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Internist
Internist, Board Certified Physician
Category: Medical
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Experience:  MBBS,MD (USA)Diplomate American Board of Internal Medicine
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Daughter who is 9 now occasionally wets herself when laugh

Resolved Question:

Daughter who is 9 now occasionally wets herself when laughing
Submitted: 1 year ago.
Category: Medical
Expert:  Internist replied 1 year ago.
hi there,i am online and will be happy to answer your questions.thank you for your patience. Giggle incontinence, a rare syndrome, refers to urine leakage that occurs only with laughter. Children with giggle incontinence have normal bladder function when the child is not laughing and should be differentiated from urinary leakage with laughter in children who have persistent voiding symptoms when they are not laughing. It occurs almost exclusively in girls and is characterized by large-volume voids. Treatment of this condition is not well studied. Some pediatricians advocate the use of anticholinergics based upon the assumption that incontinence is related to detrusor instability . Small case series report that methylphenidate was effective in the prevention of these events suggesting a central nervous system etiology. biofeedback to teach the patient to contract the external sphincter has also been shown to be effective.I hope this helps.
Expert:  Internist replied 1 year ago.
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Internist, Board Certified Physician
Category: Medical
Satisfied Customers: 1066
Experience: MBBS,MD (USA)Diplomate American Board of Internal Medicine
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