Y1 child having constant accidents

[Cat98]

My ds is in y1 and still wets himself most days, it's been an ongoing on and off nightmare since we started toilet training really.
We have tried everything at home, seen the gp, been referred to a paed who didn't think there was sn or a medical problem. Yet he still comes out of school most days wet. He also wets at home so it's not just school.
We think its laziness/too absorbed in what he's doing/can't be bothered to go to the toilet. He says its 'boring' (sigh)! He also sometimes says he didnt know it was coming out until its too late.

Anyway - I have a meeting with his teacher tomorrow to discuss a few questions I have to do with school and his learning. I want to bring up this as one of the points. He is advanced in numeracy and working with the y2/3 group for this, and he says people are not allowed to go to the toilet in this class! Now I take that with a pinch of salt as he wets himself all the time anyway, but his teacher is aware of the issue but I'm not sure the y2/3 teacher is.

My main question is, what should I expect his current teacher to do? I want to make her aware this is still happening, but I'm not sure what is reasonable to ask. Is it reasonable to ask that he is reminded to go to the toilet at break times for example? And should I ask her if he can see the school nurse or something?
Also any general suggestions please (though we've probably tried them, we've tried most things, but you never know!)
Thank you

I'm no expert.
Is he drinking enough water during the day , small cups all in one go is what I've heard helps. No squash as I think it irritates bladder.
The teachers could help by reminding him to have enough to drink and have set times where he has to go to the toilet maybe?
Does he sort him self out when he wets himself at school, with changing clothes? Just wondering if it an attention thing if someone helps him.
The school nurse may have some strategies that have worked with other children.
I know my 3.5 year old gets distracted and is too busy at school for going to the toilet sometimes. I would of thought at an older age he would be embarrassed about doing in front of his friends though and realise it's best to go to the toilet.

Hi, thanks for your reply.
He possibly doesn't drink enough, especially at school - though this is improving as it was something the paed picked up on, so we've been making an effort to encourage him to drink more. He rarely has squash - only parties and cafes really. Just water or milk as a rule.

He doesn't sort himself out at school - he just sits in it! They don't notice and he's not bothered. Because the trousers are dark it doesn't really show up.

I thought he'd be embarrassed too but as I say people rarely notice, and if they do - he's not fussed! I worry it can't be too long before he's bullied for it :(

I was thinking of asking the teacher something like that but didnt know if its beyond her remit really. Thanks.

I've had the same problem with my DS in yr1. I used to think it was laziness but I came to realise that he doesn't actually feel it until the last minute.

We tried everything and nothing worked but recently there's been an improvement. I think it's a result of a few things. I told him I believed him that he couldn't feel it but asked that he trust us and go to the toilet when we ask him to rather than fighting us. Then one day over Christmas we were on a train and there was a repulsive smell of stale urine. I told him what it was and the next time he came home from school after having an accident, I had him smell his trousers and reminded him of the smell on the train. He hasn't had an accident at school since. I think telling him I believed him made him lower his barriers and trust that I wanted him to stop having accidents for his own good IYSWIM.

It may not be the case with your DS but because you said he's very good at maths I thought it was worth mentioning that our DS is currently being assessed for Aspergers. Kids with Aspergers often have sensory processing issues which can affect things like feeling the need to pee. Like I said, it may not apply but I thought it was worth mentioning.