True sensory lack?: Does the child have constipation? If so, deal with it. Is there sensation as in tickling with a wisp of cotton at the urethral meatus? If so, the sensory input is probably grossly normal, so move on: "the age at which children attain urinary continence varies, but > 90% are continent during the day by age 5. Nighttime continence takes longer to achieve." merck manual http://bit.Ly/116hee.
Answered 12/9/2014
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Caudal regression: syndrome, in which parts of the lower half of the body do not develop properly, is rare, but less rare in infants of diabetic mothers. If the lower spine & sacrum (pelvic bone) are malformed or the sacrum is absent, problems controlling bowel and bladder can occur. Ask her pediatrician to look for physical findings, then (s)he'll order X-rays or MRI & make appropriate referrals, if CRS is present.
Answered 7/11/2014
3.9k views
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