My almost 7 YO soils him self

English is not my first language, I'm from a small but very developed country, there is only one children's hospital in my country and only one paediatrician that specialises in gastroenterology practising in our country. Throwaway because I’m talking a bout my sons were private medical issues.Two years a go my son then 5 years old was diagnosed with chronic constipation by this doctor even though he has never had a hard or painful stool in his life, well maybe as an infant but not as toddler or a preschooler. His problem was soiling him self most of the time, was late to quit diapers. He still soils him self most days and it is maybe 10% of bowel movement that he gets to the toilet. Some periods it has been as bad as 4-8 times that he has an accident in his pants but for the last 2-3 months it has been 1-2 times a day and even some days accident free. His stools are usually 6 on the Bristolscale often 7 and a few times it can be considered a 5 but that is rare.I do realise that this can be of psychological origins and most definitely is now at almost 7 years old even if it wasn't in the beginning.The doctor dismisses me when I suggest that maybe the problem is not constipation, he has had treatment to relieve constipation under the supervision of the hospital at home and yes of course there is a lot of bowel movement that comes with with that but never any big formed turds that could have been blocking, the most formed things can only be considered at 5 on the Bristolscale.I do not know where to turn, there is no second opinion to be had here and we would have to pay out of pocket to see a doctor in another country because there is one practising in our country.We have done everything the doctor orders, we have done everything the social worker system has suggested, we have done everything his ADHD paediatrician has suggested, it has been 2 years numerous reward systems, medication, added digestion fiber (makes things worse), stool softening medication (chronic diarreha). We have made him try to go to the toilet at set times multiple times a day for most of these two years. I have paid him cash for each bowel movement that goes in to the toilet. Name it I have tried it. But please name it in case I have not.I have completed every parental advice group in my country and now I turn to reddit. Is there anything I can do for my child? He is being bullied and has been since kindergarten because of this.To day I broke down in the car crying, we were driving home after his weekly therapy session where his problem is being treated as being psychological and he soils him self in the 10 minuets the therapist was talking to me booking new appointments after his session.He does not do this on purpose.What can I do, what can the problem be if not chronic constipation? What am I doing wrong? via /r/Parenting https://ift.tt/2VxUype