Bed Wetting
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Bed Wetting
Enuresis is involuntary urination while asleep after the age at which bladder control usually occurs.
This should not even be considered a problem before the child is 3 or 4 years old, as children develop bladder control at different times. Normally by the age of 3 yrs 85% are dry by day and night barring an occasional accident.
CAUSE
Most enuresis is caused by a slow development of bladder control, just as some children are slower than other learning to read. Some anxiety, psychological upsets such as parental rows or a new baby can be implicated.
It can also be an attention seeking ploy.
Other causes are:-
- Urinary tract infection
- Congenital bladder abnormality.
- Juvenile diabetes.
- Worms.
The causes of bed-wetting are not entirely known. It tends to run in families. Most children with primary enuresis have a close relative-a parent, aunt, or uncle-who also had the disorder. About 70% of children with two parents who wet the bed will also wet the bed. Sometimes bed-wetting can be caused by a serious medical problem like diabetes, sickle-cell anemia, or epilepsy. Snoring and episodes of interrupted breathing during sleep (sleep apnea) occasionally contribute to bed-wetting problems. Enlarged adenoids can cause these conditions. Other physiological problems, such as severe constipation, or spinal cord injury, can cause bed-wetting.
SYMPTOMS
- Child sleeps deeply at night & is difficult to arouse the child may not even understand that the bed is wet.
- Along with bed wetting children might show symptoms of excessive fear emotional liability and parent-child maladjustment
DO'S AND DON'TS
- Give the child positive reward, praise and encouragement for every dry night.
- Do not make the child feel guilty about the episodes of bed wetting & do not scold him.
- Try to understand the problems faced by the child at school, with peers & at home.
- Be firm, not harsh & make the child change the bed clothes in the morning as a normal routine.
- Do not give him water or any fluids for about 2 hours before sleeping.
- See that the child empties the bladder before going to bed.Try to develop better bladder control in your child by delaying urination by a few minutes during the day.