PT issues

[ijack]

DD is 4 and has been PT'd for 2 years. Lately she's been having more accidents - just small ones where she claims she doesn't feel like she has to go and the pee comes out. WWYD? She doesn't wear a diaper to nap or bed and can go 12 hours without wetting her pants, it just seems to be small stuff here and there. I will fully admit that she's been known to pee her pants because she doesn't want to stop playing or to piss me off, but this is a little different. She doesn't complain about it hurting when she pees or anything like that, just that she "can't feel it."
Any thoughts?

[madringal]

My DD is doing the same thing, and has been for about 6 months on and off. It really upsets her too. I talked to her pedi (my cousin) and she wanted to check DD for a UTI and sure enough she had one! We got her some amoxcycilyn and it cleared up. She has had 2 now this year, and we can't figure out why!

[ijack]

How do they check for an UTI?

[madringal]

She just had to pee in a cup (which was intersesting!)

[slug*bug]

Jun 11, 2012 15:49:05 GMT -5 madringal said:

I talked to her pedi (my cousin) and she wanted to check DD for a UTI and sure enough she had one!

This was my very first thought based on her description of what happens when she goes.

I had chronic UTIs in early childhood and I remember that feeling. If it were me, I'd want to at least rule it out.

[pugz]

I know when my niece went through a phase of doing this her parents determined it was attention seeking behavior. Harsh perhaps but they made her clean up her own mess as best she could and also made her run her own bath water and would stand outside the door and watched while she took a bath instead of sitting in there playing with her. She quickly reverted back to being fully potty trained once she wasn't getting extra attention from her parents for the behavior.

[MamaMaui24]

Didn't she have some irritation recently too? I'd rule out UTI before trying to do anything else.

[schrodinger]

Jun 11, 2012 16:21:27 GMT -5 pugz said:

I know when my niece went through a phase of doing this her parents determined it was attention seeking behavior. Harsh perhaps but they made her clean up her own mess as best she could and also made her run her own bath water and would stand outside the door and watched while she took a bath instead of sitting in there playing with her. She quickly reverted back to being fully potty trained once she wasn't getting extra attention from her parents for the behavior.

When SD2 started potty training around 2.5, SD1 (5 at the time) started having the same issues. She even crapped herself at a museum. Told her that we were going to start potty training her if she kept having accidents.

We went right back to the usual schedule of every hour making her go sit on the toilet, even is she said she didn't have to. We'd make a big deal out of SD2's successes, but tell SD1 that "that's what big girls do." I don't remember if we went as far as to put her in pull ups overnight.

After a few days of having to do that, she figured it out. We also chalked it up to attention-seeking.

[vanillacourage]

DS started having accidents awhile back - near-daily after being PT'd for a year. Partially from being too engrossed in what he was doing to stop and go and partly because he always wants things to be his idea and if we suggested he go, he'd claim he didn't have to. Ugh, preschoolers!

Anyway, we identified something he really wanted (Toy Story removable decals for his room) and I drew seven boxes on a sheet of paper. Every day he stayed accident-free, he got to check off one of the boxes at bedtime. I wasn't even going to make him do 7 days in a row, but he got so excited about "Mommy can I do the check mark???" that he knocked it out in a week and has only had a couple accidents in the 2 months since. He just needed a little refresher course I guess.

[rex]

It could be completely behavioral, or it could be a sign of a health issue such as a UTI.

I have a student who would have accidents and claim to not feel anything. It turns out she has Celiac. Somehow that's connected to her bladder issue, because ever since they took out gluten she's stopped having accidents.

I think behavioral is an easier place to start and if that doesn't work I'd talk to a doctor.

[brit1017]

I think that sometimes they are so involved in what they are doing that they ignore the urge to pee. DS did it a few times in a week, and since then, if he is super into an activity, we will tell him to go pee at least once an hour.

DS has a friend that lives across the street who is also 4, and he has peed his pants several times while he and DS were playing at the playground. Again, I think that it is just b/c he is having so much fun that he is ignoring the urge to go.