Bed-wetting
Bedwetting, known as enuresis, is usually common in young children, especially before the age of four. According to a common definition, night incontinence becomes a medical problem when a child( four years or older) urinates at night in bed more often than once a month.
Parents are beginning to worry when a child's urinary incontinence lasts two to three years. Doctors usually do not share such anxiety. Many of them do not express concern until the child is five years old.
Even infrequent nighttime incontinence requires attention, and most parents rightly want to find out the reasons and, if possible, fix the situation.
Possible causes of
Infants and young children are not yet sufficiently developed nervous system. During sleep, she does not warn them about the
that they have to get up and pee. Babies also have a small capacity of the bladder, and the urge to urinate during deep sleep is stronger than the ability to wake up.
Some children already cope with their bladder by the age of three. In others, weak control over this function can be observed even in five years. Most of these problems disappear at the age of six to ten years.
Emotional disorders of
Both in young children and older children, bedwetting can continue because parents are not persistently explaining to them that they should wake up when they want to write. Sometimes a child has a deep irritation that causes them to rebel against their parents and continue to urinate in bed. It can also be a reaction to any external pressure( for example, in school) or an important change in the family( for example, the birth of a second child).
Physical or Organic Disturbances of
If nighttime incontinence is accompanied by daytime, then you need to think about whether the child suffers from a chronic bladder disease or other organic disease associated with an act of urination.
This can be proved by the fact that a child at the age of four or five years again has a night incontinence, which seems to be left in the past.
Yes, of course, if the parents had bedwetting in the late childhood, then the
children probably will continue this same time. So be sure to find out from your parents and from your spouse's parents.
A child that parents accept the way they are, regardless of night sickness. Since the child has not reached the age of four, do not worry about the night incontinence, of course, in the absence of other anxiety symptoms. In no case should parents demand and, moreover, accelerate or punish the child for it. Too much pressure can cause a backlash and lead to emotional breakdowns. During medical examinations, the doctor can make recommendations on how to help establish control over the activity of the bladder. Implementation of these recommendations should be carried out reasonably and tactfully.
before the baby got up at night to urinate, and now began the night disturbances of the bladder;
urine stream in a child is often irregular, the urine is excreted by drops or the jet is very thin;
incontinence happens not only at night, but also during the day;
the child drinks too much liquid;
a child has a rash around his genitals;
the child has constipation.
Get medical attention immediately, if your child has pain, burning sensation while urinating, urine contains blood, nighttime incontinence is accompanied by fever. Or if several such symptoms are noted at once.
, has a better chance of coping with this problem more quickly. In fact, pathological night incontinence goes by itself in 14% of cases - and this is mainly due to the correct behavior of understanding parents.
One way to show your love is to show positive perseverance. A system of incentives is good for many children. For example, you can mark a star in the calendar for several consecutive nights, when the child did not urinate in bed. And then encourage for success. Do not punish the child in any way!
bubble
For children who experience nocturnal urinary retention after six years, exercise to develop the bladder muscles may be helpful until the child reaches the age of eight or nine. This procedure should be carried out in conjunction with a doctor, it is carried out as follows.
Parents repeatedly measure the child's urine several times a day. If the volume of urine for one urination is more than 120 g, then the child has a normal capacity of the bladder. If the capacity is less, then the root of the problem is in this.
The baby's bladder capacity is approximately 30 grams per year of his life. So, the normal capacity of the bladder in a six-year-old child is 180-240 g. Such a bladder will provide the child with abstinence from urinating throughout the night.
If it is determined that the baby has a small bladder, then the parent must ensure that the child at least once a day keeps urine as long as possible before urinating.
The urinary system consists of two kidneys, two tubes( ureters) that connect the kidneys to the bladder, the bladder itself and the urethra, the tube through which urine from the bladder exits. Each kidney is supplied with blood from the renal artery. When blood passes through tiny ducts in the cortical and medullary layer of the kidneys, the slags are filtered and urine is formed. The filtered blood flows off the renal vein.
On many children this procedure works best when they come home after a game or school.
When a child restrains urine, he should be asked to drink as much liquid as possible. The bladder will then fill up and expand faster.
To help your child set new records in delayed urination, distract his attention by talking, playing games, watching TV or other means. The idea is to help the child overcome the bladder spasms, which last an average of 10 seconds each: when the spasms stop, the baby can still delay urination for a while.
If he can no longer restrain himself, he must urinate in a pot or a graduated vessel.
Within a few weeks, record how many grams of urine a child has emitted after each such exercise with a delay in urination. Note also how many times during this time the child had nocturnal incontinence. Many parents will notice that as the bubble capacity increases, the number of incontinence incidents will decrease.
Alarm for urinary incontinence
Some medical studies have shown that when parents and children cooperate well with a doctor, then in 3/4 cases the alarm clock is useful. Now popular is a device that requires the connection of electrodes, powered by a battery, to the child's bed. The electrodes are connected to the alarm clock, which raises the child when the bed becomes wet. If this device is used for several months, the child begins to wake up earlier and earlier during incontinence and eventually starts to get up when filling the bladder, and not from the sound of the alarm clock.
Experts in this area recommend preparing the baby for bed, observing the following conditions.
If a child is 8 years old, he should be instructed to set the alarm clock himself( parents check the device to make sure it works correctly).
Before going to bed, the child must urinate. Near the bed is a flashlight or night light. Before going to bed, the child reminds himself that he will stop peeing as soon as the alarm goes off. When the alarm clock is working, the child should immediately go to the toilet and finish urinating. Then the child must return, dry the device, including the electrodes, and reset the alarm.
This approach imposes a big responsibility on the child to monitor the alarm.
The sense of responsibility is very important - it helps the child to realize that no one manages them.
Some parents punish a child, restrict their intake of fluids in the evening or scold him. However, it is proved that such measures are useless.
The doctor can advise on how to behave to parents with night urinary incontinence in children , how to properly perform exercises to increase bladder capacity or use an alarm clock for enuresis.
If these methods do not work, the physician can conduct drug treatment. A commonly used medication for night incontinence is imipramine hydrochloride( tofranil), which narrows the bladder outlet and the baby wakes up when the bladder is full. A high percentage of the recurrence of nocturnal incontinence is observed when the administration of this drug is discontinued. In addition, the drug can be dangerous in case of an accidental overdose. If there is a suspicion of a serious organic cause of the disease, the doctor is likely to refer the child to a specialist, for example, a urologist, and if the problem is based on emotional disturbances, then the psychiatrist.