Oh dear AQ, I do hope March is a better month for you.
Solo sorry about the teeth. I had a dead tooth as a child, all grey until it fell out and the adult tooth grew. Afraid I hated it and for all the time until it fell out I refused to show it. It was at the front so all photos have me doing a tight, closed mouth smile.
What is it like with an impaction? We've not had overflow issues for yonks. The last time things got bad we finally got onto fibrogel rather than just using lactulose and he improved very quickly, poo problems have been very, very few since (it was almost a year ago I think, I remember him being on the fibrogel when we went to France last Easter) then although he isn't doing great right now. I've started him back on fibrogel. There has been no odd poo, no overflow at all, when one comes it is a perfectly normal poo. Could he be impacted even though he is producing normal poo?
The EArly Years woman was lovely but didn't really say anything we didn't know or hadn't already tried. Be positive, don't get worked up, lots of praise when he gets it right, rewards and so on. She came with a reward chart that she had made for him which he got very excited about and managed to squeeze out enough tiny little wees during the rest of the afternoon to get right to the end and choose a treat 
. Anyway there are only 5 steps on the chart before treat so we just go round and round and round and the boy is eating way too many lollypops . Woman came on Thurs, Fri and Sat he was pretty good at getting things in the loo/potty but this afternoon he has been through half a million pairs of pants. I just hope I can get something dry for nursery tomorrow. Need to get back on top of the poo though as I rather expect the reason he has been so bad today is that he has not done a poo for a couple of days. He started saying he needed one last night but it still hasb't come, a few times he has said it is coming and gets on the potty but it doesn't come. I know he is scared, not sure what else I can do to help other than sit with him, rub his back, encourage him. We explain that if he does a poo every day it won't hurt, it only hurts when he holds on for several days and lets them get big.
Fuck it I have no idea.
The lady did say we just go to GP and get anything medical rules out though just in case so I'll try to get in to see the lovely gp who put him on fibrogel in the first place. He was the first one who had actually listened rather than just telling us to up the lactulose and all toddlers got a little constipated sometimes. We ended up giving him so much lactulose that his poo was way too soft and the poo boy was just trying desperately to withold liquid poo. The fibrogel was so much better as the bulked up poo really reinforced the sensation of needing to go for him.
I am cold!! Have let the fire go out early as the stove of doom is being replaced tomorrow so it needs to cool down. Hurrah! I shall have a central heating system that isn't trying to kill me!