Did you get all the poo off of his backside? Have you taken him to the vet?
The poo on his bottom can clump and make it so he cannot poop. Make sure that area is clean and dried. Just the irritation from that alone can make them not want to potty. Anal glands on a 4 month old should not be a big issue as not being able to potty due to plugged areas from feces.
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