Giggle Incontinence

[estherderu]

dear everyone,

I have been following this discussion since it started. Have never reacted because of my lack of knowledge on the subject.
Thank you all for sharing your thoughts and deepest feelings. It must be something terrible to have.
Nearly all the people reacting are from the general public, not many are colleague health professionals.

I have often thought it a shame that none of us reacted. The reason probably being that it is not a disorder we physiotherapists see often.
Because this problem is one that is affecting you so much ...... I will try.
I have never come across a child with this disorder... so pardon my ignorance.

Thought I would do my share of looking for information.... most probably things you already know but... I will give it a try...
And I do think it is important that we professionals know more about this condition as well.

The official description is enuresis risoria.
In the pediatric population, giggle incontinence usually refers to urine leakage associated with laughter. A detailed history often reveals some degree or history of urgency and dampness at other times as well. In these cases, there is usually some underlying bladder instability and treatment with an anticholinergic may be of benefit (Chandra, Saharia, Shi, & Hill, 2002). An entity rare in children, giggle micturition, or enuresis risoria, refers to the complete loss of urine associated with laughter, rather than just leakage. History is usually negative for urgency or dampness at any other time. Anticholinergics are generally ineffective, but some benefit has been derived from methylphenidate (Ritalin®), based on the suggestion that the condition is central in nature and related to cataplexy (Sher & Reinberg, 1996).

A little more on the subject below:
I could only read the abstracts

Treatment of enuresis risoria in children by self-... [Br J Urol. 1995] - PubMed - NCBI

Elsevier

http://www.ncbi.nlm.nih.gov/pubmed/8683753


This is the only recent and free viewable document I found:
http://www.ncbi.nlm.nih.gov/pmc/arti...00027-0123.pdf

Now that I am looking into this I am pretty shocked to find that most of the literature is very OLD and there is not much out there at all!

I will ask my colleagues in Holland that are specialized in treating children with bladder & colon disorders (working in a specialized team) what they know about
this subject.
Please allow a little time...

I promise to get back to you as soon as I know more.

kind regards

Esther