Hi, appreciate this is an old thread but wondering if there is any further understanding of what can cause giggle incontinence and more importantly successful treatments. My daughter is now 12 and still living with this. It has never been the focal point of her life, but now she's at high school and getting more self aware, she is increasingly becoming upset. She has been doing pelvic floor exercises and on oxybutynin. I'm very worried that she will start to retreat socially and it overtakes her life. It's so hard to see her so upset. Thank you