Should I take DS to the doctor? What could they do?

[bumpertobumper]

DS2 is 5, he is doing well in reception and is a happy healthy boy. The thing is that he rarely goes to the toilet in time. He doesn't ever have a full 'accident' but will get a wet patch pretty much every day, sometimes more than once. And a few times a week he will do (tmi, sorry) a pea/grape sized bit of poo in his pants. He does it when he is bursting, but can then continue to hold for quite a while. He will never voluntarily go to the loo until bursting - occasionally without a leak. He is not constipated, poos every day no (other) problem.
It seems that he does this because he doesn't want to stop what ever he is doing to go. If doing the wriggle and prompted he will deny needing to go.

This is the same at home and school, but worse at school.

He has always been like this to some extent, frequency goes in phrases. I have tried many strategies eg sticker charts, explaining his responsibilities, many others but never get cross.
He does get embarrassed about it, but not so much that he goes to the loo in time.

He claims that he can't feel the urge to go until it is urgent, and at this stage I am thinking maybe he can't. So I should take him to the doctor. But if this is the case what could the doctor do?

Advice and suggestions welcome...
Thanks

[bumpertobumper]

Sorry, doesn't realise that was so long.

[bumpertobumper]

Didn't - damn autocorrect

[iwouldgoouttonight]

I'd take him to the doctor, just to get some advice. Children can be constipated even if they poo every day (i found this hard to believe until DS had an xray and we saw how blocked he was). And if the bowel is blocked it can put pressure on the bladder which means the need to wee can be more urgent.

If it is that it can be treated really easily with mild laxatives, but it's best to get it sorted while he's young. My DS is now 9 and we were fobbed off by doctors for ages, saying he'd grow out of it, and it's only fairly recently we've found he's been badly constipated all this time, which was what causes the wee and poo accidents.

[3littlefrogs]

Read the ERIC website.
There is lots of good information on there that will help you work out whether you need to see a GP.

[bumpertobumper]

Thanks for the advice iwould and 3little. I have found some useful info on the eric site and will book an appointment on Monday.
I have learnt that he isn't drinking enough water for a start, more is good for any possible constipation and bladder training.
Thanks again

[iwouldgoouttonight]

Yes definitely lots to drink. Our poor DS is sick and tired of us following him around the house with glasses of water nagging him to finish them.

Hope you get some good advice from your GP.