A couple of weeks ago, my previously toilet-trained daughter started to wet the bed again. Although it resolved after a couple of nights she has now started wetting again. She is also complaining of tummy pain and passing urine more frequently. Could she have an infection?
The symptoms you describe are fairly typical of a urinary tract infection. Frequency, bed wetting in a previously toilet-trained child, abdominal pain and raised temperature are common symptoms. Other symptoms include pain while urinating, dribbling of urine and back pain. You may also notice her urine smells strong or it may have a cloudy appearance.
How common is this type of infection and what causes it?
Urinary tract infections (UTIs) tend to occur more frequently in children five years and older and are more common in girls than boys.
This is because the female urethra, which drains urine from the bladder, is shorter than the male's, making it easier for bacteria to travel up and enter the bladder. Bacteria, such as E.coli, can easily enter the urethra if the child wipes incorrectly from the back passage towards the front where the urethra is situated.
Bacteria can also reach the bladder through the blood stream if the child has a bacterial infection such as a streptococcal infection.
Given that it cleared up by itself the first time is there any need for her to see our GP?
Prompt medical attention is important as, if left untreated, UTIs can lead to an infection of the kidneys and other long-term kidney problems. In addition to her symptoms and an examination, your doctor will want to analyse a sample of her urine to identify bacteria present in the urinary tract.
Once the full course of treatment has been completed a second urine sample will be required to ensure the bacteria have been eradicated. Although UTIs tend to recur there are a few steps you can take to reduce the risk of re-infection.
Wearing cotton pants may help as man-made fibres encourage moisture and bacteria to gather in and around the urethra.
Teach her proper hygiene by wiping only from front to back to prevent bacteria entering the urethra. And finally, ensure an adequate fluid intake as this will help to flush harmful bacteria out of the urinary system.