An absorbent pad is provided, suitable for use by a child with encopresis and/or enuresis, the pad being designed for location inside the underpants of the child. The pad has an upper surface that presents an absorbent material and a water impervious lower surface. The pad comprises: an absorbent first section comprising absorbent material, the first section being sized for positioning in the rear gusset and back area of the childs underpants, such that it is located adjacent to the childs anal region when the child is wearing the underpants an absorbent second section, separate from or extending directly or indirectly from the first section, this second section being sized for positioning in the crotch area of the childs underpants, such that it is located adjacent to the childs urethral region when the child is wearing the underpants, wherein the second section has a smaller area than the first sectiona securing portion on the lower surface of the pad, for releasably securing the absorbent sections to the inside of the childs underpants and one or more tabs that can be gripped by the child, located at the edge of the absorbent first section, wherein the tabs are provided with releasable securing means, such that the tabs can be folded over the edge of the underpants when the pad is located in the underpants, with the securing means contacting the outside of the underpants and releasably securing thereto.