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Childhood Incontinence Clinic in Salt Lake

Childhood Incontinence Clinic

Childhood Incontinence Clinic in Mukundapur

Children get full control over their bladders once they are at least 3 years old, and bedwetting until then is common. But they should outgrow this until they reach 5 years of age. If wetting or bedwetting occurs after the age of 5 years, it could indicate an underlying condition called enuresis or urinary incontinence. This is generally termed involuntary emptying of the bladder. This condition can be frustrating for parents and embarrassing for the child. It is important to understand that a child has no control over this condition. Only a professional doctor trained in treating enuresis can help your child overcome this. The process of urination is controlled by the brain, nerves, and urinary muscles, which work together to pass or control urine in the bladder. Any dysfunction in this process will lead to this condition. The Childhood Incontinence Clinic specialises in addressing urinary and also faecal incontinence issues in children. 

The Childhood Incontinence Clinic at Manipal Hospitals, Mukundapur, Kolkata, has the best and most experienced team of paediatric urologists proficient in diagnosing and treating incontinence in paediatric patients. We provide compassionate and comprehensive services tailored to each patient's needs. We follow a multidisciplinary approach at our Child Incontinence Clinic, where paediatricians, paediatric urologists, nurses, and sometimes paediatric gastroenterologists and psychologists work together to improve patient treatment outcomes. Counselling and support are also provided to empower families with the knowledge and skills to manage and potentially overcome incontinence challenges, improving the children’s quality of life.
 

FAQ's

Enuresis is of four types, and a child can have one or more of these types:

  • Nocturnal Enuresis: This is the most common type of enuresis. This wetting occurs during the night and is called bedwetting.

  • Diurnal Enuresis: This is called daytime wetting, and wetting occurs during the day. This may be the result of certain behaviours. 

  • Primary Enuresis: This usually occurs when the child has not fully mastered the technique of toilet training.

  • Secondary Enuresis: This condition occurs when, after a period of dryness, the child returns to wetting again.

There can be many possible causes of urinary incontinence in children. However, the exact cause of bedwetting is not known. Here are some of the possible causes of enuresis, including:

  • Small bladder

  • Hormone imbalance (not producing enough ADH, an anti-diuretic hormone) 

  • Diabetes

  • Urinary tract infection

  • Sleep apnea

  • Ongoing constipation that puts pressure on the bladder

  • Certain genes

  • Anxiety

  • Attention deficit hyperactivity disorder (ADHD)

  • Structural problems in the urinary tract

  • Not feeling that the bladder is full while asleep

  • Very deep sleep

  • Caffeine intake

  • Not going to the bathroom often or not urinating enough when going

Most children outgrow this condition with age, but it may remain a problem for some children after the age of 7 years, requiring help from a specialised doctor. If your child experiences any of these signs, seek medical attention.

These signs include:

  • Your child still has wet pants or bed after the age of 7

  • Starts wetting after a few months of being dry during the day or night

  • In addition to wetting, if the child experiences:

    • Pain after passing urine

    • Feels extra thirsty

    • Has hard stools

    • Snores

    • Has red or pink urine

The diagnosis of child urinary incontinence helps in knowing the underlying cause and condition of your child’s situation so that the right treatment plan can be made. This includes:

  • Physical exam

  • Discussing the symptoms, family history, frequency of child urinating, fluid intake, problems faced, bowel and bladder habits, stress, etc.

  • Urine or blood tests are used to assess the signs of an infection or diabetes.

  • Imaging tests or X-rays of the bladder or kidneys to assess the structural issues of the urinary tract

  • Any other types of tests, if needed

Though most cases of enuresis go away over time, sometimes treatment becomes necessary. The doctor will decide what will work best for your child after a discussion with you. It will also depend on the underlying cause if diagnosed.

The treatment options for your child's urinary incontinence include:

  • Lifestyle modifications like changes in fluid intake, reducing the intake of caffeine, etc.

  • Moisture alarms: These are battery-operated devices that use a sensor to detect wetness and raise an alarm when your child begins to pass urine, making him get up and use the bathroom. If the child is a deep sleeper, you can listen to the alarm and wake up the child. It is a better long-term solution, but it will take time to show results.

  • Bladder training: Exercises as advised by the doctor can be used to train the bladder, and urinating on a schedule helps too. 

  • Medications: The doctor may prescribe certain medications if necessary and if other methods fail. Medications can be given for boosting ADH levels, calming the bladder muscle, etc.

  • Counselling and education: A counsellor can help your child cope with these changes or other stress.

With certain lifestyle changes, this condition can be managed. These include:

  • Avoid drinking or eating foods with caffeine, especially in the evening or night.

  • Limit the intake of fluids in the evening and encourage drinking more liquids in the morning or early afternoon.

  • Urge the child to pass urine after every 2-3 hours or so.

  • Urge double voiding before bed.

Looking at your child’s symptoms and issues, your paediatrician may refer you to a paediatric urologist or paediatric nephrologist. Prepare yourself and your child for your first consultation at the Child Incontinence Clinic to get the most out of your visit. The preparation includes:

  • Note down any key personal information, like any major stress, recent life changes or any event.

  • Check the family history of siblings and parents.

  • Make a list of all the medicines, herbs, supplements or vitamins that your child is taking and their doses.

  • Note down any symptoms you see in your child related to or not related to wetting. Child’s bathroom visit and fluid intake, etc.

  • Questions you want to ask but may forget during that time, such as what is causing wetting? What treatments are available? How can you help your child? etc.

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