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.
Statistics: Your child is not alone.
20% of pediatric visits for incontinence problems
3% of pediatric visits for constipation
15% of GI doctor visits are for lower bowel function
19% of school aged children wet the bed
5 million youngsters complain of nocturnal enuresis (bedwetting)
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Daytime wetting (urinary incontinence), urgency- loss of urine
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
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
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I feel very fortunate to have found Rosie. With her help and guidance, I have been able to control my overactive bladder and to avoid medication and or botox treatments recommended by a urologist. Rosie gave a very thorough initial interview and exam to help determine the best treatment. She was always very professional, at the same time very pleasant and approachable.