by Mary Siever on January 9th, 2004

Mary Siever

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My 5 year old is not yet fully potty trained. She knows how to go to the bathroom, understands the sensations, but still has accidents. We have tried incentives, talking to her, charts, nothing works. Any ideas?

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  • by zekethefreak on January 19th, 2004

    zekethefreak

    She may have a bladder condition that doesn't allow her time to get to the bathroom once she feels the sensation. In older people, this is called urgency incontinence. Kiegel(?) exercises have been prescribed in some cases to help strengthen the muscles surrounding the bladder. Also have her practice "holding it"...then while urinating, have her stop the stream, hold it for a few seconds, then start again. Certain foods, especially caffeinated, carbonated beverages, or artificial sweeteners, can aggravate urgency incontinence.

    Is she urinating frequently? She may have an underdeveloped bladder. Does she sleep through the night without having to get up to go to the bathroom or having an accident?

    A urologist may be helpful. There are also medications that can be prescribed for children.

    To help reduce the amount of laundry I'm sure you're doing, you might try using some of the bladder control pads, like POISE, but your daughter may have to be reminded to change them often, as they could lead to urinary tract infections.

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