expert advice on the treatment of enuresis in children ;
Bedwetting is a common feature among children. While, to a certain age it is OK for your child to bed bed, after a certain point it becomes an area of concern. We talked to Dr. D. K. Guha, Head of the Department of Pediatrics, Institute Sri Balaji Action Medical, Delhi, about the problem and how parents can help their child overcome it. Following are excerpts from the interview follow.
Why do children wet the bed?
Bedwetting or nocturnal enuresis, as scientifically called, is often accompanied by emotional problems like acting. Most of us often mistakenly believe that these psychological problems are the cause of bedwetting. Instead, it happens to kids who are a little stressed or emotionally disturbed because of the tensions in the environment around them. Fortunately, it is a common problem that can be treated.
What can a doctor to help the child?
We should not take the enuresis as a mental or behaviorial problem. If a child is younger than 6 years, the treatment of enuresis usually is not necessary. Although most children who wet the bed are healthy, the family doctor can help determine if bedwetting your child is due to a medical problem. First, the doctor will ask about bathroom habits day and night your child, followed by a physical examination to check for any infection or diabetes. Sometimes bedwetting occurs when a child is emotionally upset. A doctor may need to know about the environment in which the child lives and consequently deciding on a treatment.
How can parents help?
As a parent, it is important to be aware of the fact that bedwetting is not guilt and punishment of them will not solve the problem of your child. Also, you can not expect them not immediately bedwetting change, as this is a routine, you need to practice and develop over time. Parents require a lot of understanding of the needs and constraints of their children. Your child sleep in the same time every night as this will help in training the bladder to respond to certain hours during the night. Parents should keep an eye on what their children are drinking before and after dinner. Meanwhile, they should be explaining that bedwetting is not their fault, because often, children take to heart that there is something wrong with them and therefore end up wetting their beds. There are some parents who tend to hide the disorder bedwetting your child. I would advise rather should visit the pediatrician and explain about the symptoms of their children, daily habits, current health, routine and sleep schedule and consequently the doctor may prescribe medications. At night, when children fall into a deep sleep and does not feel the feeling of going to the bathroom, you can set an alarm at regular intervals to nocturnal escapades. This habit of waking up in the middle of the night will become a kind of regular habit gradually.
Is there a cure in psychology who can help? Implying?
There’s definitely a cure for bedwetting, but one should not try management when the child is ready and over 8 years of age, and ensure that psychological problems and pressures within family have been ruled out or resolved. Also managing bedwetting problems should be avoided if you anticipate any stress, such as a family move or the birth of a sibling. Parents should be sure that it is a development issue, your child is not lazy or refractory. Therefore, avoid penalties, embarrassing and shaming the child or become too aggressive in their approach. Instead, engage the child in a treatment plan. Contact your principal or class teacher attendance. One can try the treatment of similar behavior;
cushion and Bell Technique: This is a reminder and behavioral treatment for children who wet the bed often. This technique is a sensor out either in the child’s clothing or bed, which sounds an alarm when wet. This in turn awakens the child, who can then go to the bathroom to your needs. In the long run, this helps train the child to use the toilet when you urinate.
sleep dry alarm: This is another alarm system that works the same way that technical and alerts pad and Bell child when passing urine. Being more sensitive to moisture, this alarm goes off and train the child’s body to feel full bladder. According to manufacturers this technique takes about three weeks to work.
bladder stretching technique: This is where you can help your child improve the amount of time you can control the urge to urinate. Made over a period of time, this technique involves asking your child to control the need to urinate during a certain period of time, increasing the number of minutes that can control himself. This eventually leads to him bedwetting.
When bedwetting become a concern? When do parents have to seek help from a doctor?
When enuresis occurs with daytime wetting followed by intestinal problems, it becomes a sign of a serious problem. In some cases, enuresis may result in a urinary tract infection. You need to consult a doctor immediately in such situations and get urine tests performed. Meanwhile, parents should seek consultation from a medical specialist if your child experiences any of these conditions such as daytime enuresis, drip (loss of urine without the child’s knowledge), identification of significant psychological problem or child abuse urinary tract infection , genitourinary anomalies, lack of improvement with proper treatment retention bladder or behavioral conditioning, diabetes insipidus / mellitus etc.
Is this disorder often resolves spontaneously?
Bedwetting in children is a common problem, especially for children under 4. The causes can vary depending on factors such as genetics, bladder control, sleep, constipation and hormones. No matter what the cause, most times, bedwetting finally goes away by itself.
What physical conditions can lead to bedwetting?
Medical conditions which may manifest as enuresis are myelomeningocele, mental retardation, injury or urological abnormalities, diabetes mellitus, etc.
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