Pediatric Incontinence, Bedwetting & Constipation

Bladder dysfunction such as daytime incontinence and bedwetting/enuresis is not normal beyond the age of 5.  Bowel dysfunction such as constipation and encopresis is more common than we think and is often the cause of urinary incontinence or bedwetting.  The most important thing to remember is that it is not the child’s or your fault.

Constipation and incontinence is completely involuntary and not a behavioral problem. There can be psychological component, ie: afraid of falling in the toilet bowl.  Constipation is often not perceived by the child and needs medical assistance and at times, physiotherapy from a trained pediatric physiotherapist.

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What are the physical components that may cause incontinence?

• Constipation ‍
• Muscle imbalance of the inner core and/or hip muscles. The pelvic floor is a component of the inner core muscles of the body and are also closely linked to the hip muscles. 
• Unintegrated primitive reflex
• Inability to control their bladder. Typically a mature bladder begins around 4 years old.

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