Parent & Patient Information System 06/09/2015 Page45 / 51 Chapter 10 - Bladder problems/daytime incontinence What kind of bladder problems could my child have? Usually children are potty trained by the age of 5 yrs. but sometimes children are still wet or were dry and then start to wet again. Daytime incontinence is a very common problem in childhood. One in five otherwise healthy five year- olds and one in seven school-age children have problems with day and or night continence Some children are born with anatomical problems affecting the bladder or problems with the spinal nerves, which can also cause wetting. These however are relatively uncommon. For most children bladder problems are as a result of an overactive bladder, an underactive bladder or by children learning to use the muscles of the bladder in the wrong way (dysfunctional voiding). What are the symptoms of bladder problems? There are lots of different symptoms and children may have several or just one these may be; Frequency; the need to urinate very often and usually small amounts Urgency; needing to go suddenly and having to hold on, sometimes needing to cross their legs. Often they can not get to the toilet in time and can be wet Smelly wee or Urinary Tract Infections: Straining to wee or difficulty starting to wee sometimes not able to wee at all Poor stream of wee or a stop and start pattern of weeing Pain with weeing What causes these symptoms? When you wee your bladder muscle squeezes and the sphincter muscle ( the muscle that holds in wee when you don`t need to go) relaxes. Sometimes this doesn`t work quite right and
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