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Pediatric Pelvic Health: A Parent’s Guide to Understanding the Assessment & Treatment

When it comes to our children, their health and happiness comes before all else. That is why at Mississauga Pelvic Health, we believe it's important to talk openly about Pediatric Pelvic Health, and to understand it. Many parents may not know that issues like bedwetting or daytime accidents are not only common but also treatable. What’s normal? Most children are fully potty trained by the age of 4 years old.


What Causes Pediatric Pelvic Health Conditions?

Pelvic health conditions in children can arise from different factors—some might be physical, like weakness in the pelvic floor and core muscles, while others could be related to behavioral patterns, such as not drinking enough water or eating enough fiber. Some issues can even stem from potty training troubles that were never resolved.


It is important to know that urinary symptoms are often linked to bowel health (such as constipation).


Common Symptoms and Conditions

1. Bedwetting (Enuresis)

This occurs when children are not waking up when they need to void, resulting in an accident in bed. In fact, this is impacting 10% of children aged 7 years old.   


2. Daytime Urinary Incontinence

This can happen to about 7-10% of children between ages 5 and 13 and might make school or social activities challenging.


3. Fecal Incontinence

This may present as smearing in the underwear, or more fecal leakage throughout the day.


4. Overactive Bladder

Your child may be going to the bathroom too many times/day (>8 times), and with urgency (I gotta go NOW!). This may also be associated with urinary leakage, as they may not make it to the bathroom in time.


5. Pelvic Pain, low back pain, hip pain

This is often due to tense muscles that are creating discomfort. This could arise from the low back, hips, lower extremities, or pelvic floor itself.



The Assessment & Treatment at Mississauga Pelvic Health


Family centered approach:

  • Gentle Assessments: The assessment is done with the parent(s) in the room (depending on the family’s preference). It is important to know that this assessment is performed externally (unlike adult pelvic health, which may involve an internal component). We assess your child’s movements and function, abdominal region, low back, and hips, and pelvic muscle control.

  • Customized Treatment: Treatment may include a bladder/bowel diary to track and understand important habits, a fiber and fluid diary, pelvic floor relaxation exercises (deep breathing, stretches), pelvic floor strengthening, and education regarding behavioral modifications that will help.


Ready to Get Started?


If you think your child could benefit from a consultation, don’t hesitate to reach out to us at Mississauga Pelvic Health. We’re here to help your child thrive, not just cope. Book your visit today and take the first step towards a happier, healthier life for your child.




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