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StepUp Program

Observations

This list can help us jump start our evaluation

Pay attention to how often your child urinates on typical days.
Record the number of times.

Waiting until the “last minute” or “too busy” to go
All of us are guilty of doing this from time to time, but for most of us it doesn't happen often. When it’s a frequent pattern, it is very likely to be due to a problem that your child cannot easily control. It’s not always because they’re too busy to take a break.
Hint: Don’t guess about what you think is going on. Be sure of your observations.

  • You can learn a lot by trying to listen when your child urinates.
    • Does it often sound like urination starts and stops?
    • Does it seem like sometimes there’s a lot and other times just a squirt?
  • Squirming, squirming, squirming. Does it only happen during busy activities?
  • How about needing to jump up during mealtimes or when watching a show?

 "Gotta go now" but just went behavior?
Does your child seem to be taking enough time to urinate but often needs to quickly return to the bathroom only a little while later?

Daytime drinking

  • Does your child tend to drink very little during the day, especially in school?
  • Does he or she tend to drink a lot after school?
  • How about just before bed?

Does your child avoid using the bathrooms in school?

Make an effort to understand your child’s bowel habits.
While poor bowel emptying can cause major problems with bladder control, this is frequently undiscovered, ignored or undertreated.
Hints: This is one of the biggest problems for children with bladder problems, but if recognized and successfully treated is a big opportunity to help. This is so important that we rarely begin bladder treatment until the bowel problems are controlled. Honest!

  • Are the stools large, pebbly, painful or infrequent? Is there underwear soiling? Don't rely on what you hear; check for yourself.
  • Is there stool-holding by habit or because it hurts? Stool-holders are often urine holders.
  • If constipation appears to be a problem, it is worth making the effort to treat it since you may be pleasantly surprised by the results. Speak to your child's health care provider to get guidance for effective treatment. Observe if urine control problems improve with treatment of the constipation. If so, keep in mind that stopping constipation treatment too soon often results in the problem returning.