HOW TO DEAL WITH BEDWETTING

HOW TO DEAL WITH BEDWETTING

Bedwetting is very comman subject of concern and worry for many parents.

Urination in infants is involuntary and they have no control over bladder .

Gradually as child grow up one get control over the muscle and the urination becomes voluntary to some extent.

Bedwetting up to 2 yrs in day and up to 4yrs at night is considered  as physiological and proper toilet training is the only need.

Bedwetting after 4 yrs in daytime and after 6yrs at night is considered the real ‘bedwetting’ and need attention.

4yrs -6yrs: Boys-7%

                   Girls-3%

6yrs-10yrs:Boys-3%

                  Girls-2%

Comman reasons :

1: PSYCHOLOGICAL:

Anger, fear, stress, insecurity, inferiority complex, unpleasant incidents, dreams

Each factor above is very important and have sub factors themselves

2: PATHOLOGICAL:

Flacid muscles, recurrent UTI, worms, habitual constipation, deep sleep, serious aliment of kidney, bladder etc

3:BEHAVIOURIAL:

. untrained for toilet manners

.deliberate for seeking attention

.while deeply involved in playing or any other activity

4 OTHER:

.Juvenile diabetis mellitus or insipidus

.decreased ADH (anti diuretic hormone)

. paternal hereditary history

.any neurological dysfunction of bladder

TREATMENT

1.Counseling

2. Training

3.Medicine

Counseling: 

• child and parent both should be consoled
• scolding, using bad words, to fear should be avoided
• child should feel safe, lovable and normal (psychologically sound)
• make child speak of its problems

Training

·         Child shows some expressions, certain behavior like crying, touching the parts, showing bathroom and many .

One should learn and follow them to help child trained

·         Make sure your child urinate before going to bed

·         Midnight wakeup and making child to bathroom is necessary. But don’t be harsh with child’s sleep

·         Early wake up in morning for bathroom is must

·         Avoid  liquid diet after evening. Avoid milk just before bedtime, instead you can give in even

·         These simple changes can play miracle with child’s toilet habits

Medicines

·         Wormicides at regular interval are important

·         There are very effective medicines in AYURVEDA to handle the bedwetting

·         One should not hesitate to consult the physician in time