Daytime wetting is uncommon past the ages of 3-4. Most children will have gained good control of their bladder by this age.
If your child continues to have accidents or is unable to achieve bladder toilet training, proper professional advice may be needed.

Overactive Bladder

An overactive bladder is caused when the bladder has a problem with its ability to store urine. The bladder has sudden spasms and the child will often have urinary urgency and they often have urine leakage.
A child who has overactive bladder syndrome will benefit from an assessment and management plan from a qualified Pelvic Health Physiotherapists.

Many children will experience constipation throughout their childhood. Constipation is the passing of hard stools or when your child doesn’t pass stools frequently.
You only need to be concerned if your child’s constipation persists or they are showing signs of withhold or are refusing to go to the toilet.

Signs and Symptoms of chronic constipation

Less than 3 bowel motions per week
More than 1 episode of faecal incontinence per week
Large stools in the rectum
Withholding behaviours
Painful defecation

Soiling

Soiling is where the bowels are emptied outside the toilet. A child may have loose stool in their undies or skid marks. This is common in children who have chronic constipation.
As a result of chronic constipation the bowel becomes enlarged and stretched. The child becomes less sensitive to detecting stools in the bowel and as result they can have leakage of stools.

Bed-wetting occurs when a child empties their bladder at night without permission. Children will often have control of their daytime wetting before they control their nighttime wetting.

Common Causes of Bed Wetting

• Inability to waken on a full bladder.
• The bladder becoming overactive and unable to store urine overnight.
• Excessive production of urine over night by the kidneys making it difficult for the bladder to store the urine.