This study focuses on helping kids with autism who have trouble with using the toilet, called enuresis (wetting) and encopresis (soiling). After treating the wetting problem, researchers will check if the soiling issue continues. If it does, some kids will receive a special treatment over the phone (telehealth) that includes behavior tips and may use a type of medicine called a suppository. Others will get education for parents. A pediatric gastroenterologist, a doctor who helps with tummy problems, will ensure safety. Caregivers will fill out forms about bowel movements and discuss issues with the researcher. One legal guardian must sign consent, and kids will agree to join if possible.

• This study is for children aged 5-12 with developmental delays, excluding ADHD alone.
• It involves several visits, including telehealth sessions and meeting with a specialist.
• Participants will not be compensated, but will gain support and guidance for toilet training challenges.