![]() ![]() ![]() The first stage in diagnosis is where the doctor records a clinic history of when the leakage started and how often it happens. What are the symptoms of urinary incontinence? This does not affect the success of treatment. In many cases, there is more than one cause of urinary incontinence, and in some children, the cause may never be confirmed. Problems with the muscles supporting the bladder – for instance, the pelvic floor muscles form a sling around the bladder so if these are weakened, either through lack of exercise or in adults, following childbirth, they can lead to leakage.If parents suspect their child is having accidents because they are not using the toilet at school, find out what is concerning them and if necessary, talk to the school. Reluctance to use the toilet – Many children are uncomfortable using public toilets, such as toilets at school.Some drinks can irritate the bladder – such as caffeine-containing drinks such as colas or acidic drinks such as fruit juice. These can make urine more acidic so uncomfortable to pass.Constipation – This can also affect urinary incontinence as the bowel expands with poo it can press on the bladder leading to incontinence.Urinary tract infections – These can also increase the need to wee and could also make weeing more uncomfortable.Overactive bladder – This is when the bladder signals the need to wee even when it is only partially full.As a feature of other conditions – such as spina bifida, there is a problem with the nerve supply to the bladder (and bowel) which may cause problems in recognising the need to wee.Structural problems with the bladder – for instance, following correction of congenital (present at birth) conditions, such as bladder exstrophy or if the ureters connect to the bladder in the wrong place.There are many factors that can lead to urinary incontinence: Although it may seem a normal part of childhood, it is often worth requesting a check-up if problems are occurring after starting school. Urinary incontinence affects many people in the UK of all ages. Stress incontinence – This is the most common type in adults, when leakage occurs when sneezing, coughing or exercising.Mixed incontinence – This is when there are different types of incontinence occurring in the same person.Overflow incontinence – This occurs when the bladder is never fully emptied so gradually gets fuller and fuller until leakage occurs.Urge incontinence – This is when there is a sudden urge to use the toilet but there might not be time to get to a toilet before leakage occurs.There are different types of urinary incontinence: The amount of urine leakage varies from child to child, as does the time of day when it occurs. Accidents are very common while toilet training but if leaks are still occurring when the child is five years old or so, they may warrant further investigation. Urinary incontinence is the uncontrolled leakage of urine from the bladder. Coronavirus (COVID-19) – information for children, young people and familiesĬoming to GOSH for a day or inpatient admissionĬoming to GOSH for an outpatient appointment ![]()
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