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/Our services (A to Z)/0 to 19 public health integrated nursing service (0 to 19 PHINS)/Toileting

Toileting

This page brings together simple, reliable information to support you and your child.

We know that toileting can feel overwhelming at times.

Whether your child is learning to use the potty, having daytime accidents, wetting at night or struggling with constipation.

toileting

Our 0 to 19 public health nursing service can help by offering:

  • advice and reassurance at our contacts or over the phone
  • practical tips to use at home or when out and about
  • support for routines, including healthy diet (see our HENRY parenting page)
  • When and how to get more specialist help

If your child needs more support

Some children may need extra help beyond universal advice.

  • We work closely with other services and we can help you understand what level of support is right for your child and how to access it.

Potty or toilet training

This content was adopted from startingreception.co.uk

Research shows it’s best for your child to stop using nappies, including reusable
nappies, pull-ups and training pants, between 18 and 30 months.

Potty training is a process that takes time.

  • It is not something that happens all at once.
  • Most children can start learning potty skills from around 18 months, but every child is different.

You do not need to wait for clear “signs of readiness”. Many children will not show these.

Before you start

It helps to:

  • make sure your child is not constipated (soft poo at least every other day)
  • talk about wee and poo in a calm way
  • let your child get used to the potty or toilet

Getting ready

You can start preparing your child by:

  • changing nappies regularly so they feel clean and dry
  • introducing a potty or toilet through play or books
  • letting them practise sitting on the potty
  • giving a healthy diet and regular drinks

Change nappies as soon as they are wet or soiled

  • This teaches your baby that it is healthy to be clean and dry.
  • If you can, change their nappy in the bathroom to help them
    link it with wees and poos.

Introduce your child to a potty or toilet

  • Read some of the great potty books available with your
    child
  • help their favourite doll or toy have a ‘turn’ on it and
    then encourage them to sit on it themselves.

Regular potty or toilet sitting practice

  • This can begin once they have been introduced to the potty or
    toilet
  • build up to several times a day.

Encourage a healthy diet and fluid intake

  • Give your child a diet which includes fibre (for example, fruit, vegetables
    and brown bread) to help

Drink plenty of water

  •  6 to 8 drinks spread evenly through the day.
  • When introducing solids, offer water in a cup.

Stand to change nappies

  • Change nappies standing up on the floor (once your child can stand), ideally in the bathroom.

Involve your child

  • Let your child:
    • flush the toilet
    • wash hands
    • pull clothes up and down
  • Nappy free time

    Give your child some nappy‑free time each day. This helps them get used to how it feels. Try this after they have done a wee or poo.

    Make the bathroom feel comfortable and safe

    This is especially important if your child has sensory needs.

    • Use ear defenders if flushing is too loud
    • Use a gentle smell if your child is sensitive to smells

    Dress your child in easy‑to‑pull‑down clothes

    • Avoid clothes that are harder to take off quickly, like jeans with buttons or tights.

    Once you have had some time to prepare and practise, you can begin to stop using nappies during the day.

    • Choose a time that feels right for your family, when things are calm and settled.

    If your child has any health problems, such as constipation or an infection, it is best to get help with this first.

    Talk to your child

    • Explain what is happening in a simple way.

    Let your child know they are:

    • Saying goodbye to nappies
    • Learning to use the potty or toilet

    Top tip

    Moving from nappies to pants can feel new and different for your child.

    You could:

    • Offer different types of pants (different colours, shapes, or fabrics)
    • Let your child help choose what they wear

    This can help your child feel more comfortable and involved.

    Starting Reception

    Download the potty training guide

    Available in the following languages:

    • Arabic
    • Bengali (Bangladesh)
    • Bengali (India)
    • Gujarati
    • Persian (Farsi)
    • Polish
    • Punjabi
    • Romanian
    • Tigrinya
    • Ukrainian
    • Urdu
    • Welsh

    ERIC

    Visit the ERIC: Potty training (how to start and best age to potty train)

    Growing healthy habits

    The ERIC charity explains that daytime wetting and bladder problems are common in childhood

    • In most cases everything is normal, the bladder simply isn’t working as well as it could.
    • Most problems improve by following ERIC’s:

    4 steps to a healthy bladder

    Step 1

    • Check the bowel first (constipation is the number one cause)

    Step 2

    • Rule out a urinary tract infection (UTI)

    Step 3

    • Get drinking right;
      • 6 to 8 drinks per day
      • Mostly water
      • Avoid caffeinated or fizzy drinks

    Step 4

    • Toilet routine and good habits;
      • Going to the toilet 4 to 7 times a day (more often for younger children)
      • Sitting comfortably with feet supported on a step

    Getting help if you’re worried

    You should speak to your GP if:

    • wetting continues after trying advice from ERIC
    • your child has pain when weeing
    • symptoms suddenly worsen
    • There is constipation that isn’t improving

    Visit the advice for children with daytime bladder problems page.

    The ERIC charity explains that bedwetting is very common and affects:

    • 1 in 15 seven‑year‑olds
    • 1 in 75 teenagers

    Work out why your child is wet

    • Do they have constipation?
    • Do they have daytime bladder problems (frequent wees, urgency)
    • Do they have a urinary tract infection (UTI)

    If bladder and bowel health is sorted, try the bedtime checklist

    • Daytime drinking
      • 6 to 8 drinks, spaced evenly throughout the day.
    • Stop drinks 1 hour before bed
      • No drinks after this until morning.
    • Toilet routine
      • A relaxed sit as part of the bedtime routine
      • A second toilet visit if more than 30 minutes pass before sleep
    • Protect the bed
      • Use waterproof mattress covers, duvet and pillow protectors, and absorbent sheets.
    • Help them know what to do if they wake
      • Use a night light or torch
      • If using bunk beds, sleep in the bottom bunk

    Getting help if you’re worried

    Speak to your GP if:

    • your child is 5 or older and wetting continues
    • your child has daytime symptoms (urgency, frequency, daytime wetting)
    • your child has signs of UTI (pain, cloudy or smelly wee)
    • you suspect constipation that isn’t improving

    Visit the children with night time wetting page

    ERIC describes constipation as a “poo traffic jam”.

    This means poo builds up in the bowel, becomes hard, and blocks the space the bladder needs to work properly.

    Common reasons

    This include:

    • not drinking enough
    • low‑fibre diet
    • holding poo in because it once hurt

    Try to:

    • give your child plenty of drinks, mostly water
    • offer foods with lots of fruit and vegetables
    • remind them to sit on the toilet often, especially after meals
    • use a small step so their feet can rest on it
    • stay calm. Constipation is not their fault.

    Visit the ERIC: Constipation for advice and information or read more on the NHS website

    Contact us

    You can call our Single Point of Access (SPA) from Monday to Friday, 8:30am to 5pm.

    • Phone: 0113 843 5683

    You can also keep up to date with our service and find more information on our Facebook or Instagram pages.

    If you 11 to 19 you can contact us via ChatHealth.

    Text a 0 to 19 specialist public health nurse on 07520 619 750

    Relay UK: Free support to help deaf people and those who have hearing loss or have a speech impairment to communicate over the phone.

    Useful links

    • Your Feedback means a lot: Complete our Friends and Family Test
    • How can we help you access and attend your appointment?
    • Support with accessing digital

    Contact us

    You can call our Single Point of Access (SPA) from Monday to Friday, 8:30am to 5pm.

    • Phone: 0113 843 5683

    You can also keep up to date with our service and find more information on our Facebook or Instagram pages.

    If you 11 to 19 you can contact us via ChatHealth.

    Text a 0 to 19 specialist public health nurse on 07520 619 750

    Relay UK: Free support to help deaf people and those who have hearing loss or have a speech impairment to communicate over the phone.

    Useful links

    • Your Feedback means a lot: Complete our Friends and Family Test
    • How can we help you access and attend your appointment?
    • Support with accessing digital
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