Many children and their families suffer from anxiety, embarrassment, and shame surrounding problems caused by bowel and bladder dysfunction. Many times, these issues are not discussed with healthcare professionals and therefore go untreated. The causes of pediatric bowel and bladder issues are many. They can be related to environmental or psychological factors or be due to an immature part of the nervous system that controls the bladder.

Problems can also be caused by the pelvic muscles being too active and in spasm, too tight and weak. The bowel and bladder share similar nerves so oftentimes, children with bowel issues also have bladder issues. Typically, most children are toilet-trained by the age of 4 with few accidents. If this is not the case, it can greatly affect the quality of life for the whole family.

Pediatric Pelvic Health Disorders

  • Daytime wetting (urinary incontinence), urgency- loss of urine
  • Overactive bladder
  • Constipation/pain with bowel movements: having less than 3 bowel movements a week
  • Bedwetting (enuresis): nighttime loss of urine
  • Fecal incontinence: loss of feces with or without staining
  • Urinary/fecal retention: not fully emptying bladder/bowel
  • Frequent UTIs

Pediatric Pelvic Health Symptoms

  • Using the restroom more than 8x/day or less than 4x/day
  • Wetting the bed over the age of 5
  • Leg crossing or a little “pee-pee dance” to avoid losing urine on the way to the restroom
  • Difficult or pain during bowel movements
  • Pain with urination

Begin Your Journey to Better Wellness

If you need a specialized physical therapist, I highly recommend Rosie Radford. Rosie is very competent, kind and compassionate about her work. Rosie is truly professional and puts you at ease knowing how difficult and personal these issues can be. Rosie had genuine concern for my treatment and well-being. Most importantly, Rosie’s treatment worked!

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