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What Happens During a Paediatric Pelvic Health Physiotherapy Consultation?

Friday, April 25, 2025

Blog/Bedwetting/What Happens During a Paediatric Pelvic Health Physiotherapy Consultation?

What Happens During a Paediatric Pelvic Health Physiotherapy Consultation?

If your child is wetting the bed and you're exploring solutions beyond just "waiting it out," a pediatric pelvic health physiotherapy consultation could be a powerful step forward. But what actually happens during one of these appointments?
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​In this blog, we’ll walk you through exactly what to expect in an in-person physiotherapy consult for bedwetting, so you and your child can feel prepared and at ease.

A Warm Welcome

Every consult begins with a gentle conversation. We want to hear your story—what your child has been experiencing, what you've tried so far, and how it’s impacting your family life. This helps us build a full picture and tailor care to your child’s unique needs.

You might be asked questions like:

  • How much fluid are they drinking?
  • Are there signs of constipation or urgency?
  • What’s their toileting routine like during the day?
  • Have there been any dry nights?
  • How often is your child wetting the bed?

Don’t worry if you don’t have all the answers. 

Reviewing Your Bladder & Bowel Diary

If you’ve already filled out a bladder diary or bowel diary (you can download them from our free resources), we’ll review it together. These tools help us understand the patterns behind your child’s bladder and bowel habits—which are closely linked to bedwetting.

💡 If you haven’t started one yet, you can grab our free downloadable Bladder Diary and Bowel Diary to begin tracking.

A Physical Assessment

If you and your child feels comfortable, we may perform a physical assessment. This might include things like an ultrasounds of their bladder volume. An ultrasound machine works a bit like a bat’s echolocation, using sound waves to create an image of what’s happening inside. 

We always explain things in kid-friendly language and work within your child’s comfort zone.

Tailored Treatment Plan

By the end of the appointment, we’ll create a treatment plan that fits your child’s life. This might include:

  • Urotherapy strategies (timed toileting, fluid intake goals, etc.)
  • Recommendations for alarms, charts, or sensory tools
  • Sleep and bladder support strategies
  • Bowel emptying routines
  • Pelvic floor exercises or breathing practice

Bedwetting can feel overwhelming, but you don’t have to navigate it alone. Many families find relief and reassurance, we’re here to help you understand what’s going on and create a plan that feels doable.

​👉 Not sure if it’s time to take that next step? Download our free guide: Signs It's Time to Seek Professional Help for Bedwetting

Disclaimer:
​​The information in this blog is intended for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor, pediatrician, or qualified health provider with any questions you may have regarding your child’s health or a medical condition. Never disregard professional advice or delay seeking it because of something you have read here.

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Lisa Moffatt

Physiotherapist - Paediatric Pelvic Health

Lisa is a passionate paediatric pelvic health physiotherapist with a special interest in helping children and teens overcome bedwetting and toileting challenges. She takes a warm, evidence-based approach, working closely with families to uncover the root causes and create practical, achievable treatment plans. Lisa believes in empowering both children and their caregivers with knowledge, support, and a sense of confidence.