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

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[quote=Anonymous][quote=Anonymous]If your son was always wetting the bed how could it be an infection or constipation?

My daughter had constipation and then a a partial bowel obstruction at age 5. Side effects are usually stomach pains, dry heaving, various forms of stool (sometimes liquid, the poop never being wide, hard and solid, etc..) Anyway, she never once wet the bed.

There has only been one study done in 2011 that mentions constipation and wetting the bed.  If your child has normal bowel movements and poops regularly (which you should look into if you haven't) getting him on Miralax or something else will not help and could his bowels addicted/ immune to such medicine.  Plus if you go to a gastro the FIRST thing they will tell you to do is do a 10 day bowel history and come back.  And a ped can check for constipation with an abdominal check.

Have you checked him while he is sleeping?  Some bedwetting is caused by enlarged tonsils or sleep apnea.  Some from diabetes, some from a sleep disorder, some from allergies.

I think your best bet is to do a urinalysis, urine culture, abdominal palpations at pediatrician, 10 day bowel history, check him in his sleep for snoring/apnea, and find out if he is peeing around the same time each night (60-90min after falling asleep precisely) which can mean sleep disorder.  It might mean you have a lack of sleep a few days but if you really want to look into a specialist, you have to have all your eggs in one basket.

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I know you say your DD was constipated and had a bowel obstruction but you really have shallow knowledge of constipation, the research that's been done since the 70s and it's relationship to bedwetting.  Constipation isn't just infrequent or hard bowel movements, it is also the failure of the bowels to fully empty.  The longer feces stay in the GI tract, the drier, harder they become - they become a 'fecal load'.  This load is not always detectable on physical examination (my DS's wasn't and he was examed by multiple specialists) which is why an X-ray is required to confirm.  We did the poop log with my DS and it should that he pooped every day at least once and it was of soft consistency.  We even did a couple of 'cleanout regimes' Yet he was still constipated - meaning he had a significant fecal load that did not clear/pass.

You also know very little about products such as Miralax.  It is not addicitve (again, I'm astounded that your DD suffered from constipation and a partial obstruction).  Even if it were, you still have to address the constipation issue - and prunes are a joke when you're talking about fecal load.  How else do you clear the fecal load without drawing more water into the bowels to loosen the compaction?  In our case, we not only did massive doses of Miralax over a weekend but also had to give enemas.  DS and I both knew when he had cleared the load, it was like pooping a baseball (okay, not really that big but astounding in it's size, hardness and roundness).

It was my pediatrician who recommended It's No Accident http://www.bedwettingandaccidents.com/ .  It was eye opening and really helped us understand constipation is a lot more than what we thought it was.  Remember Zoe the girl who was kicked out of preschool because of too many accidents?  https://www.washingtonpost.com/blogs/on-parenting/post/what-happened-to-zoe-rosso-the-toddler-who-got-kicked-out-of-school-for-too-many-accidents/2012/05/16/gIQAsoi3TU_blog.html [/quote]

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