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Video Q&A about Bowel and Bladder Dysfunction in Children Event Date: June 21, 2018 | 11:00am - 11:30am CT

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@mageencaines

7 y/o girl wets herself during the day fairly consistently, seems to have few body cues (e.g. recognizing when she needs to urinate, recognizing when she is hungry), wears a diaper to bed b/c doesn't wake up at all to use the bed a night, and is behind on reading at school, though exceeds school's recommendations for listening to others reading out loud and other auditory literacy activities. Parent has asked who she should ask for help - what kind of doctor, specialist, or program might help understand the range of needs this girl has?

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Replies to "7 y/o girl wets herself during the day fairly consistently, seems to have few body cues..."

So much incontinence in a 7 year old is not normal. There could be many causes. My advice would be to first see pediatrician who can do exam and initial testing. She might be referred to a pediatric urologist. As far as I know she can get normal function again.

Hi, @mageencaines. Here is a response from Erin, pediatric physical therapist, that you may find helpful: With regard to daytime urinary leaks, the child would benefit from a set voiding schedule throughout the day (every 2 – 3 hours) and discussion with the child’s primary care doctor about daytime and night time leaks would be warranted. If further assessment is recommended by primary care, then a referral to a pediatric urologist should be considered.