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Continence

Poos. Wees. Bed-wetting. When we have control, we are continent. But if we don’t, there can be awful health, social, family and self identity repercussions.

 

All families have different ideas about how to toilet train, when kids should be continent, and what to do if there are ‘accidents’.

 

A few quick facts:

  • The average age of toilet training for wee is just over 3 years. It’s closer to 3.5 years for poo
  • Children do not wet or soil on purpose
  • Soiling is almost always related to constipation, even if poo ‘accidents’ seem wet
  • A good-sized poo should come out at least 5 times per week (more frequent for the first year of life)
  • Wetting in the daytime after 5 years should be assessed by your GP or continence clinician
  • It’s not good to hold wees in for too long or to go too often. Adults and kids should aim for 5 -7 wees a day
  • Bed-wetting is common until a child’s 7th birthday, especially if there is any family history of bed-wetting
  • Pain is not normal during weeing or pooing; it indicates a problem that should be assessed.

 

If your child is experiencing wet or pooey underwear, not meeting the above frequency guidelines or has constipation or urinary tract infection, see your GP and ask for a bowel and bladder assessment. You may also want to book an appointment with us.

The extra washing, bad smells and social embarrassment is real. However, never punish a child for wee or poo ‘accidents’, and try not to get cross. We know it’s really hard. Try taking a deep breath, counting to 10 and put on your best understanding but matter-of-fact voice. Enact a clean-up plan and get some help today.

 

Rebecca Khan
Occupational Therapist, Director
(B.OccThy, GradDipDivinity)

  • Continence specialist
  • Developmental & sensory assessment
  • Anxiety & behaviour
  • Chronic illness 

Since graduating from the University of Queensland in 2001, I have predominantly worked in the areas of child development and continence. However my greatest training comes from raising 3 children. My passion is to serve local families who are tackling tough issues such as wee/poo troubles, difficult behaviours, difficulties at school and unique sensory processing characteristics. My approach is informed by evidence-based practice and deep understanding of the physiology of the human body, however I strive to balance these with practical ‘real world’ solutions tailored to the individual family’s situation.

In my down-time I love time with my family, chatting with friends over coffee, card making and walking our puppy Sally.

Rebecca is frequently asked to speak on the topic of Paediatric Continence in Australia and wrote the Conquering Wees & Poos (© Queensland Health) learning package for other clinicians at the Lady Cilento Children's Hospital in 2011. If you are interested in having her inservice your team or organisation, please Contact Us.

Rebecca is registered to receive Enhanced Primary Care/Chronic Disease Management Plan referrals from GP's.

Looking for support as you negotiate each day with your little person?

Why not check out our Parent Workshops for current information and discussion with experienced clinicians.

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Struggling with your child’s toileting issues? There’s hope!

 

 

 

 

 

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How we can help:

Continence

We are the toileting specialists, caring for kids with poo or wee issues, day or night, through tailored evidence-based programs.

 

 

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Child Development

Self care, sensory processing, school readiness, fine motor, handwriting, anxiety and behaviour. Growing up is a busy thing!

 

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Kids with Disabilities

The pathway to growing up takes it's own track sometimes. We are here to help with tailored, experienced care, advocacy and skill development.

 

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Kids with Chronic Illness

Growing up can take tricky, unexpected turns. With personal experience and compassion, we are here to help both kids and families grow through these challenges.

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Helping families boost independence and wellbeing through knowledge, nurture and play.