Seek Medical Attention for Late Toilet Training?

Question

When you seek a medical opinion on (lack of) potty training success?

Background: My son will be 4 next month and has almost daily accidents. For urine, it's sometimes just small amounts - like where he's able to stop going, but sometimes huge ones - like a complete release of the bladder. Even his socks and shoes are soaked. For bowel movements, there's almost always at least 1 accident a day. It actually doesn't seem to bother him.

Unfortunately, he's in daycare, so I'm not 100% certain of all that happens in a day. At home on the weekends, he doesn't have accidents nearly as often, but I take him potty often (his little brother is potty training now and the 4-year-old likes to go potty when he does).

There's no previous medical issue or disorders. He's generally a happy child (but not very obedient - we've started on the 'ticket' system for throwing and not obeying right away).

I'll become a stay-at-home mom in June (when our next child is born) and this is an area that I really want to focus on, but I'm also wondering when to seek medical attention - he has his 4-year-old well child check up next month.

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