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DS wet his pants again yest. at school.People should use the potty when needed. Shoes laces stink today they don't stay tyed well. Ot should be helping kids with Motorskill issues. My wife showed our son how to do things on clothes off the body first. Have the child sit across so they see what you do.
Children with ADHD have focusing problems. There are probably 2 things happening here. The first is that not only do they not focus on things happening around them, they also do not focus on their bodies. By the time he realizes he needs to go he probably has very little time to get there. He is spending so much energy trying to focus on school things that he is not focusing on himself. Hense the "I need to go now problem" If youfeel that this is the case, you need to go to the administration & inform them that he needs to go every 2 hours. There are watches out there that vibrate (not cheap, but cheaper then low self-esteem) so it will remind him to go. He needs to do this himself, NOT the teacher or you will never get him to listen to his body. The other thing that might be happening either alone or with the focus problem is anxiety. He is either worried about people noticing that he has to go, or that he is going to miss something important. If this is the case all his teachers need to get onboard & let him know that whatever he misses they will help him with. I would also have a pediatric urologist look at him to make sure this is not a physical thing like Pelvic Floor Dysfunction, or a urinary tract infection.
I use to hurry up so he could use the bathroom, but now I just make him wait no matter how bad he has to go. Nobody is going to hurry for him out in the real world! Tonight he had to go out in the back yard because my husband was taking a shower. He wasn't thrilled about it, but it was that or wait for 20 mins. Nobody wants to climb dripping wet out of the shower to let him use the bathroom! Does your son have sensory problems...as in SPD? Accidents and leaking of urine can be common symptoms....they don't feel the urge to go until it's too late.
Mine has not been dx with SPD or a sensory problem.My son did the same thing in first grade except, the reason he didn't want to go into the bathroom was there were holes in the wall. He was afraid people would see him. The holes were from a relocated tp paper dispenser. He finally told me and I went in to see for myself sure enough there were holes. These kids are people too and should be able to have privacy well I went straight to the principle and waited while the maintance people went and got caulk to plug up the holes! I feel for you, wildboys, because I've had the same problem with my son who's in 7th grade. He's done well on the strattera and accidents don't happen nearly as often as they used to. When we took him off the strattera, the accidents tripled. I'd come down hard on the school personnel and call downtown if you have to. Gretchen: My ds has fine motor skill probs, too. I got the kind of clamp they use on drawstrings on jackets and put them on my sons laces. I cut the laces a little short and knotted them at the ends so they wouldn't slip off when he took his shoes off. I also try to find velcro shoes or zip up shoes. My son is also lazy about tying shoes so I try to find tie shoes that he really loves. Right now, he has a pair of black converse hi-tops with flames like you see on customized cars. He loves these shoes and knows I'll take them away if he doesn't keep them tied. Hope these ideas help. my son had a problem with wetting so off the the pediatric doctor we went..come to find out his urinary tube was closing before he was done urinating, wich inturn would cause muscle spasms and make him wet his pants..totally out of his control..I agree i would take him to his pediatrician and have him worked overi have a six year old who has adhd and an iep, he is in special ed. he wets his pants durning the day and night, but not every day, though there more after his visits with his bio mom. His special ed teacher is complaining saying that by the age that children start school they are suppose to be potty trained, he is, but its only been a 1yr and half that he has. He has had a hard life and is doing the best he can. At home i can watch him more,watch the body language and tell him to go. I know teachers can't always do that, but i thought they would be able to, they only have 5 kids in his class. I send in pull ups. We have an appointment at children's hsp to check incase their is anything physical. I know alot is emotional. But its always safe to double checkI actually had my 6yo wet his pants for the first time at school last week. Hopefully we do not have an ongoing issue with it like some of you have. He has almost never had any accidents. I hope it stays that way!Since your son has an IEP, ask his doctor to write what type of bathroom reminders/accommodations you want for your child & request a meeting to have them added. Some teachers just don't want to be bothered, but if it's on the IEP, they are required to follow it. Good Luck! We went through this with Hunter. Sometimes the teacher is the culprit. I have noticed that some teachers will not let the child go to the bathroom unless the entire class goes. The principal once told us, Hunter should use it when everyone in the class goes. I explained to him that it is difficult for someone to use it "on command"We went through this with Hunter. Sometimes the teacher is the culprit. I have noticed that some teachers will not let the child go to the bathroom unless the entire class goes. The principal once told us, Hunter should use it when everyone in the class goes. I explained to him that it is difficult for someone to use it "on command" He is 6, and in first grade. He has been potty trained since 4, but he has never been consistently dry at night, we still use pull-ups. Well, a month and a half ago, both boys saw a psychiatrist. He put my son on Straterra and Buspar. After seeing a the psychologist, We decided the Straterra was not warranted. I also did not like the psychiatrist, he said something pretty insensitive regarding my husband and my relationship (that's another story). So, we switched to a different psychiatrist that we like much better. He (and I) took ds off the Strattera. Since then, ds has started wetting his pants during the day, 2-3 times a week, and is wet much more often at night. I talked to the new psychiatrist and he says it is most likely from stopping the Straterra, because Straterra inhibits the flow, and therefore, actually helps wetting problems. So I informed my son's teacher and asked her to send him to the restroom every so often, because he is so shy, I'm afraid he will not ask to go. He had already wet at school once at that point, and just let it dry and did not tell anyone. Of course hios teacher, who I am not too crazy about, is not doing it, she just talked to him and told him he could go whenever he needed to. Now he has wet his pants two more times since then, both in the last week. Yesterday he told me that he was in PE and told the teacher he needed to go potty, and she would not let him. Told him something about how he should have gone earlier. Wildboys, the buspar MIGHT make the bed-wetting worse.
Buspar side effects: http://www.healthyplace.com/medications/buspirone.asp Genitourinary: Infrequent were urinary frequency, urinary hesitancy, menstrual irregularity and spotting, and dysuria; rare were amenorrhea, pelvic inflammatory disease, enuresis [bedwetting], and nocturia [night-time urination]. Its about 2/3rds of the way down the page and under Adverse Effects heading. I added the definitions in brown italics.
Strattera can reduce the production of urine that his kidneys are making, but I wonder if doing so is healthy. On rx Warnings and Precautions http://www.rxlist.com/cgi/generic3/strattera_wcp.htm It has this about urine retention and the reason I'm mentioning it is that it IS under Warnings and Precautions rather than simply under the Side Effects and Precautions tab: "...Effects on urine outflow from the bladder — In adult ADHD controlled trials, the rates of urinary retention (3%, 7/269) and urinary hesitation (3%, 7/269) were increased among atomoxetine subjects compared with placebo subjects (0%, 0/263). Two adult atomoxetine subjects and no placebo subjects discontinued from controlled clinical trials because of urinary retention. A complaint of urinary retention or urinary hesitancy should be considered potentially related to atomoxetine..."
Something maybe to discuss with the doctor? My son had exactly the same problem in first grade, and I discovered he was having fine motor skill problems and couldn't get his pant undone or zipped back up and buttoned after going to the bathroom. My son was actually trying to hold back all day until he got home and sometimes didn't make it. He is in 3rd grade now and still has fine motor problems so I'm very careful on what type of pants I buy him, but he hasn't had that problem since first grade and hopefully your son will also get past that. It's still a big mystery to me why teachers don't accept that ADHD children need additional help and sometimes arent as mature. My son couldn't tie his shoes, so if they became untied the teacher would refuse to tie them no matter how many times I would tell her he had fine motor skill problems...It goes on and on daily I have found that if ds goes potty at lunch, after school and before dinner that he stays dry. I have told him that he has to go at these times even if he doesn't feel like he needs to. Most times he does, sometimes he doesn't. I have tried every thing I can think of to get him to go. Charts, a special watch that you can set to ring as many as 16 times a day and flash a message (watchminder), rewards, punishments, everything. It is the thing I worry about the most. When he was 5 and I told the ped about it, he said "don't worry, he won't be wetting his pants when he graduates from high school." Well, he's in 7th grade and HS grad is 5 years away. I still worry. He wet his pants last week at school. He didn't have a chance to go at lunch and had already wet when he asked the teacher to go. She told him to go right on and then call his parents. She was so sweet about it. She told me yesterday that anytime he has to go, to go and they'd talk about it later. Some days I see progress and some days not. This is so hard for me to talk about. I don't talk to anyone about this except dh and ped. It's even hard for me to write this. I'm glad this post came back to the top. I couldn't bring myself post any more to this when it first came around because we were having a particularly hard time. It helps to know that I'm not the only one dealing with this. The surprising thing is that he's dry at night, no probs there. About the clamp for shoes, try any fabric/craft store. Hi My name is Gena I didn't realalize that wetting his pants (and he also has bm accidents) had anything to do with my sons medical conditions. He has bipolar, tourrettes, social phobias, adhd, and learning disabilities (he is in the 6th grade but is on a 1st grade level). He stutters, hears voices and sees things. I am in the process of changing his doctor and getting him a therapist. I also just got done doing his IEP. He has to have an Aide where ever he goes. He lacks the social skills to make friends, it hurts that he is so alone. Now today he had a bm accident 5 times. So he took 5 showers. He says he can't help it, what can I do? The teacher told me that it would be silly to put anything on his iep about his wetting. She asked her supervisor and everything. We had the doctor appointment nothing is wrong physically. He has days he doesn't wet and then days he soaks himself. Alot is due to stress in his life, with his circumstances. We try to make him feel safe and secure. I made a potty chart that he does at home and school. If he gets at least two days of no accidents then he can earn a prize. I have asked the teachers to let him go to the bathroom every hour. Our doctor told us to stop the pull ups, it gives him an easy way out. We bought some really nice spiderman underwear and he is trying not to pee on them. He wants to be dry, but he just had so much in his mind, and then you know how are kids are, there easily distracted and not also remembering to go. Its getting better Bringing this post back to the top b/c my 8-yr old 2nd grader wet his pants at school yesterday for the 1st time. He did it once in pre-K, but never since. He DOES often almost wet them and has always, always had a problem with waiting too long. I know some of it is just a mild sensory deficit and he really doesn't seem to be aware of his body's need. He has mild ADHD and we've cut back his Ritalin to 10mg regular in the mornings for school. This accident happened in the afternoon, so he probably was more "squirrely" and didn't notice until it was too late, then the teacher was telling him to wait. He says no one at school noticed, but I dunno. 2nd-graders are pretty smart. I did call & talk to his regular teacher (this happened in Computer class) and she said she never noticed it. She was very nice about it and said she didn't think anyone else noticed, either. We are just starting to have concerns about him not having many friends and I'm sure this would not help! My heart broke when I found out, but I also was so irritated b/c this has been an ongoing problem since he was 3 -- the waiting too long. Anyway, just wanted to share and say I feel your pain. It's so hard sometimes. I cannot stress enough the value of our Pediatric Urologist. Please, if you haven't already been, find one. They changed our life! Yup we went to our children's hsp urologist. They found nothing medically wrong with him. Just stress in his life. And alot of it won't be going anywhere anytimec&g, my heart goes out to you. I tried watchminder and it works like the website says, my ds just ignored it. It cost us $88 (including shipping), it was big and bulky and a little too fragile for ds. He was 8 at the time. Again, my heart goes out to you, I know how much this hurts.Yeah there is this neat lil pager one, its only 35. The only problem i have with it is i don't know if the school would allow it, since it looks like a real pager. Its not of course. It has a timer and different tons. But this school is very picky arrrrrggghMy now 7 year old, he wets his bed at night only once in a blue moon. Its mostly in the school hours. Yeah the doctor gave us a brochure about some pee watches. Its just so hard on him, he has had such a hard time in life, and now he is actually making friends, but now he is known as pee boy at school.Just a silly thought and probably way off base, but do make sure they are not turning the bathroom light off. My 5 year old daughter's teacher did that and Cassie wet her pants after not having done so since 2 years old. She was scared of complete dark in a small enclosed room and wouldn't go.My 7 yr old is still wetting his pants. We have been doing a pee chart in a spiral notebook at school. So its private and doesn't draw more attention to him. He is all ready feeling low enough. He cries alot saying no one likes him at school. Then this lil boy picks on him. This same boy even punched him this week. The teacher gave the boy some zero's in there behavior chart. She couldn't go all into why the boy acts the way he does, cause this is a special needs 1st grd class, so she said its confidential. But it really is upsetting him alot. At home he is happy, has a few accidents here and there, eats well and everything. At school he is barely eating and having alot of accidents. We know alot is due to his emotional state. He has alot of stress in his life. He seems to wet his pants to worst after he has visits with his bio mom. I can't go into more detail at the moment but i am just running out of ideas. It breaks my heart to see my lil guy so upset. He allready has problems making friends cause his temperment. He is a loving boy, just moody at times and has alot of energy. We are looking for a play therapy for him, to help with the stress in his life. He has an older brother who went through this also due to what happend to him in his life. But he just grew out of it. |
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