Re: Incontinence Update

[Guest guest]

Thanks to everyone who replied to my post. It seems quite a few people have

shared this same problem. I am sorry to be so explicit about this, but

several people asked me to post a reply when we learned more.

I took to his pediatrician, who felt the cause of '

incontinence was probably not medical. It would have been so easy to fix

had it been a simple urinary tract infection! ' control is perfect

during sleep, and most of the medical reasons for incontinence would also

cause night-time incontinence...so that rules out most medical reasons.

There is another medical reason that doesn't apply in my son's case, but it

might be of interest to others. Sometimes if the opening of the urethra

closes up a little, it can create a sensation of urgently needing to urinate

(much like a UTI). You can tell if that might be the cause if your child

has a very forceful stream of urine or it veers sharply off to the side.

is taking an SSRI, which I learned can cause incontinence. However,

that symptom would probably have shown up in the first few days of taking

the SSRI, not two months later.

So...that leaves behavioral and/or emotional issues causing the

incontinence. had 15 accidents at school yesterday, but not one at

home yesterday afternoon and evening and not a single one yet today. That

certainly makes me think there is something going on at school. A

behavioral consultant was brought in on Friday and they are beginning a

functional analysis of behavior. I'll update again after we get her

recommendations.

I just wanted to pass on an interesting idea I received that might be of use

to others of you. Instead of using pullups use a men's Depends pad.

Geraldine

From: " Geraldine Bliss " <bbliss1@...>

> Hi - I wonder if any of you have had experience with this. My six year

old son has been toilet trained since he was 3 years old and night-time

trained since he was 4.5 years old. This summer he had a couple of

toileting accidents, but I wasn't concerned because they seemed to be

isolated events. Soon after school started in mid-August, he began having 1

or 2 accidents each day at school. It was not happening at home and it was

not happening on weekends. I assumed this was a problem related to task

avoidance or maybe attention seeking.

>

> Last week he had 7 accidents one day at school and had a few more that

evening. It got better over the weekend, but this week at school, it has

gotten worse. He had 8 accidents at school yesterday and a several more in

the evening. Today he again had 8 accidents, and during a 15 minute period

he urinated in the toilet 11 times, and has had two more accidents this

afternoon. His teacher has been keeping data on this, and there does not

seem to be a consistent antecedent, and I would agree with that.

>

> I took a urine sample to the pediatrician this morning to rule out sugar

in his urine or a urinary tract infection, and the tests came back clean. I

am going to take him to the pediatrician tomorrow morning...but, any

ideas???

>

> THanks,

> Geraldine