why does my child keep wetting herself
67 percent of these children will have bedwetting as well - see What causes daytime wetting? There are many causes of daytime wetting but dysfunctional voiding is the most common problem - 'voiding' means doing wee (passing urine). Children with daytime wetting feel the urge at the last minute and may suddenly show holding postures or may 'curtsey' using their heel to stop the flow of wee. When they get to the toilet, the outlet valve may not relax fully. This stops the bladder from emptying fully. When they go back to their desk, the outlet valve will relax and wee leaks out. This leftover wee can also lead to infections. Doctors should ask all children with urinary tract infections if they have problems with daytime wetting. a weak outlet valve which may lead to wet pants when laughing, coughing or straining
Structural abnormalities in the bladder or the kidney tubes can also cause daytime wetting. Symptoms of this include pain while weeing, a poor wee stream or continuous dribbling wee. Daytime wetting is rarely due to disease or child abuse.
What can I do to help? be patient and understanding - reassure your child, especially if they are upset avoid drinks with caffeine such as tea, chocolate and fizzy drinks When should I seek help? It is important that children with daytime wetting see a doctor with children's problems experience. The doctor will take a detailed history of the problem and examine your child. A diary with the following information is very helpful: Your family doctor may refer your child to a paediatrician (child health specialist) or urologist (a doctor specially trained in conditions of the bladder and urinary system). If your family doctor suspects a psychological problem, they may refer your child for help in this area. What tests will my child need? Your child may have laboratory tests on blood and wee to rule out any medical conditions. 50 percent of girls who wet during the day will have occasional bacteria in their wee. Your child may need an ultrasound scan or x-ray to check the bladder and kidneys. Occasionally a child may need cystoscopy. A urologist will so this.
A urologist is a doctor specially trained in bladder and urinary system conditions. The urologist uses a tube to look for any abnormalities in the bladder outlet. They may also do urodynamics - a test to see how the bladder and urethra are doing their job of storing and releasing wee. How do you treat daytime wetting? Daytime wetting can be very distressing and dysfunctional voiding can last for a long time. (Voiding means passing wee). 10 to 15 percent of children with daytime wetting become dry each year. You should be able to bring your child's daytime wetting under control with retraining, and occasionally, suitable medication. The best approach is to encourage your child to pass wee on a timed basis before they feel the urge. This allows the bladder to empty while the outlet valve is still relaxed. It is important to individually tailor timed voiding for your child and family, especially if they are going to school. Your child should try to relax and empty their bladder without straining. Sympathetic and energetic management that puts your child in control is best.
Offering reminder alarms and sticker charts are often helpful strategies as the programme needs to continue for at least 6 months. After doing wee (voiding urine), children count to 20 and try to empty their bladders again. This reduces leftover wee in the bladder. Pelvic floor exercises and teaching control with relaxation of sphincter muscles can be helpful, but exercises that encourage holding on to wee make things worse. Treating constipation is essential to reduce leftover weePin the bladder and stop blockage of the outflow. Some medicines can be useful. Antibiotics control urinary tract infections and can reduce bladder instability. Antispasmodic drugs such as 'oxybutynin' do not result in long-term benefits by themselves but may help short-term to help with bladder retraining. In most cases, surgery has limited success and may sometimes make the problem worse. My Daughter is 6 years old. Recently she has started wetting herself. At school and home but not at night. Ive taken her to the doctors they say nothing is wrong with her when it clearly is!
The other day she had a friend round and they were both coloring at the table. When my daughter got up, her chair was wet so i went to find her and i asked her if she had wet herself she said no. her trousers were wet too so i helped her get changed and i hoped it was a one off accident. The next Monday she was back at school and when i came too collect her from school she was wearing spare clothes. Her teacher told me she had been playing in the sand box and forgot to go to the bathroom. When we got home i told her she needs to stop wetting herself and use the bathroom like a big girl. We finally had a dry school day the next day, but when she got home she was sat on the sofa watching watching a film. i smelt urine so i picked her up and just as i guessed she had wet herself AGAIN! i carried her too her bedroom and asked her why she didn t go to the bathroom she said she couldn t hold it! I really don t know what too do i shall take her back to the doctors on Wednesday but has anyone got any ideas?
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