Understanding Bowel and Bladder Dysfunction in Children

Bowel and bladder dysfunctions encompass a range of disorders that affect a child’s ability to manage their urinary and fecal outputs and continence. These conditions can be particularly distressing, both physically and emotionally, for the young ones experiencing them and the families who support them. We often think of child development as progressing in a straight, forward direction. And once milestones like potty-training are reached, new challenges that appear may feel like falling behind. But bowel and bladder dysfunction in children is quite common. 

Common issues include: 

• Daytime and nighttime wetting (enuresis), which can be a source of anxiety and embarrassment for children. 
• Urinary frequency and incomplete emptying, leading to frequent bathroom visits, incontinence and potential infections. 
• Withholding urine, which can result in discomfort and further complications. 
• Constipation with and without holding behaviors and fecal incontinence, affecting gastrointestinal health, hunger, mood and overall well-being. 

Addressing these issues requires a nuanced understanding of their physical and psychological impacts, as well as a compassionate approach to treatment. 

Recognizing Signs and Symptoms 

The first step towards effective treatment is recognizing the signs of bowel and/or bladder dysfunctions. Parents and caregivers should look out for: 

• Sudden or frequent urges to urinate, even shortly after using the toilet. 
• Accidents during the day or night that continue beyond the typical potty-training age. 
• Pain or discomfort during urination or bowel movements. 
• Avoidance of using the bathroom due to fear or embarrassment. 
• Physical symptoms such as constipation, stomach ache, and loss of appetite among others.  

Some children may only experience bowel or bladder issues, while others may have difficulties in both categories. If any of these symptoms are present, it’s most beneficial to seek professional guidance early to prevent further complications and to support your child’s development confidently. Occasional accidents are one thing, but recurring issues need attention. 

What is Pelvic Floor Therapy? 

All bowel and bladder issues have a physical and behavioral component. Dysfunctions may be the result of psychological issues, such as anxiety surrounding bathroom spaces, bedtime routines or other worries. But every dysfunction results in a physical change in motor control of the pelvic floor.  The psychological component can be addressed with appropriate counseling and behavioral coping skills. But the latter may require physical therapy. Pelvic Floor Therapy is a specialized treatment focused on creating awareness in the child of their pelvic floor muscles which may include strengthening of the muscles, learning relaxation skills and improving toileting habits. These muscles play a vital role in supporting bladder and bowel functions. For children experiencing dysfunction, targeted therapy can make a significant difference in their daily lives. 

Benefits of Pelvic Floor Therapy include: 

• Improved control over bladder and bowel functions. 
• Reduced frequency of accidents and associated anxiety. 
• Enhanced muscle coordination, promoting natural, healthy bodily functions. 
• Increased confidence and independence for children dealing with these challenges. 

Gail Fennimore, PT, offers her specialized training and experience to provide targeted interventions that are both effective and child-friendly. Her approach is tailored to each child’s unique needs, ensuring comfort and progress at every step. 

Why Choose Child & Family Development? 

At Child & Family Development, we pride ourselves on offering a multidisciplinary approach to care. Our team includes psychologists, occupational therapists, and other specialists who collaborate to ensure that every aspect of your child’s health is considered. Gail Fennimore’s expertise is complemented by our C&FD resources, allowing for a holistic approach to treatment. 

Our Approach Includes: 

• Comprehensive Evaluations: Thorough assessments to understand the root of your child’s issues. 
• Regular or Consultative Appointments: Flexible scheduling to accommodate your family’s needs. 
• Accessible Exercise Programming: Engaging activities that make therapy enjoyable and fun for children. 
• Customized Caregiver Training: Empowering parents and caregivers with the tools needed to support their child’s progress. 
• Physician Collaborations: Working closely with your child’s doctors to ensure cohesive care. 

Realizing Positive Outcomes 

Don’t wait to get the support your child needs. Early intervention can make a world of difference in managing bowel and bladder dysfunction. These issues can be especially damaging to confidence at a time in their lives when children are trying to develop a strong sense of self. Contact the Child & Family Development Center today to schedule a consultation and explore how our specialized care can benefit your child. Together, we can help your child achieve greater comfort, confidence, and independence. 

Join us at the Child & Family Development Center, where expert care meets compassionate understanding, and every child is supported to thrive. 

Contact us to schedule an assessment today.