bedwetting kids bed wetting problem solutions
Bedwetting
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 BEDWETTING

Bed -wetting and how to handle it

It's important to remember that your child is probably not wetting the bed on purpose, and he or she is probably very embarrassed and ashamed about it. Before you attempt to treat the problem, a thorough physical exam by your health care provider is essential for ruling out medical problems. Be sure you are ready to participate in the treatment, and be patient with your child. Here are some basic tips on handling bed-wetting:

Remember that primary enuresis is usually self-limited and will end on its own.

Know that many children under age eight can't be properly managed.

Be sure your pediatrician is informed.

Avoid punishment, embarrassment, or calling the child names.

Do not be too aggressive in your approach.

Avoid causing more stress on your family or child.

Be patient if you're trying bladder stretching. Your child may have more accidents for a while.

Do not diaper the child. Restrict fluids after dinner if your child is willing.

Have your child urinate before going to bed. Reward good behaviour. 

Keep a chart. If your child is on medications, watch for side effects.

If you're using an alarm-type system, be sure you use it properly to ensure that your child faces no danger.

Alarms have the highest cure rate - about 75 percent, but may have a 20 to 40 percent relapse rate. Wait three months or so (as recommended) before starting again.

Counselling may be needed if there are stressors in the family (new sibling, etc.).

Treat the underlying cause: urinary tract infection or diabetes. Use Imipramine.

Here are some treatments used for primary enuresis:

Bladder stretching: This enables the bladder to hold more urine. This process requires that you measure the amount of urine a few times a day and record the amount. Once daily, have the child hold his or her urine for as long as possible, and then measure the amount of urine passed. Also, do Kegel exercises (the stopping and starting of urine passage) to strengthen the muscles.

Behaviour modification: Use the bell and pad alarm system. The alarm system rings when the pad is wet. This process may take five to 12 weeks, but it has a 75 percent success rate. Also, have your child assist you in changing the bed.

Medications: Minirin Tablets, by Ferring Pharmaceuticals is the most frequently used medication. It works for most children by reducing the amount of urine produced overnight. This medication may not be prescribed for children under five.

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