When I think back to my own elementary school days, I’m honestly shocked I don’t have more pelvic health issues, and I say that as a Pelvic Health Physical Therapist! I’d go to school after brushing my teeth, spend the entire day in class, head straight to gymnastics, and not use the bathroom until 5 or 6 p.m. — only the second time all day. That’s not okay.
Why pelvic health is a public health conversation
It might sound dramatic, but pelvic health really is a public health issue. Kids are growing up with habits that can lead to long-term bladder and bowel problems. If we’re not teaching them healthy toileting behaviors, we’re ignoring a basic function that affects quality of life, emotional well-being, and even school performance.
Bladder basics: What’s actually normal?
Let’s reset expectations. Here’s what’s considered healthy:
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Kids (and adults) should urinate every 2–4 hours. So during a standard school day (8 a.m. to 3 p.m.), your child should go at least once or twice.
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Hydration matters. A general rule: drink about half your body weight in ounces each day — spread out, not chugged at night.
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When using the bathroom, sit down fully. Take a few calming breaths, relax, and let your body do its thing. No power peeing, straining, or rushing through.
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A normal pee should be around 450 mL of diluted, light yellow urine (about 15 ounces), and you should feel empty afterward.
These basics might seem small, but they’re vital pieces of public health education we often overlook.
Normalize talking about the bathroom
On back-to-school or curriculum nights, most parents ask about the classroom, lunchroom, or art room — but when was the last time you asked about the bathroom? Yes, it might feel silly, but visiting the restroom can:
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Help your child feel confident navigating it (knowing where the soap, towels, or air dryer are)
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Remove anxiety or fear related to bullying or unfamiliar spaces
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Encourage healthy habits by making it clear they can and should ask to go when they feel the urge
Kids shouldn’t have to “hold it” all day. They need to trust their body’s signals and feel safe enough to act on them. Making this part of your parenting conversation supports both their personal comfort and overall public health awareness.
