Authors: Behrang Mahjani; Lotta Renström Koskela; Christina Gustavsson Mahjani; Magdalena Janecka; Anita Batuure; Christina M. Hultman; Abraham Reichenberg; Joseph D. Buxbaum; Olof Akre; Dorothy E. Grice · Research

How Are ADHD and Bladder Control Problems Connected in Children?

Understanding the relationship between ADHD and urinary symptoms can help improve care for affected children

Source: Mahjani, B., Koskela, L. R., Mahjani, C. G., Janecka, M., Batuure, A., Hultman, C. M., ... & Grice, D. E. (2020). Systematic Review and Meta-Analysis: Relationships Between Attention-Deficit/Hyperactivity Disorder and Daytime Urinary Symptoms in Children. medRxiv.

What you need to know

  • Children with ADHD are about 3 times more likely to experience bladder control problems compared to other children
  • The more severe a child’s ADHD symptoms are, the more likely they are to have urinary issues
  • Younger children tend to experience more urinary symptoms than older children

The Connection Between Mind and Body

Picture a young child struggling to stay focused in class while also dealing with an urgent need to use the bathroom. This scenario is more common than many people realize. Parents and healthcare providers often treat ADHD and bladder control issues as separate problems, but research shows these conditions frequently occur together and may be more connected than previously thought.

When researchers looked at multiple studies involving thousands of children, they found that those with ADHD were about three times more likely to experience urinary symptoms compared to children without ADHD. These symptoms include frequently needing to use the bathroom, feeling an urgent need to urinate, and having accidents during the day.

The relationship works both ways - children who first come to medical attention for bladder control problems are more likely to have ADHD than those without urinary issues. In fact, ADHD is often the most common behavioral health condition found in children being treated for urinary symptoms.

The Impact of Age and Symptom Severity

An important pattern emerged regarding age - younger children tend to experience more severe urinary symptoms than older children. Additionally, there appears to be a direct relationship between symptom severity: the more pronounced a child’s ADHD symptoms are, the more likely they are to have significant bladder control problems.

The Challenge of Daily Life

For children and families dealing with both conditions, daily life can be especially challenging. Urinary symptoms can affect a child’s social life, emotional well-being, and school performance. When combined with ADHD symptoms like difficulty focusing and impulsivity, these challenges can feel overwhelming.

What This Means for You

If your child has been diagnosed with either ADHD or urinary control problems, it’s important to:

  • Discuss both sets of symptoms with your healthcare providers, even if they seem unrelated
  • Monitor for signs of the other condition if your child has been diagnosed with one
  • Work with healthcare providers to develop comprehensive treatment plans that address both conditions
  • Remember that younger children may need extra support and patience as they deal with these challenges
  • Consider that treating one condition may help improve symptoms of the other

Conclusions

  • The strong connection between ADHD and urinary symptoms suggests they should be considered together rather than as separate issues
  • Healthcare providers should screen for both conditions when one is present
  • Early identification and comprehensive treatment approaches may lead to better outcomes for affected children
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