When Do I Seek Help From A Child Continence Physiotherapist?

When Do I Seek Help From A Child Continence Physiotherapist?

Kids learn to control their bowel and bladder at varying speeds. We should encourage kids to learn at their own pace so that they develop healthy habits from a young age. However, as a guide, we would expect that school aged kids are no longer experiencing day-time wetting. Bedwetting can take a little more time to control, it is normal for kids up to the age of 7 to wet the bed.

If your child is over 5 and wetting themselves during the day or they are over 7 and wetting themselves during the night, it is time to see one of our physiotherapists, Anita or Julienne, at our Children’s Continence Clinic. Our highly experienced physiotherapists have advanced post graduate training in this area.

Other reasons to visit us include: 

  • Regular constipation
  • Soiling of nappy or underwear
  • Urinating more than every 2-4 hours
  • Pain with urinating or opening bowels.

There are many reasons why your child may be wetting themselves during the day, such as: 

  • Constipation
  • Poor fluid volumes or poor fluid intake with highly caffeinated drinks
  • Holding on behaviours with delayed voiding
  • Frequent voiding with urinary urgency.

Reasons your child may be experiencing bed-wetting include: 

  • Daytime wetting
  • Poor arousal from sleep
  • Increased urine production overnight
  • Reduced bladder capacity.

Will my child just grow out of these issues? 

  • Some children do grow out of wetting themselves, however, if they are still experiencing daytime wetting after the age of 5 or night time wetting after the age of 7, this becomes unlikely.
  • The other issues, such as regular constipation or pain on use of bladder or bowels are not normal at any age and should be addressed.

These issues can be addressed at our clinic in a sensitive and collaborative manner. Our physiotherapists will work with your child and family as well as your other healthcare providers such as your GP or paediatrician. If required, we are also happy to liaise with your child’s kindergarten or school.

During your appointment, your physiotherapist will take a detailed history of your child’s health including their bladder and bowel function. They may also offer to assess your child’s bladder, bowel and muscle function using a real time ultrasound machine (performed externally, on the tummy). Based on our assessment findings, we will tailor an individualised management plan to suit the needs of your child.

For more information about our Children’s Continence Clinic, or to book an appointment, please contact our team via the details below.

Anita Bir
Associate Physiotherapist 

Please note that information provided in this article is general advice only. For individual advice, we recommend a consultation. For more information or if you are experiencing symptoms of osteoarthritis and would like to book an appointment, you can…

  • Contact our friendly reception team on 9822 4999 (Armadale) or 9486 0512 (East Melbourne)
  • Book online. Select ‘make a booking’ in the top right-hand corner of the screen and follow the prompts
  • Email us on [email protected]
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Our Values

Our values are the basis of everything we do at Fitwise.

Excellence, Respect, Innovation and Fun – For our clients, for our team and for ourselves.

This is evident with the service we provide, the environment in which we provide it, the way in which we operate as a team and how we care for and value our clients, referral partners and ourselves; we live the Fitwise values every day.

Our culture is one where everyone feels supported, respected and safe. Our clients and our team, experience a leading-edge health environment where we remember to have fun along the way.

Our Story

In 2004, Gen McGlashan and Libby Oldfield founded Fitwise Physiotherapy. They first met in 1994.  Libby was Gen’s physio when she had her first child. Gen then worked for Libby for 10 years in Libby’s previous business, located at the Epworth Freemasons Maternity Unit in East Melbourne. They have been a team working together for a very long time!!

Libby and Gen have always had a passion for empowering women, by helping provide accurate evidence based information and treatment to help women live their best lives. Excellence in all that they do, practising and operating in an innovative way has always been their core. Fitwise was the first multi-practitioner practice providing Women’s Health physiotherapy consultations, exercise classes and clinical pilates in Melbourne.

Gen and Libby

In February 2005 Gen and Libby moved their one room practice to Albert St East Melbourne. They had expanded to 2 treatment rooms, an exercise studio and a pilates studio with a small team of physiotherapists and one receptionist. This was exciting as they wanted to be able to help more people and to grow their team – enabling their other passion: teaching and mentoring clinicians who also wanted to work within the Women’s, Men’s and Pelvic Health arena.

5 years later, they expanded their East Melbourne clinic and in 2015 opened their second clinic in Armadale.

Remedial Massage, Myotherapy and Dietetics have been an exciting addition in recent years, with Podiatry and Exercise Physiology being added in 2022.

Fitwise Physiotherapy | Armadale

The Fitwise team has now grown to include 18 amazing practitioners and 12 wonderful administrative team members and is still growing!

Libby and Gen have always loved providing a holistic service, treating a variety of conditions in consultations and providing exercise appropriate for different life stages. The community of clients that are part of the Fitwise family, (some who have been part of the journey from the very beginning – over 17 years ago), are the biggest reason they do what they do. For Gen and Libby, it is a privilege to be part of these wonderful people’s lives.