While it's important to approach this situation with sensitivity and care, the symptom of experiencing pain while going to the bathroom can suggest several possibilities, such as a medical issue like constipation, an infection, or other health-related problems. However, if the pain is recurrent and accompanied by other concerning behaviors or signs, it might also suggest potential neglect or abuse.
Among the options provided, neglect could be a possibility if there is a lack of appropriate medical care or attention to Peter's health needs. It may also be worth considering consulting a medical professional to rule out any underlying health issues.
It's critical to gather more context before making any conclusions and to ensure Peter has the support he needs.