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Primary urinary incontinence.

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I have a 6 year old son who is still not continent passing urine. He is continent faecally. He is a twin and his sister is continent day and night.Have tried every strategy known to mab.Has seen a doctor who said there is nothing physically wrong. Any ideas?

Category: Pediatrician

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Category: ICU/ Critical Care Specialist
 21 Doctors Online

Dear Parent,
Your child seems to be having primary incontinence (meaning: he never attained continence for a period of more than 6 months at any point in his life). The causes of primary incontinence (occurring both during the day an night) include mostly organic causes (structural causes). There are certain questions that you need to answer:
Does he continuously dribble urine?
Does he not feel bladder sensations and fails to realise that his bladder is full? In that case, the child would pass urine once in 3-4 hours, with large volume urine passage.
Does he sense that his bladder is full but passes urine while running to the loo?
Does he realise that his bladder is full, but passes urine at socially inappropriate occasions?
Answering these questions would help me guide you better.
Saptharishi L G
Consultant Pediatrician

Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
Dr. Saptharishi L G and 4 other Medical Specialists are ready to help you

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