Endocronologist (Pediatric) Questions Urinary Incontinence

What could be the reason of urinary incontinence in my daughter?

My daughter is 13 years old and has been experiencing urinary incontinence. Why is this happening? I think that she's too young to have these issues, could it be because of puberty?

3 Answers

You need to bring her to your doctor, have her history and exam taken including how long the incontinence has been going on and seek an answer. If there is excess thirst and urination not just incontinence, urinalysis and checking for diabetes would be important. Evaluation of vaginal and urinary/bladder problem also should be considered. Not likely puberty related but detailed history and exam as well as appropriate lab testing should help figure this out. Stuart Brink, MD Senior Endocrinologist, New England Diabetes & Endocrinology Center (NEDEC) c/o NEDEC, 196 Pleasant Street, Newton Centre MA 02459-1815, USA phone 1-781-572-4533, e-mail: stuartbrink@gmail.com
May be diabetes. Please take her as soon as possible to her pediatrician.
Incontinence or enuresis is a condition where urination takes place involuntarily. It could be all the time or at night time (bed wetting). There are multiple causes of enuresis. It could be emotional, overactive bladder, poor bladder contraction, urethral blockage, due to medications (functional), etc.
If the enuresis is serious enough she needs to see her physician for proper evaluation and to figure out which of the above conditions are likely causing the incontinence. If there is a cause then the cause need to be addressed. If no cause as in most cases, then treatment plan should be worked out including behavioral and medical treatment. Desmopressin (ddAVP) and oxybutinin are some of the medications which could be used if they are appropriately indicated.
Good luck