Paediatric incontinence is common in young children and can be very distressing for children and their families. 

Paediatric Incontinence

1 in 10 children aged 6-7 years wet the bed. Bedwetting may occur without or without daytime urinary incontinence.

Common causes for bedwetting include bladder instability or over activity, difficulty waking up to a full bladder, increased night-time urine production and constipation.

If your child is not dry at night by 7-8 years, it is recommended to seek treatment. With an individualised treatment plan, your child’s Physiotherapist can help your child take steps to become dry at night.

Bedwetting or Nocturnal Enuresis 

Constipation and Faecal incontinence

Constipation is when ‘poo’ is less frequent and difficult to pass.

A 4 year old child should open their bowels once or twice a day.

If your child is constipated, they may have hard and dry poo that looks similar to rabbit droppings or poo that is very large in size.

Other signs of constipation may include tummy pains, cramping, straining, spending a long time on the toilet or withholding movements. Soiling on the underwear may also indicate constipation.

Childhood constipation can have a wide range of causes and requires a detailed assessment and a plan developed by your physiotherapist to improve bowel constipation and soiling.

Daytime wetting

Involuntary daytime wetting is a common condition in children.

Most children are dry by the time they are 3-4 years of age.

Daytime wetting is most common in young children although it can impact older children as well.

Causes of daytime wetting include an overactive bladder, under-active bladder, bladder habits and constipation.

There is a strong link between constipation and urinary incontinence. It may also be a symptom of another medical problem.

As there are many reasons for bladder accidents your physiotherapist will work through these to retrain the bladder. 

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Belinda Matthews

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