Voiding Dysfunction, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Voiding Dysfunction, Diagnosis and Treatment and Related Diseases
Voiding Dysfunction disorders are diseases which cause problems in the function of urination.
Types of Voiding Dysfunction are:
1.Overactive bladder (Uninhibited detrusor contractions)
2.Dysfunctional Voiding (Dysfunction of the pelvic floor musculature)
3.Under-active Bladder (Decreased force of detrusor contractions)
Causes:
1. Behavioral disorders or poor habits
2.Congenital urinary disorders
3.Genetic diseases that affect the urinary tract (Ochoa syndrome, Williams syndrome)
4.Acquired problems of the urinary tract (such as those caused by tumors or trauma)
5.Central nervous system diseases that affect the urinary tract (such as cerebral palsy, epilepsy, multiple sclerosis, other abnormalities of the brain or spinal cord that affects the nerves that control bladder or urinary sphincter function)
6.Endocrine or kidney diseases that affect the urinary tract (diabetes, chronic kidney disease)
7. Infections or irritations that affect the urinary tract (such as urinary tract infections, urethritis, pinworms, foreign body)
Other causes can be:
1.Stress incontinence (the involuntary loss of urine during actions such as coughing or sneezing),
2.Giggle incontinence, and
3.Delayed nighttime bladder control.
4.Urge Incontinence
5.Tumors and trauma
No one knows what causes voiding dysfunction, but the disorder can affect children physically, socially and psychologically.
Left untreated, some types of voiding dysfunction can produce vesicoureteral reflux (VUR) and long term kidney damage.
Possible behavioral causes for voiding dysfunctions are:
1.Not going to the bathroom often enough
2.Rushing in and out of the bathroom too quickly
3.Not emptying the bladder completely
4.Ineffective voiding positions, such as little girls’ failure to spread their legs widely
5.Constipation
6.Past experience with painful urination
7.Psychological or emotional stress
8.Attention deficit disorder
Symptoms
1. Bedwetting
2. Daytime wetting
Urine loss is mild, indicated by a slight wetting of underwear.
Together with urinary accidents during the day or night and recurrent urinary tract infections, children with voiding dysfunctions may have other symptoms, such as:
1.Constipation and fecal soiling
2.Painful urination
3.Blood in the urine
4.Slow, straining or dribbling urination, intermittent urine flow and straining at urination
5.A frequent (or infrequent) urge to urinate instantly
6.Pain in the back, lower side or abdomen
7.An urgent, severe urge to urinate with inability to hold
8.Problems with voiding can be linked to children’s anatomy, physiology or bathroom habits.
9.Incontinence (urine leakage) during the day and night - often is the first sign observed by parents
10.Returning urinary tract infections
11.Infrequent urination or three or fewer urinations in a 24-hour period
Diagnosis
1.Urinalysis:
2.Kidney and Bladder Ultrasound
3.Uroflow EMG
4.Urodynamic testing
5.Voiding Cystourethrogram
Treatment
Diagnosis and treatment for voiding dysfunction relieves a problem for many families.
Low self-esteem and emotional stress often affect children who cannot hold their urine.
Children can improve voiding by:
1.Scheduling a time to urine (every hour or two) regardless of urge
2.Avoiding dietary irritants
3.Taking more time in the bathroom
4.Altering their position during voiding
5.Emptying the bladder twice to make sure it voids totally
6.Eating a high fiber diet
7.Increasing water consumption
8.Drinking fluids well before bedtime
These behavioral changes may be supported by medicines, physical therapy
Surgery also can help to reduce the pressure inside the bladder

TABLE OF CONTENT
Introduction
Ch

• Language: English
• Publisher: Kenneth Kee
• Release date: Nov 5, 2019
• ISBN: 9780463350492

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Voiding Dysfunction,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Voiding Dysfunction, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Voiding Dysfunction)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Voiding Dysfunction

What is Voiding Dysfunction?

Going to the bathroom may appear like a simple thing, but there are really a series of complicated signals that make sure the bladder does precisely what the brain is telling it to do.

If any of these signals are not synchronized, children can have difficulties holding their urine (urinary incontinence).

If a child above the age of 4 has urinary incontinence, and doctors are not able to diagnose a specific anatomical or neurological cause, they may diagnose the child with voiding dysfunction.

No one knows what causes voiding dysfunction, but the disorder can affect children physically, socially and psychologically.

Left untreated, some types of voiding dysfunction can produce vesicoureteral reflux (VUR) and long term kidney damage.

Risk Factors for Voiding Dysfunction

Daytime urinary incontinence is more frequent in girls than in boys.

Children with voiding dysfunction may also have bed wetting and other bowel accidents.

There is also a strong link between functional constipation and voiding dysfunction.

Types of Voiding Dysfunction

Overactive Bladder (OAB)

Children with OAB have an urgent necessity to urinate even when their bladder may not be full, and may use the bathroom more than 10 times daily or about hourly.

Most children with OAB will develop urinary incontinence and urinary tract infections (UTIs), and occasionally these symptoms will continue even after the UTI is treated.

Some children may (unsuccessfully) attempt to hold it by crossing their legs or using other physical maneuvers.

OAB is the most frequent type of voiding dysfunction and happens in about 22% of children between the ages of 5 - 7 years old.

Dysfunctional Voiding

With this type of dysfunction, the muscles that regulate the flow of urine out of the body do not relax fully, and the bladder never fully empties.

This produces a variety of symptoms such as:

1. Daytime wetting,

2. Night wetting,

3. A feeling that the bladder is always full,

4. Urgency, and

5. Straining to urinate.