![]() ![]() Abnormalities on Renal US suggesting possible neurogenic bladder require urgent referral to the Department of General Paediatrics for investigation and confirmation prior to Urology Referral.Children with ongoing symptoms despite three months of recommended fluid intake and time toileting, with no history of neurodevelopmental disorder, behavioural problems or untreated constipation. ![]() Children with ongoing bladder symptoms and a history of constipation who have been compliant with constipation treatment for at least 6 months and are no longer reporting symptoms of constipation.In children with nocturnal symptoms only, please see Enuresis in Children - Health Pathways WA.Consider referral to Paediatric Continence Physiotherapist.On school days, toileting should be timed to occur during breaks Timed toileting – the child needs to toilet regularly throughout the day and when they get symptoms of bladder fullness/urge.Fluid intake should be evenly spread across the day, starting on waking. Ensure child is meeting expected daily fluid requirements.Diagnose and treat constipation – refer to Constipation guideline.Mid-stream urine – rule out Urinary tract infection. Normal rectal diameter 3 cm highly suggestive of constipation). ![]()
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