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Updated: Nov 3, 2025

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Recognition and management of bladder bowel dysfunction in children with autism spectrum disorder
Shilpee Raturi1, Fay Xiangzhen Li2, Chui Mae Wong3
1Child Development, KK Women's and Children's Hospital, Singapore shilpeeraturi@hotmail.com.
Insights
Children with autism spectrum disorder (ASD) are at high risk for bladder bowel dysfunction (BBD) due to rigidities and anxiety. Early recognition and simple interventions like parental education can effectively manage BBD in this population.
Area of Science:
- Pediatric Gastroenterology
- Neurodevelopmental Disorders
- Urology
Background:
- Autism spectrum disorder (ASD) is frequently associated with behavioral rigidities, anxiety, and sensory sensitivities.
- These characteristics can lead to urinary and fecal retention, increasing the risk of bladder bowel dysfunction (BBD).
- BBD often goes unrecognized in children with ASD, despite its prevalence.
Observation:
- A case report details a 7-year-old girl with ASD presenting with acute urinary retention.
- This case highlights the critical need to investigate the link between ASD and BBD.
- Underlying factors contributing to BBD in ASD are complex and multifactorial.
Findings:
- A complex interplay of factors contributes to BBD in children with ASD.
- These include altered brain connectivity, delayed bladder function maturation, cognitive rigidities, and psychosocial stressors.
- These factors can trigger events predisposing children with ASD to develop BBD.
Implications:
- Simple management strategies can significantly improve outcomes for children with ASD and BBD.
- Key interventions include comprehensive parental education, consistent use of bladder and bowel diaries, and prompt treatment of constipation.
- Early identification and management of BBD are crucial for improving the quality of life for children with ASD.
Abstract:
Children with autism spectrum disorder (ASD) with rigidities, anxiety or sensory preferences may establish a pattern of holding urine and stool, which places them at high risk of developing bladder bowel dysfunction (BBD). BBD, despite being common, is often unrecognised in children with ASD. With this case report of a 7-year-old girl with ASD presenting with acute retention of urine, we attempt to understand the underlying factors which may contribute to the association between BBD and ASD. Literature review indicates a complex interplay of factors such as brain connectivity changes, maturational delay of bladder function, cognitive rigidities and psychosocial stressors in children with ASD may possibly trigger events which predispose some of them to develop BBD. Simple strategies such as parental education, maintaining a bladder bowel diary and treatment of constipation may result in resolution of symptoms.
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