4 year old can’t control bladder

[Samcj02]

Hi;
my 4 year old Ds doesn’t drink enough, when he does drink he always has a wet accident even after a few sips. Friday after he had two accidents and went to the toilet 4 times in the space of an hour 😞 this was after drinking half a cup of diluted squash.
I did think at first he was being lazy but after taking some time off work and observing him, he only has wet accidents after he’s had a drink. As i said he doesn’t drink enough and myself and nursery have trouble getting fluids into him. He is also a very fussy eater, he does suffer with constipation aswell and after speaking with the dr they have prescribed him medication to relieve constipation to see if it’s related to his bladder problems, if it doesn’t work in two weeks they’re going to investigate further, but the dr did seem at a loss when I spoke to him.
anyone else had any similar issues? Could
it be an overacative bladder?
I did say to the dr since being toilet trained he’s never been 100% reliably dry during the day!

any advice appreciated, I’m getting stressed as he starts school in September.

Bumping 🙏🏻🙏🏻

Have you been directed to the Eric website? It’s really good for childhood constipation and toileting issues.

My dd struggled with constipation till about 4 and was on a regime of movicol for a couple of years. I’m not entirely sure what cracked it or if she just grew out of it but hydration is really important for keeping everything moving and it absolutely can affect the bladder too.

Does your ds like ice lollies? That’s usually a popular way of increasing fluids with small ones and there are loads of cheap moulds in the shops. Maybe let him have a cup with some ice cubes in too and those silly swirly straws.

I have heard that one method of helping children with bladder issues is to increase their fluid so they experience a full bladder more often and learn the signals. Never tried it myself but I can see the logic.

If he doesn't drink enough, he is very likely to have an overactive/irritable bladder, as concentrated urine is highly irritant. Unfortunately the first step to sorting that out is to get him to drink enough...which can be easier said than done. Agree that the eric website is a helpful resource.

thanks @nocoolnamesleft and @nocoolnamesleft for the advice I’ll definitely take a look at the Eric website!

it definitely will be the start of the battle trying to get him to drink more! Especially nursery days!