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 BEDWETTING

nighttime bed wetting, bed wetting solutions, bed wetting boys , bed wetting mattress protector, bed wetting chart, bed wetting protection, kids bed wetting, bed wetting solutionsBedwetting is usually a stage of development that kids simply outgrow with patience and time. Check with your child’s physician to rule out any illnesses or physical reasons.

Learn2 Cure Bedwetting

Wake up to a cure

Bedwetting is more common than you think, so if your child has problems with it--don't despair. It's curable. This 2torial covers the most successful techniques for treating the problem, from scheduled wake ups to moisture alarms to special medications. Help is on the way--just keep reading.

Before You Begin

The medical term for bedwetting is "nocturnal enuresis" (pronounced "en-yur-ee-sis"), defined as the involuntary nighttime discharge of urine after the child is old enough to be able to control urination--usually around six years of age.

While doctors and scientists don't know all the causes of bedwetting, they do know that it's not a behavioral problem, a learning problem, or a mental problem. It can, however, involve an underlying medical problem, such as a urinary tract infection.

But the real trouble for a child can be the eventual development of low self-esteem due to being punished, teased, or ostracized for his or her bedwetting problem. Always use patience when seeking a solution to bedwetting. Putting pressure on your child will only make it worse for all involved. And remember that your child isn't alone. Estimates say there are 5 to 7 million children in the United States alone who wet their beds.

Step 1 Understand possible causes

For every possible cause, there's a person who isn't affected by it but still wets the bed. Just remember that the possibilities listed here may operate independently or in conjunction with each other.

Small bladders. Some doctors believe bedwetters have small bladders that simply overrun during the night. The bladder is surrounded by a layer of muscle that can squeeze either automatically or on instruction from the brain. If the brain isn't listening or doesn't send the right messages, the bladder will overflow or empty itself automatically.

Deep sleepers. Sometimes deep sleepers don't "get" the message from the bladder that it's full. In this case, the bladder takes matters into its own hands and the muscles around it squeeze, or it simply overflows.

Step 2 Rule out underlying medical problems

If you plan to begin a concentrated program to end bedwetting, first take your child to a doctor. He or she should be able to rule out any underlying medical causes, such as urological infections that can be treated easily. Your child should then be screened for more serious causes, including:

* Kidneys that don't sleep. In certain cases, bodies don't produce enough antidiuretic hormone (ADH) to tell the kidneys to produce less urine at night. When a kidney doesn't slow down at bedtime, it produces the same amount of urine as it would during the day, overfilling the bladder.

* Food allergies. Some food allergies can seemingly "drug" people to sleep very deeply. In these cases, the bladder may not be able to wake up a deep sleeper, and it overflows.

Be sure to choose a doctor who's knowledgeable about the treatment of bedwetting. If you're in the United States and your doctor can't help or can't make a referral, contact the National Kidney Foundation for a listing of physicians caring for patients with bedwetting problems.

In general, a doctor experienced with helping bedwetters can recommend the best approach, based on information you provide about your child's daytime habits, how much urine is passed at night, and how often. Your doctor can also effectively determine whether or not allergies are part of the problem, or if medication should be prescribed.

Step 3 Examine exercises and changes in diet

If medical problems have been ruled out, you can start trying exercises and diet changes. These can be individually prescribed either as the sole treatment for bedwetting, or in conjunction with other techniques. Exercises are generally used to help stretch and condition the bladder and to help the patient become more aware of bladder control. Changes in diet are prescribed to control allergies and avoid the diuretic impact of caffeine.

"Holding it in." During the daytime, your child can practice resisting the initial urge to urinate. This exercise can increase bladder size, but don't take it to extremes. Your child shouldn't have to "hold it in" for more than ten minutes, and you might want to have him or her start at two or three minutes and move up from there.

Stop urinating midstream. This strengthens bladder muscles and improves control.

Diet changes. Many physicians recommend reducing the child's intake of caffeine, which is found in coffee, tea, many popular soft drinks, and chocolate.

Food allergies. If these have been detected, the doctor will recommend staying away from certain foods. The effect may be less "drugged" sleeping patterns and the ability to wake up when the bladder signals it's full.

Step 4 Look at "interruptive" methods

Interruptive methods wake up the bedwetter so he or she can use the bathroom and go back to bed. There are a couple of ways to do this.

Night-lifting. This procedure has the parents wake the child at regular intervals, escort him or her to the bathroom to urinate, and then walk the child back to bed. It helps the child get used to waking, going to the bathroom, and emptying the bladder one to three times during the night, so that with enough practice, the procedure becomes an independent habit.

Moisture alarms. These are considered an effective way to treat bedwetting and consist of a sound or vibratory alarm attached to a sensor that attaches to bedclothes. When the sensor detects just a drop of moisture, the alarm goes off, allowing the child to wake up and finish urinating in the bathroom. If the child is sleeping too deeply to hear the alarm, a parent may need to listen for the alarm, wake up the child, and escort him or her to the bathroom. Modern moisture alarms range from $40 to $80 (U.S.).

Step 5 Consider hypnosis

Hypnotherapy is gaining greater acceptance in the medical profession, and doctors are using or recommending it to help patients with depression, smoking cessation, weight loss, and other problems.

The good news for bedwetting is that medical studies have shown hynotherapy can cure it within four to six sessions. As such, it's less expensive and less time- and sleep-consuming than other approaches. Also, if hypnotherapy isn't going to work for your child, you'll learn this rather quickly, because therapy sessions can be scheduled fairly close together.

Hypnotherapy works by enlisting the aid of the patient's subconscious and should be conducted by a trained, licensed professional. As a positive bonus, hypnosis is useful in rebuilding self-confidence in a bedwetter, because it gives the patient the ability to treat him- or herself without external methods.

Step 6 Consider medication

Some parents have found immediate cures for their children by trying medications that instruct the kidneys to produce less urine at night or reduce the frequency and intensity of bladder contractions. These are especially useful for times when the child wants to join a slumber party or go to camp. Unfortunately, the solutions usually stop working once the medication is withdrawn. Also, this method is more expensive than others, costing between $60 and $240 (U.S.) per month, depending on the medication and dosage.

Desmopressin acetate. This drug is administered through a nasal spray and works as a substitute for ADH, the hormone that instructs the kidneys to concentrate urine during the night. In some cases, it can be effective the first night. Doctors usually prescribe its use for three months and then have the child taper off the medication to see if he or she can stay dry. Many children resume bedwetting, but some do not. For those who do resume, the doctor may try restarting the medication and stopping it again every few weeks to see if the child can remain dry at night without it. Side effects may include headache, runny nose, pain in the nostrils, or stuffiness.

Imipramine. According to the National Enuresis Society, imipramine has been helpful in preventing bedwetting for approximately 30 percent of the children using it. An antidepressant, one of imipramine's useful side effects is to reduce the frequency and intensity of bladder contractions. It also helps limit the amount of time spent in deep sleep. Keep in mind that all antidepressants are powerful drugs and that some have serious, unhelpful side effects, especially in children.

All of the techniques outlined in this tutorial are meant to underscore that bedwetting is not anyone's fault. Rather, it's a problem that requires a concentrated effort--and sometimes several different approaches--to cure it. But dry nights are definitely possible for your child, and now that you're armed with this information, they're closer than ever before.

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