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ASP and BM issues

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My son is seven and has been having bowel issues for awhile now. He is ASP but

also PANDAS OCD and tics. I think this has become a compulsion. He used to soil

his underpants but now he tries to go and says it is stuck and uses his fingers

to get it out. Then he rubs his bottom on the carpet and over the register. We

have such a mess to clean up. He has made his bottom bleed. I am not sure how to

punish him. I put him in his room for time out. I took away his things and his

computer time. He already has anger issues and a short fuse. He is throwing

things at the walls and breaking his things in his room while in time-out. I am

at a loss. He is mean verbally and screams at me and won't give up. He insists

on a shower after the BM everytime. What can I do with him when nothing seems to

help? I have been to Dr's many times and I just can't get this resolved.

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