Pediatric Bowel and Bladder Care

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Pediatrics - Issaquah

Pediatrics - Seattle

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The Swedish Pediatric Bowel and Bladder Care program evaluates and treats any issues related to bowel and bladder dysfunction in children and adolescents. 

A combination of pediatric urology and pediatric gastroenterology provides a thorough evaluation to more effectively address your child’s condition. We understand that bladder and bowel complaints commonly occur together. Instead of seeing two specialists focusing on each component separately, your child will see one provider to address both concerns.

Conditions we treat

  • Constipation
  • Encopresis (fecal soiling)
  • Stool withholding
  • Potty training difficulties 
  • Urinary incontinence
  • Post void dribbling
  • Nocturnal enuresis (bedwetting)
  • Urinary frequency and urgency
  • Overactive bladder
  • Painful urination 
  • Urinary tract infections
  • Vesicoureteral reflux
  • Incomplete bladder emptying

Our comprehensive team

  • Pediatric gastroenterologists
  • Pediatric urologists
  • Pediatric physical therapists
  • Pediatric urology and gastroenterology nurses and nurse practitioner

Frequently Asked Questions

What will an initial evaluation involve?

Initial evaluation varies depending on the main concern for the visit. You will meet with our nurse practitioner who will complete a comprehensive health history and physical exam to determine what further testing may be involved, if any. Potential testing may include: urinalysis, post void ultrasounds, renal bladder ultrasounds, uroflowmetry testing, blood work, voiding cystourethrograms, or abdominal x-rays. We are mindful that children may be sensitive to certain procedures or examinations and are here to work with families to move at the pace most comfortable for them. 

How long will the initial appointment take? 

The entire appointment can last from 1 to 1.5 hours. It is important to come to the appointment on time, as your child may need to complete a urinalysis or uroflowmetry testing with a medical assistant or nurse prior to meeting with the provider. For this reason, your child may be asked to come with a full bladder. The health history is also very important, so please have paperwork completed prior or arrive 30 minutes earlier to finish paperwork prior to the appointment time. Please call in advance if you need to cancel or reschedule your appointment as early as possible. 

What will happen after the evaluation?

A treatment plan will be formulated and follow up visits will be scheduled to ensure progress, success, and any adjustments to the treatment plan if needed. Any further testing, imaging, or referrals will be coordinated by our care providers to ensure a seamless process and effective care planning. If our nurse practitioner determines that your child may need surgery or more in depth evaluation (example, an endoscopy), she can easily coordinate follow up with one of our pediatric urologists or gastroenterologists. 

How will I pay for my child’s care?

If you have Medicaid or an insurance plan that includes doctor visits, you will not have to pay for care other than the usual copay. If your insurance does not cover visits, please discuss this with our staff members before your first visit.