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Suggest Remedy To Cure Bed Wetting In A 5 Year Old

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Posted on Tue, 2 Sep 2014
Question: My 5 yrs and 6 months old daughter is having bed wetting issue for which could you please let me know the line of treatment with the reason for the same.
Regards,
XXXX
doctor
Answered by Dr. Arun (34 minutes later)
Brief Answer:
Do nOt start medicines right away.

Detailed Answer:
Bed wetting could be due to
A)Your child producing more urine than their bladder can cope with
B)Having an overactive bladder, meaning it can only hold a small amount of urine
C)Being a very deep sleeper so they do not react to the signals telling their brain their bladder is full.

Constipation is frequently associated with bed wetting, especially in children who do not wet every night. In these cases, bed wetting may occur during the night when the child has not passed any stool (feces) during the day. Sometimes treating constipation is all that is required to treat bed wetting. Untreated constipation makes any treatment of bed wetting much harder.

Occasionally, bed wetting can be triggered by emotional distress, such as being bullied or moving to a new school.

In rare cases, bed wetting may be the symptom of an underlying health condition, such as type 1 diabetes.
Treatment :
1. Limit fluid intake after 8 pm.
2. Voiding just before sleep and once in midnight by sealing your child.
3. Treat constipation and urinary infection if present.
4. Bed wetting alarms are available . These can be put on the bed and will sound alarm if urine is detected.
5. Desmopressin is available as nasal spray to control but it should be the last resort .

Regards
Dr Arun



Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Arun (22 minutes later)
Actually at times she irritates very much and starts crying until she gets what she insists for so any reason for that. Some times she gets up at midnight for urination and sometimes forgets. Does it a normal behavior or something to worry about, please provide details as she is stubborn by nature.
doctor
Answered by Dr. Arun (3 hours later)
Brief Answer:
Repeated talking and motivation

Detailed Answer:
Children do remain adamant with some issues. It is not abnormal.
Keep talking to her and make sure you awake her in the midnight to void urine. Retrying again and again with the steps already detailed before to you should help her.
Keep medicines as a last resort after trying for at least 3 to 6 months.
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Arun

Pediatrician, Pulmonology

Practicing since :2003

Answered : 1959 Questions

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Suggest Remedy To Cure Bed Wetting In A 5 Year Old

Brief Answer: Do nOt start medicines right away. Detailed Answer: Bed wetting could be due to A)Your child producing more urine than their bladder can cope with B)Having an overactive bladder, meaning it can only hold a small amount of urine C)Being a very deep sleeper so they do not react to the signals telling their brain their bladder is full. Constipation is frequently associated with bed wetting, especially in children who do not wet every night. In these cases, bed wetting may occur during the night when the child has not passed any stool (feces) during the day. Sometimes treating constipation is all that is required to treat bed wetting. Untreated constipation makes any treatment of bed wetting much harder. Occasionally, bed wetting can be triggered by emotional distress, such as being bullied or moving to a new school. In rare cases, bed wetting may be the symptom of an underlying health condition, such as type 1 diabetes. Treatment : 1. Limit fluid intake after 8 pm. 2. Voiding just before sleep and once in midnight by sealing your child. 3. Treat constipation and urinary infection if present. 4. Bed wetting alarms are available . These can be put on the bed and will sound alarm if urine is detected. 5. Desmopressin is available as nasal spray to control but it should be the last resort . Regards Dr Arun