Guest guest Posted March 25, 2011 Report Share Posted March 25, 2011 Bladder control problems are very common with children who have sensory issues and it is often related to self regulation. My niece is a pediatric urologist and is currently conducting research on this topic at University of Toledo. As an OT... In order to address this, the first question is what are her sensory issues. Is she a sensory seeker, under-responder or sensory over responder with some defensiveness. Children demonstrate urinary problems with all of these but for different reasons. To develop a program you need to know what we are treating first. Often if we address the regulatory problems the urinary problem gradually diminishes and then disappears. Cari Carolyn Murray-Slutsky, MS OTRRehabilitation for Children4041 North 41 StreetHollywood, Fl 33021www.STARServices.TV I have a 10 year daughter with Aspergers, OCD and ADHD. She is very smart, highly verbal but lacking in social skills. For the last year, she has been having accidents during the day. She does not have accidents at night. I have taken her to a urologist and there are no medical problems. She is wearing a watch that vibrates every two hours to remind her to go to the bathroom. The teacher at school has been asked to help with reminders as well. However, accidents are still happening on a daily basis. Her doctor has mentioned that this is a problem with self-regulation, but I have not been able to find a way to help her. Has anyone else experienced this? Does anyone have any ideas? I would really appreciate it! Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2011 Report Share Posted March 25, 2011 I have a 10 year daughter with Aspergers, OCD and ADHD. She is very smart, highly verbal but lacking in social skills. For the last year, she has been having accidents during the day. She does not have accidents at night. I have taken her to a urologist and there are no medical problems. She is wearing a watch that vibrates every two hours to remind her to go to the bathroom. The teacher at school has been asked to help with reminders as well. However, accidents are still happening on a daily basis. Her doctor has mentioned that this is a problem with self-regulation, but I have not been able to find a way to help her. Has anyone else experienced this? Does anyone have any ideas? I would really appreciate it! Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2011 Report Share Posted March 25, 2011 This is a low muscle tone problem...most of the kids on the spectrum have low internal muscle tone. You can buy her Source Naturals Colloidal Minerals and Electrolytes - Tunies in Coral Springs carries this. The minerals will strength the muscles and she will be able to hold her urine. Also taking her to a good acupuncturist who can work on the kidney/bladder meridian to strength that is also helpful if she can do the needles. I have a 10 year daughter with Aspergers, OCD and ADHD. She is very smart, highly verbal but lacking in social skills. For the last year, she has been having accidents during the day. She does not have accidents at night. I have taken her to a urologist and there are no medical problems. She is wearing a watch that vibrates every two hours to remind her to go to the bathroom. The teacher at school has been asked to help with reminders as well. However, accidents are still happening on a daily basis. Her doctor has mentioned that this is a problem with self-regulation, but I have not been able to find a way to help her. Has anyone else experienced this? Does anyone have any ideas? I would really appreciate it! Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2011 Report Share Posted March 25, 2011 I will try it. Do you know why this happens? She did not have accidents when she was younger and i do not understand why this changed. Sent from my Samsung Captivate on AT & T badillo9@... wrote: >This is a low muscle tone problem...most of the kids on the spectrum have >low internal muscle tone. You can buy her Source Naturals Colloidal Minerals >and Electrolytes - Tunies in Coral Springs carries this. The minerals will > strength the muscles and she will be able to hold her urine. Also taking >her to a good acupuncturist who can work on the kidney/bladder meridian to >strength that is also helpful if she can do the needles. > > >In a message dated 3/25/2011 8:08:09 P.M. Eastern Daylight Time, >jeane900@... writes: > > > > >I have a 10 year daughter with Aspergers, OCD and ADHD. She is very >smart, highly verbal but lacking in social skills. For the last year, she has >been having accidents during the day. She does not have accidents at night. >I have taken her to a urologist and there are no medical problems. She is >wearing a watch that vibrates every two hours to remind her to go to the >bathroom. The teacher at school has been asked to help with reminders as >well. However, accidents are still happening on a daily basis. Her doctor >has mentioned that this is a problem with self-regulation, but I have not >been able to find a way to help her. Has anyone else experienced this? Does >anyone have any ideas? I would really appreciate it! Thank you > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2011 Report Share Posted March 25, 2011 I have a friend who has the same issue with her child. In that case it is self regulation - just not being able to slow down enough to pay attention to anything but what is immediate. What she does, and teachers during the day, is remind her at least once an hour, at school sometimes twice an hour and some kind of reward/positivity is included. At home I would set that watch to every hour. At school maybe it would be more helpful if someone was assigned just to give her hourly reminders. Also I definitely think this is an issue that an OT or psychologist could help with, others must have this issue. Need Advice I have a 10 year daughter with Aspergers, OCD and ADHD. She is very smart, highly verbal but lacking in social skills. For the last year, she has been having accidents during the day. She does not have accidents at night. I have taken her to a urologist and there are no medical problems. She is wearing a watch that vibrates every two hours to remind her to go to the bathroom. The teacher at school has been asked to help with reminders as well. However, accidents are still happening on a daily basis. Her doctor has mentioned that this is a problem with self-regulation, but I have not been able to find a way to help her. Has anyone else experienced this? Does anyone have any ideas? I would really appreciate it! Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2011 Report Share Posted March 25, 2011 Do you know why your daughter is having accidents? Is it that she is unable to physically hold it in time ot get into the bathroom or is it an attenton problem where her mind is elsewhere, focused on other things and unable to pay attention to the need? Re: Need Advice This is a low muscle tone problem...most of the kids on the spectrum have low internal muscle tone. You can buy her Source Naturals Colloidal Minerals and Electrolytes - Tunies in Coral Springs carries this. The minerals will strength the muscles and she will be able to hold her urine. Also taking her to a good acupuncturist who can work on the kidney/bladder meridian to strength that is also helpful if she can do the needles. I have a 10 year daughter with Aspergers, OCD and ADHD. She is very smart, highly verbal but lacking in social skills. For the last year, she has been having accidents during the day. She does not have accidents at night. I have taken her to a urologist and there are no medical problems. She is wearing a watch that vibrates every two hours to remind her to go to the bathroom. The teacher at school has been asked to help with reminders as well. However, accidents are still happening on a daily basis. Her doctor has mentioned that this is a problem with self-regulation, but I have not been able to find a way to help her. Has anyone else experienced this? Does anyone have any ideas? I would really appreciate it! Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2011 Report Share Posted March 25, 2011 http://kidney.niddk.nih.gov/kudiseases/pubs/uichildren/ http://www.childrensdayton.org/cms/resource_library/nephrology_files/f6add6253d3f8801/enuresis_daytime.pdf Hope this helps, (keep us posted) (if I find more info will post) Wanda Need Advice I have a 10 year daughter with Aspergers, OCD and ADHD. She is very smart, highly verbal but lacking in social skills. For the last year, she has been having accidents during the day. She does not have accidents at night. I have taken her to a urologist and there are no medical problems. She is wearing a watch that vibrates every two hours to remind her to go to the bathroom. The teacher at school has been asked to help with reminders as well. However, accidents are still happening on a daily basis. Her doctor has mentioned that this is a problem with self-regulation, but I have not been able to find a way to help her. Has anyone else experienced this? Does anyone have any ideas? I would really appreciate it! Thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2011 Report Share Posted March 26, 2011 There may be stressors at school. You may need to think behaviorally. Is there a specific time when it happens? Does she get so involved in whatever she is working on that she "forgets". You may need to go back to retraining her bladder just like when you did potty training, ie: bathroom break every 15 - 30 min, with a reward each day that she doesn't have an accident at school. Set up a token system or something with the teacher so at each goal you set - daily, weekly etc there is an attainable reward. Good luck. To: sList Sent: Fri, March 25, 2011 8:55:37 PMSubject: Re: Need Advice I will try it. Do you know why this happens? She did not have accidents when she was younger and i do not understand why this changed.Sent from my Samsung Captivate on AT & Tbadillo9@... wrote:>This is a low muscle tone problem...most of the kids on the spectrum have >low internal muscle tone. You can buy her Source Naturals Colloidal Minerals >and Electrolytes - Tunies in Coral Springs carries this. The minerals will > strength the muscles and she will be able to hold her urine. Also taking >her to a good acupuncturist who can work on the kidney/bladder meridian to >strength that is also helpful if she can do the needles. > > >>> > > >I have a 10 year daughter with Aspergers, OCD and ADHD. She is very >smart, highly verbal but lacking in social skills. For the last year, she has >been having accidents during the day. She does not have accidents at night. >I have taken her to a urologist and there are no medical problems. She is >wearing a watch that vibrates every two hours to remind her to go to the >bathroom. The teacher at school has been asked to help with reminders as >well. However, accidents are still happening on a daily basis. Her doctor >has mentioned that this is a problem with self-regulation, but I have not >been able to find a way to help her. Has anyone else experienced this? Does >anyone have any ideas? I would really appreciate it! Thank you >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2011 Report Share Posted March 26, 2011 There are a couple of other things that can cause it to appear when it hasn't been there before. It could also be medication--some meds actually reduce or eliminate the sensory signals that tell the bladder it is full--the kids literally cannot tell when they have to go. Lithium is notorious for this, but some of the seizure meds do it also. Look in the package insert for side effects. Another thing that can cause it is pelvic trauma like falling on her butt. the bladder and urethra receive signals from the sacrum (tailbone) and require a strong pelvic diaphragm to help them. a good osteopath who does manipulation can check this and treat if necessary. Orrr.... sometimes this can be a symptom of new onset diabetes, especially if she has been on atypical antipsychotics like Geodon, Risperdal or Abilify (side effect). The symptoms are fatigue, weight changes (lost weight for type I and gained weight for type II) always hungry, always thirsty, always have to go to the bathroom and poor wound healing. There can also be a fruity smell to the breath. A simple blood sugar test can tell if this is the problem. They can also be associated with new onset of seizures, sometimes brief mini seizures that can go unnoticed. Our kids can develop them in teenage years as puberty changes their neurology. Again, a good osteopath can help here too. Her doctor should be made aware of the problem to rule out the serious stuff. > I will try it. Do you know why this happens? She did not have accidents when she was younger and i do not understand why this changed. > > Sent from my Samsung Captivate on AT & T > > badillo9@... wrote: > > >This is a low muscle tone problem...most of the kids on the spectrum have > >low internal muscle tone. You can buy her Source Naturals Colloidal Minerals > >and Electrolytes - Tunies in Coral Springs carries this. The minerals will > > strength the muscles and she will be able to hold her urine. Also taking > >her to a good acupuncturist who can work on the kidney/bladder meridian to > >strength that is also helpful if she can do the needles. > > > > > >In a message dated 3/25/2011 8:08:09 P.M. Eastern Daylight Time, > >jeane900@... writes: > > > > > > > > > >I have a 10 year daughter with Aspergers, OCD and ADHD. She is very > >smart, highly verbal but lacking in social skills. For the last year, she has > >been having accidents during the day. She does not have accidents at night. > >I have taken her to a urologist and there are no medical problems. She is > >wearing a watch that vibrates every two hours to remind her to go to the > >bathroom. The teacher at school has been asked to help with reminders as > >well. However, accidents are still happening on a daily basis. Her doctor > >has mentioned that this is a problem with self-regulation, but I have not > >been able to find a way to help her. Has anyone else experienced this? Does > >anyone have any ideas? I would really appreciate it! Thank you > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2011 Report Share Posted March 27, 2011 Jean I will try it. Do you know why this happens? She did not have accidents when she was younger and i do not understand why this changed. Many of these kids have mineral loss....the other issue can also be her pHs have shifted and she might be too alkaline which can cause this effect. See how she does with the mineral... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2011 Report Share Posted March 28, 2011 Thank you so much to everyone who has responded to my question! You are all amazing! I have a lot of avenues to follow-up with now and will be doing some homework and talking to her doctor. I really appreciate all of your help. I will keep you posted if anything changes. Jean There are a couple of other things that can cause it to appear when it hasn't been there before.It could also be medication--some meds actually reduce or eliminate the sensory signals that tell the bladder it is full--the kids literally cannot tell when they have to go. Lithium is notorious for this, but some of the seizure meds do it also. Look in the package insert for side effects. Another thing that can cause it is pelvic trauma like falling on her butt. the bladder and urethra receive signals from the sacrum (tailbone) and require a strong pelvic diaphragm to help them. a good osteopath who does manipulation can check this and treat if necessary. Orrr.... sometimes this can be a symptom of new onset diabetes, especially if she has been on atypical antipsychotics like Geodon, Risperdal or Abilify (side effect). The symptoms are fatigue, weight changes (lost weight for type I and gained weight for type II) always hungry, always thirsty, always have to go to the bathroom and poor wound healing. There can also be a fruity smell to the breath. A simple blood sugar test can tell if this is the problem. They can also be associated with new onset of seizures, sometimes brief mini seizures that can go unnoticed. Our kids can develop them in teenage years as puberty changes their neurology. Again, a good osteopath can help here too. Her doctor should be made aware of the problem to rule out the serious stuff. > I will try it. Do you know why this happens? She did not have accidents when she was younger and i do not understand why this changed.>> Sent from my Samsung Captivate on AT & T >> badillo9@... wrote:>> >This is a low muscle tone problem...most of the kids on the spectrum have> >low internal muscle tone. You can buy her Source Naturals Colloidal Minerals > >and Electrolytes - Tunies in Coral Springs carries this. The minerals will> > strength the muscles and she will be able to hold her urine. Also taking> >her to a good acupuncturist who can work on the kidney/bladder meridian to > >strength that is also helpful if she can do the needles. > >> >> > > >> >> >> >> >I have a 10 year daughter with Aspergers, OCD and ADHD. She is very> >smart, highly verbal but lacking in social skills. For the last year, she has > >been having accidents during the day. She does not have accidents at night.> >I have taken her to a urologist and there are no medical problems. She is> >wearing a watch that vibrates every two hours to remind her to go to the > >bathroom. The teacher at school has been asked to help with reminders as> >well. However, accidents are still happening on a daily basis. Her doctor> >has mentioned that this is a problem with self-regulation, but I have not > >been able to find a way to help her. Has anyone else experienced this? Does> >anyone have any ideas? I would really appreciate it! Thank you> >> >> ------------------------------------ Quote Link to comment Share on other sites More sharing options...
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