Conversation: The conversation between human and AI assistant.
[|Human|] help my three yr old daughter has been fully toilet trained for a yr now but has suddenly become completely incontinent, most of the time she doesnt even realise she has wet herself, she says it doesnt hurt when she wee s but im having to constantly change and wash her, what could this be?
[|AI|]  The most common cause of enuresis in a toilet trained child for more than 6 months is urinary tract infection, she may not have fever but still she can have it .for that a urinalysis and urine culture is needed and of positive, antibiotic toward the bacteria found in the culture is prescribed .but if the culture is negative, then try to take more notes about how many times she does it through the day and if possible measurement of the amount is advisable, and that is helpful in the diagnosis of neurogenic bladder, latter on she needs ultrasonography of the kidneys and bladder.careful exam is needed for evaluation, both genital and back exam is very important in cases of enuresis .so I highly recommend taking her to the pediatrician to examine her and assess her condition. I hope this helps