Incontinence

Question 1

What are some red flags for incontinence?

Answer 1

• >10yo for NE
• >4yo for daytime wetting
• Constipation
  
  • <1mo
    
    • Delayed meconium passage
    • Ribbon stools
    • Abdominal distention / vomiting
  • Growth faltering
  • Protective concerns
  • Abnormal LL neurology
  • ? Sexual abuse
  • Abnormality of anus/buttocks/sacrum

Question 2

What is overactive blader? What is the treatment?

Answer 2

• urgnecy
• has frequency and posturing
• bladder filling disorder - detrusor contraction.

Treatment:

1. regular voiding program
2. anticholinergic - oxybutynin (only one with paediatric indication)