Occasional bedwetting or daytime accidents are a normal part of childhood. However, some children experience more frequent episodes that can lead to embarrassment, confusion, and stress. Just like adults, kids have pelvic floor muscles that play an important role in healthy bowel and bladder function.

When to Seek Help

Consider pediatric pelvic physical therapy if your child experiences:

• Daytime wetting that impacts school, social activities, or emotional well-being

• Leakage during jumping, laughing, or running (even small amounts)

• Bowel accidents or smearing

• Diarrhea or excessive straining with bowel movements (constipation)

• Urinary urgency, frequency, or the feeling of incomplete emptying

• Bedwetting that affects sleep, hygiene, or confidence

How Pediatric Pelvic Physical Therapy Can Help

At Sakura Pelvic Health, therapy sessions are gentle, playful, and tailored to your child’s comfort level. Treatment may include:

• Education: Helping children and parents understand how the bowel, bladder, and pelvic floor work together

• Interoception: Guiding the child to recognize internal body cues related to the bowel and bladder

• Positioning: Teaching proper body mechanics and strategies for easier bowel and bladder emptying

• Voiding diary: Tracking bathroom habits to identify patterns and guide treatment

• Bowel management: Reviewing fiber and fluid intake and making small changes to improve function

What to Expect During Sessions

Sessions focus on gentle, age-appropriate activities that promote awareness and coordination:

• Assessment of posture, mobility, and movement patterns

• Core and abdominal coordination exercises

• Breathing and relaxation techniques

• Gentle strengthening and stretching

• Play-based learning and body awareness

Children remain fully clothed during sessions. Comfortable, flexible clothing is ideal. Each visit is designed to be positive, supportive, and empowering for both the child and the parent.