Author: Juliana Remer PT, DPT N2 Physical Therapy Denver location
Potty training is often a challenging time for parents and kids. Most kids during this period will experience wetting or soiling episodes during the years of potty training.
However, by the age of six, the majority of children have full control of their bowel and bladder function. Yet, an estimated 20% of pediatric visits are for concerns regarding bladder and bowel problems.
Also, according to the International Foundation for Functional Gastrointestinal Disorders (IFFGD) 10-25% of children visiting a pediatric gastroenterologist are complaining of constipation or encopresis (bowel leakage).
This can be a very frustrating for both the parents and the children. It is important to know that help is available; an emerging, safe and effective treatment for these children is pelvic floor physical therapy.
Common issues with pelvic floor dysfunction in children can result in the following issues:
- Urinary incontinence
- Daytime wetting
- Nighttime bedwetting(nocturnal enuresis)
- Giggle incontinence
- Stress urinary incontinence
- Overactive bladder
- Urinary urgency/frequency
- Urinary retention (vesicoureteral reflux)
- Dysfunctional voiding
- Chronic constipation
- Painful defecation
- Fecal incontinence (encopresis)
- Fecal urgency/frequency
- Abnormal bloating (abdominophrenic dyssynergia)
- Abdominal pain
The pediatric gastroenterologists or pediatric urologists will first perform tests to rule out infections, congenital issues, central nervous system or endocrine causes of voiding dysfunction. If it has been determined that there is a sensory and muscular component that is contributing to a child’s bowel and/or bladder problems then physical therapy can definitely help.