and why many toileting struggles are actually connected to body awareness, sensory processing, nervous system regulation, and coordination. Amanda shares her perspective as an OT specializing in pediatric pelvic floor health, while Rachel brings in the sensory and regulation lens. Together, we break down why kids who struggle with toileting are not being lazy, stubborn, or defiant, and why pressure and shame often make things worse. We also talk about common signs a child may need extra support, how stress and dysregulation impact the body, and practical strategies families can use at home to make toileting feel safer and more manageable. This episode is all about helping parents better understand what’s happening beneath the surface and reminding families that their child is not broken and they are not failing. Thanks for listening If this episode made you feel less alone, share it with another parent navigating toileting struggles right now. LINKS We’d love to answer your questions on the podcast!

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