Voiding dysfunction is an abnormal urination pattern. It is described as a child’s inability to empty the bladder completely. Voiding dysfunction may be caused due to congenital abnormalities, trauma, presence of tumors, poor toileting habits, past urinary tract infections, or emotional or psychological stress. It may also be associated with other neurological, endocrine or genetic disorders.
Voiding dysfunction can occur as:
- Daytime wetting (diurnal enuresis): This is characterized by small urine leaks to the soaking of underwear. It occurs more commonly in the afternoon.
- Bedwetting (nocturnal enuresis): This occurs when a sleeping child cannot control urination at night. It is generally considered abnormal after the age of five.
Symptoms of Voiding Dysfunction
Symptoms of voiding dysfunction include urinary incontinence (uncontrolled urine leakage), pain in the back, sides or abdomen, repeated urinary tract infection, frequent/urgent urination, constipation and blood in the urine. Voiding dysfunction can be diagnosed with a child’s social and medical history. Your child’s doctor may conduct a physical examination, urine and blood tests, and other imaging tests to determine voiding dysfunction.
Treatment of Voiding Dysfunction
The treatment of voiding dysfunction is based on the underlying cause. Your child’s doctor prescribes antibiotics to treat urinary tract infections and laxatives to prevent constipation. It is recommended to increase the intake of water and avoid carbonated beverages, caffeine, chocolates, and citrus juices. Certain behavioral changes and techniques may also be taught to help your child empty its bladder regularly and effectively.