Toileting and Toilet Hygiene

Toileting and Toilet Hygiene means knowing when to go to the bathroom, emptying our bladders and bowels, cleaning up afterward, and managing clothing. What an important occupation!

Below you will see groups of behaviors that describe specific patterns of sensory processing. As you read through these lists, make note of any that stick out to you or seem to be descriptive of your child. Click on any group for more information about that particular pattern of sensory processing. Children can display different patterns at different times, so make sure to click on all that apply.

My child appears...

  • averse to harsh bathroom lighting, picky about cleanliness, or avoidant of certain commodes
  • intolerant of bathroom fans, hand dryers, buzzing of lights, echoing, or ambient noise
  • overwhelmed by sitting on the commode, avoidant of certain toilet tissues, washing hands, or drying hands; to require a very specific water temperature
  • intolerant of restroom odors or may require time to allow unpleasant odors to dissipate
  • rigid in movements or resistant to movement
  • to easily get nausea, dizziness, or headache with too much movement
  • to feel urgency when needing to use the bathroom

My child appears...

  • inattentive to soiled linens or restroom cleanliness; to frequently misjudge the distance to the commode or has poor aim
  • unaware of soiled or wet clothing touching skin, haphazard with thoroughly cleaning bottom
  • clumsy or floppy, unaware of his or her body in space, or to struggle to maintain position and posture
  • unaware of or unphased by excess movement
  • not to recognize the body's signals alerting to the need to use the restroom

My child appears...

  • to repeatedly and compulsively flush the toilet or intent on watching the contents go down the drain
  • fascinated by running water or continually activating the bathroom fan or hand dryer
  • to need to touch or smear waste products after elimination, splash hands in the commode or sink, unravel toilet paper, stuff toilet with paper or other items, use excessively hot or cold water while washing hands, use too much soap, or splash and play in sink while washing
  • to crave odors, good or bad
  • to hang on towel bars or open and close cabinets with excessive force
  • to use excessive movements during task
  • to push too hard to have a bowel movement

My child appears...

  • to frequently enter the wrong public restroom if gender specific or misjudge distance to commode
  • unable to discern direction, volume, pitch, or quality of sound
  • to struggle to distinguish between hot or cold water, smooth or rough textures, or light or firm pressure when cleaning self
  • uncertain of body position or relationship between body parts, especially when eyes are closed
  • uncertain of head position, upright position, speed of movements
  • uncertain of the body's signals alerting to the need to use the restroom

My child appears...

  • lazy or lethargic
  • to struggle to maintain position standing or sitting to use restroom
  • to be easily fatigued by everyday tasks

My child appears...

  • unaware of how to plan toileting tasks
  • uncertain of how to correctly sequence steps (i.e. may completely remove clothing then put pants on before undergarments)
  • to struggle to complete steps in order even if he or she demonstrates understanding of the correct order