3 answers

3 1/2 Year Old Little Girl Dribbles and Never Makes It to the Potty Dry...

My 3 1/2 year old has been "potty trained" for a year, but has never consistently been dry. She has only had a handful of dry nights and half of her naps (2 hour) are wet too. I am understanding and okay with a delay during sleep because she is a deep sleeper. But, even when I time her and have her go hourly during the day she is still a little wet in her underwear. She only wears pull-ups at night, not during the day. We are being referred to a pediatric urologist to determine if there is a physical problem. Our niece had to have surgery years ago to correct a congenital defect of her urethra. Has anyone had a similar experience and what was the outcome? Please only send constructive advice or experience with treatments. I have potty trained my other daughter with no problems.

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My daughter is 3 1/2 also and sounds very similar in terms of potty behavior. She has been potty trained for a year. But, she also has slightly wet undies fairly regularly. She seems to leak a little. She generally stays dry at nap time (unless she sleeps longer than usual) and is not at all night time trained.

I believe this is just physical maturity and every child is different in their pace. I can tell that my daughter is slowly staying totally dry more often, so I figure it's just a matter of letting her get older. As for nighttime, almost all of my daughter's friends her age are still in pullups at night.

If there is more to it than you have described in your email, then perhaps a thorough medical exam is warranted, but what you have told us sounds pretty normal to me.

Good luck and best wishes.

3 moms found this helpful

You trained her too early instead of waiting until she was ready. Now you are dealing with the consequences. You don't need a doctor to tell you that her system is not ready.

2 moms found this helpful

Hi J.:
Below, I added an explaination,concerning toddlers,and bladder control. Its my thought,that your reading more into this,than there is.There are many toddlers, slower in their maturity to control their bladder. A doctor doesn't even consider wetting a Problem,until a child reaches 11 or 12. Alot of times, children can experience relapses. This can be created,by Moving residence,break ups,or any number of changes in their life.If she is petite in size(having a small bladder,and is a deep sleeper, this will slow her progress as well. I would be patient,and give your daughter the time she needs to develop.I wish you and your toddler the best.

In the infant, urination/voiding/micturition is purely a local reflex centered in the lower portion of the spinal cord. In infants two years old and under, involuntary voiding occurs whenever the bladder is sufficiently full. This results in stretch receptors in the urinary bladder wall transmitting impulses to a special area in the spinal cord known as the sacral micturition center. The sacral micturition center responds by causing detrusor muscle contraction of the bladder.

Between the ages of 2 and 3 as the child's nerves, muscle and brain mature, a special area in the brain gradually develops. Simultaneously, the development of special nerve pathways to that center allows the child to detect a sensation of bladder fullness.

The next stage in the child's maturity occurs when the area in the lower part of the brain, known as the pontine micturition center, develops enough to coordinate sphincter relaxation during voiding.

During the last stage of development, the young child learns conscious bladder control , and during toilet training, develops the ability to inhibit the bladder center in the lower spine (back). Continence during sleep results from the unconscious inhibition of detrusor muscle contraction by an area in the brain known as the basal ganglia).

2 moms found this helpful

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