Parent & Patient Information System 06/09/2015 Page46 / 51 children do not use the muscles in the right way. They may not relax the sphincter muscle properly as a result of this they may not their bladders fully which can cause wetting and or infections. They may be trying to wee with the sphincter muscle shut causing difficulty weeing and pain Sometimes if your child holds onto wee for a long time the bladder can get very large and also may not empty very well this can also cause infections. They may not get the signals to wee very easily and may also have wetting accidents Your child may have a small bladder and therefore need to wee very often but only wee small amouts. This may be because they do not drink enough to stretch up the bladder or that they have a twitchy or overative bladder Sometimes daytime wetting and bladder problems can be caused by constipation. The bowel sits next to the bladder and if it is very full it can affect how the bladder works. It is very important if your child has constipation that this is treated first as this may improve or cure your child’s bladder problems. (See information leaflet about constipation). How are bladder problems treated? It is important for the nurse/doctor to get a good picture of what is happening with your child’s bladder. We do this by filling in a diary of toilet habits (a bladder diary) this is done by parents/children at home for a few days, noting; How often the child goes to the toilet How much urine is passed When there is leakage How much they have to drink Once we understand what the patterns of the bladder we can start to find out what is wrong with the bladder and work out what treatment would be best. For all bladder problems the first and most important treatment is:
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