Should I be concerned about my 10 year old bipolar son wetting himself during the day?

My 10 year old son has bipolar disorder amongst other problems. Recently he has started wetting himself during the day. Should I be concerned? He sees his doctor on Monday and I would like them to do bloodwork. He is very phobic of needles and the labs have little patience for him so I try not to request anything unnecesary. People around us are saying he is lazy but I am finding that hard to beleive. He has always had a problem with this at night but not during the day since he was about 3.

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