Potty training: How to get the job done

Potty training is a major milestone. Get the facts on timing, technique and handling accidents.
By Mayo Clinic StaffPotty training is a big step for kids and parents alike. The secret to success? Timing and patience.
Is it time?Potty training success hinges on physical, developmental and behavioral milestones, not age. Many children show signs of being ready for potty training between ages 18 and 24 months. However, others might not be ready until they're 3 years old. There's no rush. If you start too early, it might take longer to train your child.
Is your child ready? Ask yourself:

• Can your child walk to and sit on a toilet?
• Can your child pull down his or her pants and pull them up again?
• Can your child stay dry for up to two hours?
• Can your child understand and follow basic directions?
• Can your child communicate when he or she needs to go?
• Does your child seem interested in using the toilet?

If you answered mostly yes, your child might be ready. If you answered mostly no, you might want to wait — especially if your child is about to face a major change, such as a move or the arrival of a new sibling.
Your readiness is important, too. Let your child's motivation, instead of your eagerness, lead the process. Try not to equate potty training success or difficulty with your child's intelligence or stubbornness. Also, keep in mind that accidents are inevitable and punishment has no role in the process. Plan toilet training for when you or a caregiver can devote the time and energy to be consistent on a daily basis for a few months.
Ready, set, go!When it's time to begin potty training, follow these steps:

• Pull out the equipment. Place a potty chair in the bathroom or, initially, wherever your child is spending most of his or her time. Encourage your child to sit on the potty chair in her clothes to start out. Make sure your child's feet rest on the floor or a stool. Use simple, positive terms to talk about the toilet. You might dump the contents of a dirty diaper into the potty chair and toilet to show its purpose. Have your child flush the toilet.
• Schedule potty breaks. Have your child sit on the potty chair or toilet without a diaper for a few minutes at two-hour intervals, as well as first thing in the morning and right after naps. For boys, it's often best to master urination sitting down, and then move to standing up after bowel training is complete. Stay with your child and read a book or give your child a toy to play with while he or she sits. Allow your child to get up if he or she wants. Even if your child simply sits there, offer praise for trying — and remind your child that he or she can try again later. To maintain consistency, bring the potty chair with you when you're away from home with your child.
• Get there — Fast! When you notice signs that your child might need to use the toilet — such as squirming, squatting or holding the genital area — respond quickly. Help your child become familiar with these signals, stop what he or she is doing, and head to the toilet. Praise your child for telling you when he or she has to go. Keep your child in loose, easy-to-remove clothing.
• Explain hygiene. Teach girls to spread their legs and wipe carefully from front to back to prevent bringing germs from the rectum to the vagina or bladder. Make sure your child washes his or her hands afterward.
• Ditch the diapers. After a couple of weeks of successful potty breaks and remaining dry during the day, your child might be ready to trade diapers for training pants or underwear. Celebrate the transition. Let your child return to diapers if he or she is unable to remain dry. Consider using a sticker or star chart for positive reinforcement.

If your child resists using the potty chair or toilet or isn't getting the hang of it within a few weeks, take a break. Chances are he or she isn't ready yet. Pushing your child when he or she isn't ready can lead to a frustrating power struggle. Try again in a few months.
Nighttime trainingNap and nighttime training typically take longer to achieve. Most children can stay dry at night between ages 5 and 7. In the meantime, use disposable training pants and mattress covers when your child sleeps.
Accidents will happenTo handle accidents:

• Stay calm. Don't scold, discipline or shame your child. You might say, "You forgot this time. Next time you'll get to the bathroom sooner."
• Be prepared. Keep a change of underwear and clothing handy, especially at school or in child care.

When to seek helpIf you have questions about potty training or your child is having difficulties, talk to your child's doctor. He or she can give you guidance and check to see if there's an underlying problem.

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