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My wife and I have a 5 year old daughter who has been wetting her pants off and on for about a year now. We have been to the doctors many times and have ruled out any physical problems or infections. She was potty trained at 2 so she knows how to go to the bathroom. Somedays she'll use the toilet everytime, and other days she'll go in her pants without attempting to get to the washroom. She will be starting kindergarten in the fall and we want to stop this from happening. We have tried everything we can think of to get her to stop, reward systems, talking to her about it, even grounding her and taking away toys. Nothing seems to work. Any help would be greatly appreciated, thanks!
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Hi. When you say that you have ruled out any problems or infections, does that mean you have seen a urologist? Have there been changes in your home or family? It could be an adjustment or reaction to a stressful situation or change; however, if nothing has happened that might cause the stress, I would be inclined to believe that there is a physiological issue. It could be that she has frequency and/or urgency issues. It could be that she has bladder reflux and that her bladder, maybe small, does not empty entirely when she goes, (though testing can be very invasive). Or it could be that she does not get the sensation that she needs to go until there is little or no time before an accident; this may just be detected because she was previously taken (or suggestion made to go) and no longer needs or receives that reminder. There is medication for enuresis that has few side effects and can make a world of difference if this is a physiological rather than psychological issue. Also, diet affects the bladder a lot; there are many foods that irritate the bladder and exacerbate any urgency/frequency issues.
Or could it be that she is very very focused (and/or easily distracted) and forgets to go? I wish you luck in finding the root of the problem.
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She may be potty trained, however, her bladder may simply be too small right now.
I would ask your physican for a urologist referral to rule out any problems a general physician doesn't know to look for that would be more specific for a urologist to find.
Then, if that turns up nothing, I would check into behaviorial changes.
Kristi
My son has sensory issues adn doesn't always realize what the sensation is that he's feeling. He rarely wets, but becomes nasty when he needs to go. I usually have to 'force' him to go, all the while he's yelling at me that he doesn't need to go. If it weren't for the personality change, he would probably wet too. They are very in tune to it at his daycare - thankfully.