Help! My 6-Year-Old Has Started Wetting Himself. Is He Being Sexually Abused?

Advice on manners and morals.
Nov. 5 2013 6:00 AM

A Wee Problem

In a live chat, Prudie counsels a woman worried her young son's wetting himself is a sign of sexual abuse.

Emily Yoffe.
Emily Yoffe

Photo by Teresa Castracane.

Emily Yoffe, aka Dear Prudence, is on Washingtonpost.com weekly to chat live with readers. An edited transcript of the chat is below. (Sign up here to get Dear Prudence delivered to your inbox each week. Read Prudie’s Slate columns here. Send questions to Prudence at prudence@slate.com.)

Q. How to Spot Child Abuse: About three weeks ago, my almost 6-year-old son started coming home from school/after-care with wet underwear and pants. This happened three times. He did not smell nor was it noticeable from the outside, so I did not realize it until we were already at home. He told me that he forgot to go to the bathroom and had an accident. I thought maybe he didn't want to ask to use the bathroom at his after-care program. So I reassured him that it was OK to ask, and I spoke to the director who said she would remind him as well. Then, this past weekend at home, he also had three accidents despite having free rein of the bathroom and my reminding him. He is remaining dry at night. He has not had any other changes in behavior, sleep, or eating. However, I am now concerned that he may have been sexually abused. Can you please help me allay my fears? What should I do from here? I hope I am overreacting, but this daytime wetting is new. He was potty-trained at age 3!

A: I agree a change in behavior this dramatic is concerning, but don't jump to the worst case scenario. There might be many other things going on: Maybe your son was bullied in the bathroom, maybe a teacher humiliated him when he had to go, maybe he's embarrassed if he has to move his bowels, etc. etc. But you need to have a quiet conversation with him in which you make clear you are not mad, you aren't even concerned about the wet clothes. You are wondering if something is bothering him. Here is some guidance from the Rape, Abuse, and Incest National Network about how to gently begin this conversation. I also think this should be brought up with his pediatrician. Describe what's happening, explain your concerns, and make an appointment for your son to get an examination and a talk with a doctor he trusts.

Dear Prudence: Chintzy Travel Companions

Q. My Husband Has Moved Back to His Mother's Home: We live within a five-minute driving distance to my MIL. This has never caused an issue, until my FIL passed away unexpectedly some time ago. Since then, my husband has started sleeping at his mother's place. She lives in a small studio apartment with one double bed so I'm guessing they both sleep on the same bed, too. He comes over to our place to collect his clothes. Whenever I try talking to him, he says he doesn't like the arrangement either, but I'm far too individualistic and selfish. He says I should try harder to look after his widowed, elderly mother, but when I go to her place she largely ignores me and obviously doesn't like my company. Is this a normal situation for a worried son to look after his grieving mother? Or am I missing something here?

A: If your husband were 5 years old and his father died suddenly, it would make perfect sense that he would feel safer sleeping next to his mother. But this kind of thing is for sons who still sleep with teddy bears, not wives. Your father-in-law is gone, but apparently so is your marriage. Either your husband prefers to bunk with Mommy, or he's telling you he's there while he's actually spending the night somewhere else. Your attempts to discuss this outlandish arrangement are met with rude rebuffs. I think it's time for you two to discuss your living arrangements with a professional. If you choose to try a therapist first, I suggest you also put a divorce lawyer on retainer.

Q. Estranged Mother and a Funeral: My mother is a mentally ill, abusive alcoholic. Six months ago, she assaulted me in a drunken rage when I took her car keys, and then she blamed me for the altercation. After a lot of soul-searching, I decided it was best for me to not have any contact with her. I wasn't badly hurt (scratched and bruised) but I'm tired of being her victim. Since our estrangement is so recent, I'm still trying to navigate its impact. It hasn't been easy but I've been mostly OK. However, a family member has recently died and I'm at a loss. I'd like to attend the funeral but I am concerned that my mother will either try to start an argument with me or try to force a reconciliation. I don't know if I'd be able to handle either situation well at this point. Funerals are difficult enough; I don't want my issues with my mother to make it worse. Of course, if I don't attend, that could upset my nonestranged family members as well. Is it best to stay home and mourn privately? Should I sit in the back and be as unobtrusive as possible? I'm having trouble determining what's right in this situation.

A: You have made the healthy decision for you—although I am fearful of innocent people on the road if there is no one to stop your alcoholic mother from getting behind the wheel. But having decided to cut off relations with your mother does not mean that you are now the family pariah. I assume others have observed your mother's behavior and know what you're up against. If other family members know you've estranged yourself from her, some will tell you, "But she's your mother, you can't just cut her off!" In that case be firm and brief and say as painful as things are, this is better for everyone. As far as the funeral is concerned, please go. I hope you have someone in the family you trust you can look out for you and intervene if your mother starts making a scene. If your mother approaches you, just tell her you're both there to mourn and this is not the time to talk. If your mother starts to explode, the designated mourner should pull her away. You have made a painful decision, but it is the right one for you, so don't be defensive.

Q. Re: How to spot child abuse: This is a ridiculous confession. I don't remember what age I was but once out with my mother when she flushed the toilet it overflowed. This scared me and for a long time I was afraid of using public toilets. (I never confessed this to anyone.) When I started kindergarten (half-day) I tried to hold it until I got home. I was not always successful and so had a series of wetting my pants. I think my mother talked to the teacher as somehow I was encouraged to use the kindergarten's bathroom. So for the concerned mother she should be concerned, but it might be something stupid.

A: Thank you for this. That's why I'm saying the mother shouldn't jump to the worst conclusion. You have perfectly explicated the mind of the young child. There are so many things that could be going on at school that are making her son fearful of going to the bathroom. Let's hope if she starts a gentle, warm, totally understanding conversation, he can tell her what's bothering her—and let's hope it's something silly like this.

Q. Freshman Roommate's Foul B.O.: I am a college freshman. My roommate Maggie does not use deodorant and has pretty strong B.O. If she walks past me, I get a pungent whiff. Our tiny dorm room always smells of her. My friends don't like spending time in there, and neither do I. I have read stories where people mistake another person's smelliness for uncleanliness when in fact the person had a medical condition. I am hesitant to talk to Maggie because I don't want to be rude if she can't help her smell and because she's an adult. As much as I would like to, I can't make her wear deodorant. How should I broach this subject with her?

A: I can understand how difficult it is to find yourself a young person living with a stranger and not knowing how to clear the air. But enough of this miasma. I'm doubting your roommate has one of those sad, rare conditions that make them exude offensive odors. She may just never have gotten basic lessons in hygiene. It's also possible that now that she's responsible for her own laundry, she's not doing it. But living with this funk is going to put you in a funk, so you have to address this. Start by talking this out with your resident adviser. You could ask her if she would be the one to take this up with your roommate, since people other than you have noticed the odor. If she won't, she should be able to help you with strategies for discussing this. If you have to have the talk yourself, you do it as straightforwardly as possible, say you know this is an awkward conversation, but she needs to attend to her personal hygiene because it's easy to take care of and something like this shouldn't be getting in her way in life. Suggest she try changing her deodorant, showering daily, and making sure her clothes are clean. If this doesn't send a fresh breeze through the room, this is a fair complaint to take to an administrator.

Q. Re: Bathrooms and young children: My son stopped using the bathroom at school (and refused to drink liquids) because the older kids convinced the little ones the boys' bathroom was haunted. So, yes, there are a lot of reasons he might not be going at school. (He could also have a urinary tract infection or something medical. So a visit to the doctor is the first stop!)

A: Another possibility given the closeness to Halloween timing!

Q. Great Husband, Bad Habit: I love my husband (isn't that how these always start?), but he has one bad habit I can't seem to break. He doesn't brush his teeth before coming to bed. He's a once daily in-the-morning brusher. He goes to the dentist twice a year and always has a clean bill of oral health, but I'm tired of being in bed with his foul breath. Obviously this curtails snuggling and sex. I've told him more brushing means more hanky-panky, but not even that was enough to convince him. Should I just give up?

A: When a husband's dislike of toothbrushing trumps his ability to have sex, you do have to wonder about his hygiene and his libido. When you're not heading for bed, you need to have another discussion about this. Tell him that like anyone else, his mouth is full of bacteria and food odors by the end of the day. Say that you are simply asking him to take the two minutes necessary to come to bed with fresh breath so that you both enjoy each other's company more. Explain you just can't kiss him at the end of the day when you can smell his lunch on his breath. If he doesn't care enough about you, or his own self-interest, to break this habit, suggest some sort-term counseling because you can't go through life holding your breath in bed.

Q. Gym Etiquette Question: I go to the gym nearly every day. Nearly every day, a neighbor who also goes says somewhat snidely as I leave, "Done already?"—you'd think I'd be used to it by now, but it always catches me off guard. We are both seniors, and she is a bit older. I sometimes just smile, sometimes I garble some reply. What I'd like to say is "Yes, and you are welcome to try to keep up with me next time," but I don't want to be rude. I do a much more intense work out than she does. Any help?

A: Since this happens nearly every day, I'm wondering how it manages to perpetually catch you off-guard. Since you know it's coming I suggest you either continue to give her a wan smile and a wave. Or simply tell her: "Eileen, do me a favor please stop saying, 'Done already?' I would really appreciate just a simple, 'Goodbye.' "

Q. Breaking Up With Doctor: I have a doctor who I adore and respect. She's helped me through difficult times over the eight years I've been seeing her. She always makes time for urgent same-day appointments even if her calendar is packed, and her office staff is exceptional. Unfortunately, Dr. Amazing stopped taking insurance some years ago, and my health insurance company is reimbursing less and less of out-of-network costs as the years go by. In short, I can no longer afford to see her. I'm wondering about the etiquette of breaking up with your doctor. Like any respectable breakup, I'd like to do it in person—maybe with flowers!—but my husband thinks that's over the top. Should I just send a note explaining? Move on without saying anything? I miss her already!

A: I don't think you want to book an appointment you have to pay for out of pocket to explain that you're leaving. But you could ask to speak to her on the phone, or even write a heartfelt letter. I'm sure your doctor will appreciate hearing how much you have meant to her, and that your decision is purely financial. I also think flowers are a lovely gesture. Doctors hear a lot of complaints, but it would be meaningful for her to get a symbol of your gratitude. And do not be afraid to send her the list of names of doctors who take your insurance and ask her advice on who you should see.

Q. Re: Great husband bad habit: Maybe buying him some mouthwash to gargle at night will help?

A: Gargling would help, and I agree she should get a bottle and put it by the sink. But that's not a substitute for brushing, which is brief and basic.

Emily Yoffe: Thanks, everyone. Talk to you next week.

Check out Dear Prudence's book recommendations in the Slate Store.

TODAY IN SLATE

Frame Game

Hard Knocks

I was hit by a teacher in an East Texas public school. It taught me nothing.

Chief Justice John Roberts Says $1,000 Can’t Buy Influence in Congress. Looks Like He’s Wrong.

After This Merger, One Company Could Control One-Third of the Planet's Beer Sales

Hidden Messages in Corporate Logos

If You’re Outraged by the NFL, Follow This Satirical Blowhard on Twitter

Sports Nut

Giving Up on Goodell

How the NFL lost the trust of its most loyal reporters.

How Can We Investigate Potential Dangers of Fracking Without Being Alarmist?

My Year as an Abortion Doula       

  News & Politics
Weigel
Sept. 16 2014 9:22 AM The Most Populist Campaign of 2014
  Business
Moneybox
Sept. 15 2014 7:27 PM Could IUDs Be the Next Great Weapon in the Battle Against Poverty?
  Life
Atlas Obscura
Sept. 16 2014 8:00 AM The Wall Street Bombing: Low-Tech Terrorism in Prohibition-era New York
  Double X
The XX Factor
Sept. 15 2014 3:31 PM My Year As an Abortion Doula
  Slate Plus
Tv Club
Sept. 15 2014 11:38 AM The Slate Doctor Who Podcast: Episode 4  A spoiler-filled discussion of "Listen."
  Arts
Brow Beat
Sept. 16 2014 9:13 AM Clive James, Terminally Ill, Has Written an Exquisitely Resigned Farewell Poem
  Technology
Future Tense
Sept. 16 2014 7:36 AM The Inspiration Drought Why our science fiction needs new dreams.
  Health & Science
Bad Astronomy
Sept. 16 2014 7:30 AM A Galaxy of Tatooines
  Sports
Sports Nut
Sept. 15 2014 9:05 PM Giving Up on Goodell How the NFL lost the trust of its most loyal reporters.