Thanks guys! He's been to the hospital and has had several tests (including X-rays and other similar tests) and all came back normal.

I will definitely take you guys up on the schedule (visual schedule as well) and give both parents the same so we are all on the same page.

He actually had his first success here today just hours after I posted this. He had an entire poop! I was so happy that I even called his mom at work!! lol its been a very busy 3 months with this little guy and he has come sooo far from when he first started care with me.

I will try the scheduling thing and have his mom bring up the nerve damage possibility with the doctor as a concern to see what they have to say. She has already scheduled an appointment

Do you guys allow children to do things while on the toilet? Read? Should I be distracting him from the thought of pooping so he can relax?

Thanks again!