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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Article Home Children's Health HOW TO DEAL WITH BEDWETTING

HOW TO DEAL WITH BEDWETTING

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HOW TO DEAL : BEDWETTING

 

 

 

HOW TO DEAL WITH BEDWETTING

 

Bedwetting is very comman subject of concern and worry for many parents.

Urination in infants is involuntary and they have no control over bladder .

Gradually as child grow up one get control over the muscle and the urination becomes voluntary to some extent.

Bedwetting up to 2 yrs in day and up to 4yrs at night is considered  as physiological and proper toilet training is the only need.

Bedwetting after 4 yrs in daytime and after 6yrs at night is considered the real ‘bedwetting’ and need attention.

4yrs -6yrs: Boys-7%

                   Girls-3%

6yrs-10yrs:Boys-3%

                  Girls-2%

Comman reasons :

1: PSYCHOLOGICAL:

Anger, fear, stress, insecurity, inferiority complex, unpleasant incidents, dreams

Each factor above is very important and have sub factors themselves

 

2: PATHOLOGICAL:

Flacid muscles, recurrent UTI, worms, habitual constipation, deep sleep, serious aliment of kidney, bladder etc

 

3:BEHAVIOURIAL:

 

. untrained for toilet manners

.deliberate for seeking attention

.while deeply involved in playing or any other activity

 

4 OTHER:

 

.Juvenile diabetis mellitus or insipidus

.decreased ADH (anti diuretic hormone)

. paternal hereditary history

.any neurological dysfunction of bladder

 

TREATMENT

1.Counseling

2. Training

3.Medicine

 

Counseling: 

  • child and parent both should be consoled
  • scolding, using bad words, to fear should be avoided
  • child should feel safe, lovable and normal (psychologically sound)
  • make child speak of its problems

Training

 

·         Child shows some expressions, certain behavior like crying, touching the parts, showing bathroom and many .

One should learn and follow them to help child trained

·         Make sure your child urinate before going to bed

·         Midnight wakeup and making child to bathroom is necessary. But don’t be harsh with child’s sleep

·         Early wake up in morning for bathroom is must

·         Avoid  liquid diet after evening. Avoid milk just before bedtime, instead you can give in even

·         These simple changes can play miracle with child’s toilet habits

 

Medicines

·         Wormicides at regular interval are important

·         There are very effective medicines in AYURVEDA to handle the bedwetting

·         One should not hesitate to consult the physician in time