She seems as if she doesn't notice herself, until it is brought to her attention by others. The child is over weight and has a diabetic mother and a fother with cancer. The problem began about 8 months ago, they seem to think she is fine, being lazy about going to the bathroom is their explanation.  As her Aunt that isn't the answer a child should not have 4-5 bowel movements in her clothes,( such as at the movies, skating, birthday parties for example) a the smell is so great everyone notices but her, she gets picked on due to this. Thats abnormal! No child will not bring punishment or embarresment to herself, I know this as a mother of two and also a CNA. Having worked with the elderly this seems to be a similar situation.