Reply to Bedwetting - do I see a gastroenterologist or urologist?

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Reply to "Bedwetting - do I see a gastroenterologist or urologist?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The first thing to do is get an x-ray.  If his colon is backed up, he is constipated.  I wouldn't put him on any medication before doing that.  You can do the x-ray through your pediatrician.  If he is constipated, see a GI specialist.  I took our child to a urologist due to similar issues, but he wouldn't do anything until the constipation is cleared up.  [/quote]

I would seriously hope a pediatrician would not just order an x-ray. First, there is no signs of constipation but bed wetting which isn't really a sign.  How about distended abdomen. Abdominal pain, poor appetite, hyper/hypo active BS. Diarrhea or hard stool, nausea/vomiting.  Second, an x-ray may show a bowel obstruction but may not show minor constipation.  Third, a physician needs more history, or at least they should before subjecting a child to unnecessary radiation. [/quote]

Studies show that constipation in children do not always present symptoms.

http://www.m.webmd.com/children/news/20120130/study-constipation-may-cause-bedwetting
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One article on webmd isn't going to get a ped to write a script for an X-ray.  Most bed wetting is a form of a sleep disorder, not constipation. And constipation can be dealt with before going to any doctor. Bowel regimen, a log of bowel movements with amount and type, along with urine/bed wetting log. This would see if there are any possible correlation.  [/quote]

It's not just a web md article, it was a study done by Steve Hodges and published by the Journal of Urology. Do you have research that shows most bedwetting is sleep disorder? Also you don't need Ped to write Rx for xray, you can go directly to GI. Again, most children with constipation don't show any symptoms so logs aren't going to do anything.

http://www.wakehealth.edu/Urology/Pediatric/Bedwetting-Can-be-Due-to-Hidden-Constipation-Research-Shows.htm
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