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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Urinary Incontinence Be Treated?

help my three yr old daughter has been fully toilet trained for a yr now but has suddenly become completely incontinent, most of the time she doesnt even realise she has wet herself, she says it doesnt hurt when she wee s but im having to constantly change and wash her, what could this be?
Mon, 26 Sep 2016
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Pediatrician 's  Response
the most common cause of enuresis in a toilet trained child for more than 6 months is urinary tract infection , she may not have fever but still she can have it .
for that a urine analysis and urine culture is needed and of positive , antibiotic toward the bacteria found in the culture is prescribed .
but if the culture is negative , then try to take more notes about how many times she do it through the day and if possible measurement of the amount is advisable , and that is helpful in the diagnosis of neurogenic bladder , latter on she needs ultrasonography of the kidneys and bladder .
careful exam is needed for evaluation , both genital and back exam is very important in cases of enuresis .
so I highly recommend to take her to the pediatrician to examin her and assess her condition.
I hope this helps
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How Can Urinary Incontinence Be Treated?

the most common cause of enuresis in a toilet trained child for more than 6 months is urinary tract infection , she may not have fever but still she can have it . for that a urine analysis and urine culture is needed and of positive , antibiotic toward the bacteria found in the culture is prescribed . but if the culture is negative , then try to take more notes about how many times she do it through the day and if possible measurement of the amount is advisable , and that is helpful in the diagnosis of neurogenic bladder , latter on she needs ultrasonography of the kidneys and bladder . careful exam is needed for evaluation , both genital and back exam is very important in cases of enuresis . so I highly recommend to take her to the pediatrician to examin her and assess her condition. I hope this helps