Spørg eksperter

tada

Bladder control

Spørgsmål

Our child, successfully toilet trained for many years, is suddenly having problems with bladder control. Is there any connection to his approaching puberty?

Svar fra vores eksperter

The fact that this just began suddenly after years of being dry is concerning. He should have a urinary tract infection ruled out first (via a sample of urine sent for culture). If this is positive, he should have a renal (kidney) ultrasound, if not previously done, and a voiding cystourethrogram to demonstrate his internal anatomy and make sure there is no predisposition to a urinary tract infection. I would also make sure that there is no sexual abuse going on, since a sexually transmitted disease (possible to test for by cultures) could present with incontinence (lack of bladder control). A careful neurologic evaluation (physical examination) should be done to rule out a spinal cord problem (e.g. tethered spinal cord) and a spinal study performed, if needed. Finally, if all of this is negative it could be behavioral (anxiety, attention-seeking, etc.) and this could be addressed at home or with a behavioral psychologist.

TK 7-13-10

Godkendt afClinical Advisory Board (CAB)
Svaret er kontrolleret og gyldigt for
us
Find andre sidder der deles de sammen emne som den side Anxiety4 Anxiety2 Anxiety8 Pain and Behaviour3 Pain and Behaviour1 Pain and Behaviour15

Anbefaling(er)

Pain and Behaviour

R18
As pain can easily remain unrecognised in a child with CdLS, all care providers should be aware of the different manifestations and the possible sources of pain. Specific tools to assess pain are recommended.

Anbefaling(er)

Anxiety

R59
Interventions targeting problematic repetitive behaviour in individuals with CdLS should be sensitive to anxiety, sensory problems and social demands. These interventions should also consider environmental factors.
R60
Atypical presentation of anxiety and mood disorder should be considered when behaviour changes occur.
R61
As anxiety is common in individuals with CdLS during periods of environmental change/transitions, a planned program should be implemented.
R62
Treatment of anxiety and mood disorders in individuals with CdLS should be considered using psychosocial interventions (therapies) and pharmacotherapy (medication).

Hvileansvar

Bemærk venligst, at Spørg eksperterne-tjenesten består af frivillige fagfolk inden for forskellige områder. Svarene betragtes ikke som en medicinsk, adfærdsmæssig eller pædagogisk konsultation. Spørg eksperten er ikke en erstatning for den pleje og opmærksomhed, som dit barns personlige læge, psykolog, uddannelseskonsulent eller socialrådgiver kan yde.

Har du et spørgsmål, du gerne vil stille?

Stil et spørgsmål

Har du helt brug for hjælp? Kontakt University Hospital of Copenhagen!

Om denne side

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    

emne der indholder dette emne
What medical care may a child with CdLS need?
'
Information
Forrige
Infections and Vaccinations
Information
Næste
Puberty
Information