A Pediatrician’s Guide for Parents
Toilet training is a significant milestone in a child’s development, marking their transition from
infancy to early childhood. As a pediatrician, I often encounter questions from parents about the
best practices for toilet training. This blog aims to provide a comprehensive guide to help you
navigate this important phase with confidence and ease.
When to Start Toilet Training?
There’s no one-size-fits-all answer to when you should start toilet training. However, most children
show signs of readiness between 18 and 24 months. Look for these indicators:
 Physical Readiness: The child can stay dry for longer periods (at least two hours) and has
regular bowel movements.
 Behavioral Signs: Interest in the toilet or discomfort with dirty diapers.
 Cognitive Readiness: Understanding simple instructions and the ability to follow them.
 Emotional Readiness: The child is willing to cooperate and shows signs of independence.
Starting too early can lead to frustration for both the child and parents, so wait for these signs
before beginning.
How do I prepare my child for Toilet Training?
Preparation is key to a smooth toilet training process. Here are some steps to get ready:
1. Choose the Right Equipment: Invest in a child-sized potty or a seat that fits securely on your
regular toilet. Let your child be involved in picking out their potty to increase their interest.
2. Create a Routine: Consistency is crucial. Encourage regular bathroom breaks, such as after
meals or before naps, to establish a routine.
3. Teach the Basics: Explain the process in simple terms. Demonstrate how to use the toilet,
and if appropriate, let them see family members using it.
4. Dress for Success: Dress your child in clothing that is easy to remove quickly. Avoid
complicated buttons and zippers.
The Training Process
Once you’ve prepared, it’s time to start the training. Here’s a step-by-step guide:
1. Introduce the Potty: Encourage your child to sit on the potty, even if they don’t use it. Praise
them for trying, which will reinforce positive behavior.
2. Establish a Routine: Take your child to the toilet at regular intervals, especially after meals,
naps, and before bed. Avoid pressuring them; instead, gently remind them.
3. Encourage and Praise: Offer praise and rewards for successful attempts, such as using a
sticker chart. Avoid punishment for accidents, as it can create negative associations.
4. Teach Hygiene: Show your child how to wipe properly and wash their hands. Reinforce the
importance of cleanliness and independence.

How do I deal with the challenges?
Toilet training can come with its set of challenges. Here’s how to handle common issues:
 Accidents: Expect accidents and treat them calmly. Avoid punishment or negative reactions,
as this can hinder progress.
 Resistance: If your child resists, it may be due to fear or discomfort. Take a break and try
again later. Ensure that the potty training process is not stressful.
 Night Training: Nighttime dryness often takes longer to achieve. Continue using diapers at
night until your child consistently stays dry. Encourage bathroom use right before bed.
When do I need to Seek Help?
Most children will eventually become proficient in toilet training with time and patience. However, if
you encounter persistent issues or if your child shows signs of distress or regression, consult with a
pediatrician. Conditions such as urinary tract infections, constipation, or developmental delays may
affect toilet training progress.
Conclusion
Toilet training is a journey of growth and learning for both children and parents. By understanding
the signs of readiness, preparing adequately, and approaching the process with patience and
positivity, you can help make this transition a smooth and successful one. Remember, every child is
unique, and the key is to support them at their own pace while celebrating their achievements along
the way.
Feel free to reach out at kiranjot@amritaclinics.com if you have any questions or concerns
throughout this process. Happy training!

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