My son is three and a month, and has been in pants except for bed for the last four months or so. We were having an average of about one accident a day, and it seemed to be getting very slowly better, so i was happy to just leave it. But he STILL doesn't seem to know in advance when he is going to pooh, and does it in his pants most days. That is bad enough, but as i say i can live with it and was trying to be laid back and assume he'd slowly get the hang of it. He has always been reliable naked - it seems to be the pants that confuse him (i've tried the 'going commando' approach but that doesnt' seem to help and makes much more mess as you have to clear it off his legs etc rather than it all being contained in the bum area by the pants!). Then this morning he called to me and was standing on his bench in a pool of urine and turd - i really lost it and started screaming at him, which i'm sure hasn't helped matters! But what on earth can i do? Do you think it will get better slowly, or should i take him to the doctor in case there is some medical problem? He seems fine with urine, it is just poohs that he is almost totally un-trained on - exactly the opposite of what all the books say! I tried a starchart a couple of months ago but he didn't seem very interested - just got upset if he didn't get a star sometimes, or said 'thats ok, i'll not have a star', and i ended up getting even more frustrated. It just seems to me that a three year old of at least average intelligence and development should be able to get at least half his poohs in the potty or toilet!!! Any help/advice?