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Older kid potty issues

My son just turned 6. He still has regular daytime pee accidents (night, too, but I'm less worried about that). He has never been consistently dry for more than a couple of weeks. It was averaging once a week or so (but, again, could sometimes go a couple of weeks), but for the past few weeks, it's been daily. Sometimes multiple times a day. He says he doesn't know when he needs to go. He's in KIndergarten and has had accidents at school twice now. He just doesn't go all day while he's there. I've tried basically everything there is to try. I just ordered a vibrating alarm watch for school, but it's not here yet. His pediatrician says it's not a concern until he's 7, but I really don't want him to have to go through a year of embarrassment and smelling like pee. He doesn't need one more thing making it harder to make friends. He is developmentally on track in most other areas. He's extremely advanced intellectually, actually. We're having him evaluated for some sensory/behavior issues next month (possibly Asperger's or Sensory Processing Disorder), and the ped said to wait and talk to them about the potty issue. But it seems to me (and most of my Dr. Google research agrees) that it would make more sense to identify or rule out any medical causes FIRST, and then look at behavioral causes. Has anyone else dealt with this? Any advice? Commiseration? Light at the end of the tunnel stories? I plan to schedule an appointment with the ped & hand him what I've seen about tests, etc. that can be done, but I'm just extremely frustrated. 

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