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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Urinary Incontinence?

my nephew is 6 years old having bladder problems always peeing on himself don t know if its bladder problems r he just lazy,is mother died almost a year ago but I don t think that s the problem,he had surgery on his penis a few years ago because he was born premature and it didn t develop fully he needs one more surgery im thinking maybe extra skin or his bladder didn t fully develop,hes on a lot of medication already and seeing a urologist but im not getting any results
Mon, 12 Jan 2015
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General & Family Physician,  's  Response
Hi, urinary incontinence or enuresis, can be normally seen in a child upto the age of 10 years. Although around 90% children learn bladder control by 5 years of age, but some learn it by 10 years. We usually dont treat until the child has attained >10 yrs of age and is still bed wetting. Yes, if your child has day time incontinence also, then the cause for it should be found. Get a urine routine microscopy and culture for the child along with a hemogram. Also get an Ultrasound abdomen and KUB to rule out any tract abnormality. Get a Spine examination and if possible, get a MRI spine and brain to rule out any neurological condition. Drugs are pf little help in this condition but DDAVP 0.1 mg intranasal spray and imipramine tablets are given. But the child relapses when the drugs are stopped.
Thanks and regards.
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What Causes Urinary Incontinence?

Hi, urinary incontinence or enuresis, can be normally seen in a child upto the age of 10 years. Although around 90% children learn bladder control by 5 years of age, but some learn it by 10 years. We usually dont treat until the child has attained 10 yrs of age and is still bed wetting. Yes, if your child has day time incontinence also, then the cause for it should be found. Get a urine routine microscopy and culture for the child along with a hemogram. Also get an Ultrasound abdomen and KUB to rule out any tract abnormality. Get a Spine examination and if possible, get a MRI spine and brain to rule out any neurological condition. Drugs are pf little help in this condition but DDAVP 0.1 mg intranasal spray and imipramine tablets are given. But the child relapses when the drugs are stopped. Thanks and regards.