Sunday, December 13, 2009

What tells a baby crying?

Crying baby - always cause for concern parents. No mother can not remain indifferent when pipsqueak crying. What is the reason? How to calm your baby?



The first time mom is often difficult to understand what happened, and why the baby began to whimper. Over time, listening to your baby, you will begin to distinguish the reasons for his tears.



For baby crying - this is virtually the only way to tell an adult, that something is wrong. In order to ascertain the causes of discontent, just be attentive to your child, and soon you will learn to understand a little angel.
Try to determine the nature of children's crying - he had a lot to explain.



1. The child was crying loudly and invitingly - in this case, the cause is more hunger or wet diaper, dirty diaper.



Solution: If the diaper or nappy is clean and dry, attach the baby to her breast - this you will meet their needs, not only in eating, drinking, and need to be close to mom.



In your hands pipsqueak feels safe and is usually enough to calm him down.



A breast-feeding on demand - the need for your newborn Chad, in addition, it will establish lactation.



Thus, in addition to crying, the child makes searching head movements, during which he fell silent.



As for wet diapers and dirty diapers, keep them in a child is unacceptable, because baby skin is very sensitive and quickly arise irritation and oprelosti.



2. Crying intermittently, eyes open, as if the child calls and listening to - checks to see if anyone nearby.



Kid experiencing a greater need for communication and your presence, do not refuse him in this.



3. The child is tense, crying after waking eyes may be closed - overexcitation, could not sleep. Often accompanied by yawning and closing his eyes.



You can take the baby in his arms, or lull him into bed: take the child by the hand or put his hand on his head, that he felt that you're next.



Talk to him a calm, soothing voice or sing a lullaby.



4. A child cries in his sleep - the phase of restless sleep, when the processed information.



5. Evening bouts of inexplicable crying - aged 2-10 weeks, changing the rhythm of sleep and wakefulness ( "crisis of growth").



6. Crying in pain - even continuing, with recurring outbreaks of the desperate cry that seemed to correspond to increased pain.
If a baby is tired, whines, capricious, and take him to handle, shake.



Most likely, he will soon calm down. If you feel uncomfortable - it's cold or hot - check how he dressed.



Dressing the child, oriented not only on their own feelings. Hiccups and cold to the touch skin can be a sign that your child is cold.



Touch the back of his hand and forearm tip: if they are cold, put on a baby warm or take cover with a blanket. If hot - pereodente crumbs into something lighter and give a drink of water.



Is important for the child calm mother because her mental attitude is passed the baby, and if Mom is nervous, irritable, family conflicts, it is not surprising that it affects the child.



Often children calm down when sucking a pacifier. It was believed that this has a negative influence on the formation of a correct bite.



Currently, there are pacifiers anatomical shape, which reduce this impact to a minimum. In addition, make sure that the size dummies match the child's age.



Changing the day may also adversely impact on the feelings of the child.



The main thing was that he had confused the day and night. In this case, you must patiently "torment" one day, not giving the baby to sleep for a long time, and then everything will fall into place.



In general, you can bring a great many reasons for dissatisfaction little tot: stress-tested at birth, inconvenience (whether tighten the diaper or folds on the sheet), the child was bored, he was scared, he does not want to part with adults (for example, when my mother leaves), in the older age of 1 year, the child sometimes uses crying as a means to an end.



Remember



1. The longer the baby cries, the harder you will comfort him. It is much easier to calm baby, who only began to whimper than sobbing loudly.



2. Try not to scream at the baby. Yes, my mother was tired, yes, can not suggest what else to do to reassure him.



Ask someone to replace you for a while. Leave the room, relax a little: it is possible, and the baby during this time to calm down.



3. If you suspect a pain measure the temperature of the baby, but at the same time make sure the chair of the child and for the number of wet diapers.
In connection with the imperfection of the nervous system, children can not specify the precise localization of pain.



Child may play up while teething. In addition to crying, can increase the temperature appearing and loose stools.



From the most simple tools used toy prorezyvateli: tight rubber rings with liquid inside. They cooled in the refrigerator and allow the child chew. Such massage gums reduces pain.



However prorezyvatelyami use special gel for gums - for example, "Kalgel" (contains a local anesthetic and antiseptic), etc.



At higher temperatures, you can use candles - for example, "Viburkol. Usually, all the symptoms persist, as soon as the surface of the tooth.



A separate question - "colicky" baby. They relate to the immaturity of the digestive system of a newborn, lack of enzyme activity, the instability of intestinal microflora, here is add the error in diet nursing mothers.



Food does not have time to be assimilated in the intestine and increased the number of generated gases.



When the baby's tummy concerned, he, besides crying, tells her mother about his behavior: suchit legs, pulls them to the stomach.



Stroke your baby tummy with his hand in a clockwise semicircle from left to right, avoiding the area of the projection of the bladder.



Turn your baby on his tummy, put on their knees, pat the crumbs on the back. Apply warm (proglazhennuyu hot iron) diaper.



Take his arms and leaned against her stomach (the child has a natural warmth, feels that his mother was nearby and it calms him).



You can use dill water. Of the drugs - "Planteks" (plant-based product containing an extract of the fruits of fennel), "Sab Simplex" (reduces gas formation in the intestines).



Before using drugs and if the cramps recur, consult a physician. By 3-4 months is usually abdominal pain are much less and will soon pass.



When feeding make sure your baby is not swallowed air. Correctly took the chest, covering not only the nipple, and areola. If you are breast-feeding from a bottle, it is necessary that the mixture filled the nipple completely.



And do not forget to hold your baby after feeding in an upright position for a few minutes, went to the air, caught in the stomach for feeding.



Newborn babies Meteosensitive, so that the crying may be a reaction to changing weather.



But children born with the diagnosis of perinatal encephalopathy, are very sensitive to weather changes, and, moreover, suffer from a headache (so-called "grudnichkovaya migraines) resulting from increased intracranial pressure, nervous system, increased excitability, abnormalities of development, physiological phenomena of adaptation period.



If you are going to use drugs, you should consult with their pediatrician, because any medicine always contraindications and every child brings them differently.

Appeal to the doctor sure if crying lasts for a long time (more than an hour), accompanied by a rise in temperature, vomiting or disorder chair, as the cause in this case can be infectious diseases.





So, as we discovered, in most cases, the baby is easy to help - just need to pick him up, attach to the chest, rocking, quietly talk to him or sing a lullaby (exceptions are cases when a child is sick).



Do not be afraid that, taking his treasure once again on hand, you do izbaluete. According to child psychologists, to spoil a baby before the year is impossible.



Just think, a pipsqueak soon grow, start exploring the world independently. So enjoy the best moments we spent together.
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Sunday, November 22, 2009

Sex giant - dream or reality?

Many men wonder how well it turns out, someone is able to perform sex many times in a row, and someone with a barely cope.



It turns out to blame testosterone. That is the level of this hormone regulates the erection, but right away that a strict correlation between the level of hormones and sexual gigantism not.



But as the age, even if you set up on a good night rest, it is still unlikely you'll be able to commit five or more sex acts per night. And if you spend time with a new partner, which are experiencing strong passion, then 2.3 act - is the limit in adulthood, although of course, of all the rules there are exceptions. Of course, repeated sexual intercourse is important for many women, but for them there is a limit, the study found that limit in the area 3-4 times per day.



After all, you still want to become a sexual powerhouse, despite the studies and experiments of scientists? Then, above all, eat well, walk a lot, try to relax before sex ... and swim. The scientists found that swimming has a positive effect on the cardiovascular system, as well as the water is an excellent "tumblers" for the genitals of men.



But being a tireless lover can learn. It turns out that the male orgasm and ejaculation - two different things. And there is a method allowing to get an orgasm without ejaculation. And below we look at some of them.



The simplest method can be called the method "stop-start. When you masturbate almost to ejaculation, but in the last minute stay. There is a method based on physiological characteristics of ejaculation. Just before ejaculation the testicles are lifted to the body, therefore, holding them at the bottom can be achieved that ejaculation does not occur. There are so-called technology "squeeze". The point is that just before the ejaculation, squeeze the tip of the penis with two fingers at the bottom and thumb on top. "Training" is best done while lying on your back. Begin to masturbate, and when could bring myself to near ejaculation - Squeeze the penis and wait out the urge to him. So do several times, before giving seed vent.



But, speaking of the methods that can help men become sexually giant, we should not forget that many failures occur from psychological discontent. Before the "cure" themselves from the insufficient number of sexual acts for the night, create a good psychological environment, eliminate any incompleteness and dissatisfaction with his partner, who've been reading women's magazines, try to diversify sex. Perhaps the coziness and comfort in relationship with a partner will help you become a sexual giant.

Resumption of sexual intercourse after pregnancy and childbirth

Long past the days when pregnancy impose a complete taboo on any sexual relationship between spouses and prospective parents. Now doctors are not only allowed but even recommended in the absence of abnormalities of pregnancy and fetal development, the future mother to have sex regularly and to get maximum enjoyment from it. It is believed that maintaining a high level of endorphins - happiness hormones - in the mother's blood as well as possible impacts on child development.



In the last weeks of pregnancy still need to exercise caution due to the fact that erotic caress and stormy orgasm can trigger the onset of labor activity. Turning to facilitate tribal clashes, the early opening of the cervix during labor, reduce pain during the first stage of labor, some obstetricians recommend delivery in joint husband do poluerotichesky maternity massage the breast and nipple.



When after the birth of a baby can return to a full sex life? The answer to this question is very individual and depends on whether the natural childbirth, postnatal trauma which left a pregnant woman, whether she is ready to resume relations psychologically.



Necessary to restore the hormonal balance, the hormones estrogen absent in the mother until the resumption of menstruation or until the cessation of lactation, which leads to vaginal dryness, which could interfere with sexual relations. If desired, this problem can be solved by applying a lubricant or emollient gel.



Vagina during childbirth was very stretched, mucous membranes could be injured. It is possible that mothers are the seams, as in the vagina and perineum. These sutures are not removed, they will dissolve itself after some time. Threads used for stitching the seam of episiotomy does not dissolve and will be removed in five to six days after birth. These joints often ache and may hamper during close up to complete their healing. It is recommended to wait for complete lack of negative feelings on the availability of seams, and to consult further with watching gynecologist.

Sex and alcohol: a compatibility test

Love under the degree

Indeed, in some cases, sexologists recommend that alcohol in small doses to relieve stress before sex. In addition, alcohol hot blood, increasing libido, and protects men from premature ejaculation, thereby lengthening the sexual act. After receiving large doses of the reverse process - inhibition, which leads to the fact that no sex does not work ...
Unfortunately, "amoralovka" - fiction. There is no "sexual" and "antisexual" alcoholic beverages. But because each has its own characteristics, try to figure out what is "hot blood", and what is not stoi



Beer (4,5-6% by vol.)



Once beer was exclusively a man's drink, drink at the stall or in Pivnyak after a hard day. However, after replacing the Soviet varieties "Zhiguli" and "Barley Sheaf found dozens of new beer has spread everywhere. Now drink it not only men but also women. There were even special "male" (Arsenalnoe, "Pete") and "female" ( "Reds") brand.



Drinking beer in the society girl is no longer considered bad form. Moreover, some nastoivayut on the fact that its half-liter of beer a day, even good for health. However, "warming up" beer is not the best choice.



Entering a large amount of fluid in the bloodstream leads to unpredictable changes in blood circulation, which may begin to circulate is not where it is sometimes the most often needed. Besides the fact that the expense of beer contained in phytoestrogens may occur "deception" of the hormonal system, which leads to a decrease in testosterone production and decrease sexual desire. There is a danger of being in the position castrated males from the anecdote: "caught up to overtake, and what to do next - do not know."



Moreover, the past is not so long ago in St. Petersburg conference "Man and alcohol" by researchers, toxicologists, it was stated that the toxic effects on the body of some brands of beer may be even stronger than the low-quality vodka. <

Summary: beer as a "warming" can be used if you are not afraid of setbacks, breathlessness and problems with bladder.

Limit dose: 1 liter.



What drink should not be:

mixture of strong alcoholic beverages with a rather weak (increasing the toxic effect of alcohol);
-wormwood bitters (psychoactive effect);
-spirits with the addition of artificial fragrances (example: according to the research scientists of Saint-Petersburg State Medical Academy Vodka "Nemiroff" ( "Honey Pepper") has a very negative effect on erectile function).
-Gin and tonic (9% vol.)

-Gin-tonic, consisting of alcohol, sodium benzoate, aromatic additives and carbon dioxide - fast drinks. They are rapidly absorbed, leading to rapid intoxication, and quickly displayed.



Justifying its name tonic, gin and tonic (according to the St. Petersburg medical) cause nervousness, irritability, anxiety and worry every fifth customer, or that will lead to a fight and ruin the evening, well ... or end "rough sex", naprime

Limit dose: 0,5 liters. <



Sparkling wine (9,5-12% by vol.)

Champagne in the morning drinking aristocrats. Champagne - a sense of celebration and magic.



Sparkling wine comes from France. Because it contained bubbles (carbon dioxide), it significantly accelerates the absorption of alcohol, which leads to a rapid but short-term intoxication.



On the Web Champagne primacy among drinks, a recommended virgins before first sexual intercourse. If you overdo it with champagne, then the next day provided a very painful hangover, which makes sense especially unforgettable.

Limit dose: 300 ml.



Wine (12-15% vol.)

Bacchus and Cupid go hand in hand since the days of ancient Greece. Wine has always been a means to inflame passions that led to orgies and bacchanalia. In Russia, these ancient traditions were maintained more than one generation of students. By the way, intimate evening with candles appeared only in the XX century, thanks to motion pictures.



The wine has a pleasant taste and contains lots of useful substances and vitamins, and in moderation can provide a pleasant evening, flowing in at least a pleasant night. It should be said that the Greeks were diluted wine with water to intoxication was not strong, and felt that the diluted wine, drink only backward barbarian



The wine is contraindicated: in stomach ulcer, diabetes and a tendency to allergic reactions. Substances contained in it can cause shortness of breath, weakness, rash. Not to mention the usual heartburn, which occurs even in healthy people in the use of red wine. Which even then sex ...

Limit dose: 200 ml of red wine, 300 ml white wine



Vodka (40% vol.)

Although vodka is not considered a romantic beverage, from a pragmatic point of view, it is pure alcohol. It does not contain impurities and does not cause unpredictable side effects.



The intoxication of vodka comes slower than from carbonated beverages, and slowly passes. We must remember that vodka is very short period between the elevated and the middle and heavy intoxication. And during this difficult to have also caught

Limit dose: 100 grams



Cognac (40-42% vol.)

Brandy - distilled wine. He is aged in oak barrels, followed by technology advancements. Cognac is rich in substances that favorably influence the cardiovascular system, and reduces tension and fatigue. Its aroma and taste of the tone not only biologically but also psychologically. It is a glass of brandy before sex often recommend sexologist.



This is a noble drink, and before him there are certain obligations. If you already decided to "warm up" brandy, then in the morning, you should leave until the partner is still asleep, clutching a bottle of cognac with the remains, call after dinner, to thank for a wonderful evening, even if met would never be.

Limit dose: 50-100 g



We reviewed the most common aspects of the use of alcohol before making love, but we must not forget that the response to alcohol is strictly individual. Somebody better not to experiment, while others, conversely, will find in this doping extra satisfaction. Above all, remember simple words about the "drink, but know the measure.

Sunday, November 1, 2009

Saturday, October 31, 2009

NEW Solution For ED

Igor, and how to differentiate between true and psychogenic erectile dysfunction?

- Modern methods of assessing the vascular component of erection include measurement of pressure in the vessels of the penis, reofallografiyu, ultrasound scanning of the vessels, the use of radiological methods (static and dynamic kavernozografiya, angiography), radiological techniques. For the evaluation of neurogenic erectile needed vibration test, to measure the latent period bulbocavernous reflex.

Carrying out the whole arsenal of diagnostic methods in most cases allows you to make true and psychogenic erectile dysfunction. Psychogenic erections adequate reduction is more common in young people without sexual experience, suspicious and impressionable, inclined to commit attention to minor failures in the intimate life. Temporary problems they perceive as a serious, irreversible problem, they are developing a neurosis expectations of failure. These patients complain that during the pre-game full erection, and before the emission arises fear, and it decreases or disappears altogether.

True reduction erection may be neurological, endocrine origin, organic (traumatic) nature, vascular (arterial, venous, arteriovenous). If true erectile dysfunction is reduced or absent both spontaneous and adequate erections, it often becomes spasmodic, to a lesser extent depends on the emotional condition.

- What is the role of psychotherapy in the treatment of disorders of erection?

- Psychological adjustment disorders, sexual function, as is known, is rather long and difficult process for both the patient and for the specialist. The success of therapy depends on the effectiveness of the diagnostic studies conducted before and during the entire course of treatment.

Psychotherapy - an important and effective treatment of psychogenic erectile disorder. Its tasks are often the removal of fear, uncertainty before the upcoming sexual intercourse, as well as removing misconceptions about the causes of sexual disorders. The role of psychotherapy can not be underestimated, although the true form of erectile dysfunction in the form of monotherapy, it is not used. For example, medication combined with psychotherapy yields a higher effect than the mere appointment of psychotherapeutic drugs without potentiation of them. Equally, it refers to a combination of physical therapy techniques, treatment of local negative pressure vnutrikavernoznomu, endouretralnomu introduction of vasoactive drugs. Even after surgical correction of organic disorders of erection can not ignore the possibility of psychotherapy, because it is the need to adapt the couple to the new conditions of sexual intercourse.
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- In your opinion, in recent years increased the capacity of pharmacological treatment of erectile dysfunction?

- Yes, especially in connection with the appearance on the Ukrainian market the drug Viagra. However, it is not irrelevant, and such preparations as stamina, Tentex, Kamevit, Yohimbeks-Harmony. Among them favorably drug Yohimbine-Spiegel. He is the alkaloid in the tree of the same name, grown in Cameroon, which is highlighted in 1896 by Dr. L. Shpigel, who gave him this name. As the b2-adrenergic blockers, yohimbine is able to selectively block presynaptic b-adrenergic receptors located in smooth muscles of the pelvic arteries, and especially in the arteries of the penis. As a result of the relaxation of smooth muscle structures to expand the arteries and arterioles, which leads to a sharp increase in blood flow in the cavities of the penis. According to the literature, the effectiveness of yohimbine in men with psychogenic forms of erectile disorders is 40-50%, while organic forms - 25-35%.

In various forms of erectile dysfunction rather efficient use of vasoactive mixture "Erektogen", developed by the staff of our institute.

Treatments for erectile dysfunction are many, but before the treatment plan, the expert must take into account the desires and objectives pursued by the couple, the decision to seek sexual partners and interpersonal problems in their daily lives.

The method of treatment of erectile dysfunction should be the result of close communication between doctor, patient and his partner. A full explanation and discussion of treatment, adherence to the schedule of monitoring visits to the continuation and evaluation of treatment will maximize the chances of couples to achieve redress. After all, sex between men and women are the cornerstone, the key strength of any family.

Although clinicians and welcome new ways of treatment, before appoint their patients, should think twice what the potential risks and benefits can naznachennnaya therapy.

Friday, September 18, 2009

Can I swim a child with asthma?

If your child has asthma, for sure, you're worried, trying to shield him from anything that might cause another attack. Some children in the number and trigger factors include physical activity, but in most cases, children with asthma can play sports quite calmly.

In fact, regular exercise strengthens the lungs, even the child and help him stay healthy. It is believed that the voyage - a good choice for asthma, because the lessons they breathe warm and moist air. But before you give the child to swim, it is better to consult a doctor.

If you are going to sail

Think about classes? Your child learns to swim or want to participate in competitions? In any case, note the following.

The main thing - the ability to control the situation. The disease must be controlled, ie, seizures, and symptoms such as coughing and wheezing, should excite the child only occasionally.

• If a child has symptoms of disease or exacerbation occurs, talk to your doctor. You may need to find another drug.

• Find out whether your child to take medication before exercise. Perhaps, inhalation for 5-15 minutes before class will help him to better endure physical strain.

• Get a doctor's detailed written instructions in case of illness, razmnozhte them and give teachers, coaches, instructors, summer camp and medical staff. Make sure that the child is with you all necessary drugs.

• Use a peak flow - a portable device for measuring peak expiratory flow, ie maximum speed of the airflow during forced expiration. With decreasing rates refrain from physical exertion and contact your doctor, even if the child says that he feels good.

Swimming pool, chlorine and asthma

In most basins the water is chlorinated for disinfection, and chlorine, as is known, can trigger an asthma attack, especially if you work in chlorinated indoor or using cleaning agents with chlorine. To determine how chlorinated water affects the lungs, requires further investigation. In any case, swimming pool must have adequate ventilation. If during the classes your child deteriorated disease, be sure to talk with your doctor.

It is important to note that many athletes-swimmers, including Olympic champions, suffered from asthma. Their secret is to closely monitor symptoms and to scrupulously follow the instructions of a doctor.
Rx Georgia

Fitness for Kids

Deliver the pleasure of your child. Distract him from the TV - pomashite hand and say "bye!" Dinozavrik pink, blue dog and the guy-sponge. Instead, go out with him on the street and play in salochki or catch-up.

Passive children grow up in passive adults. Meanwhile, regular physical exercise improve the condition of the musculoskeletal system, developing endurance, reduce the risk of serious diseases of the cardiovascular system, help prevent diabetes and colon cancer. Physiotherapy also normalizes blood pressure and increases self-esteem of the child.

American Heart Association recommends that a special exercise or mobile games with children from one year to three years, at least 30 minutes a day, from three years to school - 60 minutes. In addition, all children must be from one to several hours a day to devote free physical activity. Preschool children should not remain motionless for over an hour (not counting sleep time, of course), then necessarily need to take a break and move around.

Aerobic exercise (running, jumping, ball games, etc.) strengthens the cardiovascular system of the child. Exercises for strength and flexibility (lasagna, streamers) strengthen bones and muscles and improve coordination of movements.

Ask your child to get up and play with him, performing the following exercises.

Exercise for children from 1 year to 3 years.

1. Walking on the "tightrope"
* With the construction tape were carried out on the floor line.
* However traverse this "rope".
* Try not to step on the floor. Please click the "rope" face forward, back and sideways

Result: Exercise improves balance, strengthens muscles of the legs

2. Banners
* Put the feet shoulder width apart. Ask your child to repeat the movement for you.
* Sit down on his haunches.
* Slowly pull the upright. Stretch arms above his head.
* Slowly lower your hands.
* Again, squatted down and repeat all over again.

Result: exercise helps pull all the muscles of the body

3. Head, shoulders, knees and toes
* Face the child.
* Slower to name all the body parts listed in the name of the exercise - so that your child has had time to touch each of them.
* If the child is doing something right, change the order of the pace and speed.

Result: exercise develops flexibility. Also, you are helping your child learn the names of body parts and learn concepts such as top, bottom, left, right.

Exercises for preschoolers

1. Jumps

* Take a child's hands together and try to jump as high as possible.
* Try to invest in a jump as much energy, land with slightly bent knees.
* Now try to jump, holding his hands at his sides.
* Twist in the jump, helping himself with his feet and hands.

Result: The exercise strengthens the leg muscles and improves blood circulation.

2. Swing

* Sit on the floor, clasp hands and feet under the knees. Let the child repeat after you.
* Rolled onto his back, not moving his hands.
* Do not roll over on his neck - it can cause discomfort and impede the exercise.
* After several repetitions, returning to the original position, try brushing from side to side.

Result: stretch your back muscles and strengthens abdominal muscles.

3. Mirror.

* Ask the child to be your reflection in a mirror - let it just repeats your movements.
* Make slow motion. Be the "reflection" on the queue.
* Invent movements that require flexibility and train the child. Bend at the waist, raise his hands above his head, stand on tiptoe, crouch, run on the spot.

The result: improved coordination of movements, as the child should repeat what he sees. It is useful to him when he will learn to write. The exercise develops flexibility and strengthens the cardiovascular system.
Rx Hawaii

Good news about enuresis

Most parents know how widespread nocturnal enuresis. But few know that there are simple ways to get rid of it. Enuresis, boys suffer more. It should be remembered that the child never pees on the bed on purpose. Tiny impossible for it to punish and shame: so you can only exacerbate the problem. Most children simply outgrow it. But if the child or the family wet diapers a source of stress, there are several approaches to address the problem.

Enuresis is not related to teach the child to the pot. The extent to which the child has learned to use it, not directly related to nocturnal incontinence. Neither the parents nor the more the child is not to blame for night surprises.

Types of Enuresis

Medical term used to describe bed-wetting - enuresis. There are three main varieties of it:

* Daytime enuresis
* Primary nocturnal enuresis (the child is not "dry" nights)
* The secondary nocturnal enuresis (bed-wetting occurs from time to time)

Prevalence

Enuresis rather vexing problem, but in fact it is very common. In the United States for at least one episode of enuresis per month occurs in 10-20% of children aged 5 years, 5-7% of 10-year-old children and in 2-4% of children aged 12-14 years. Enuresis is also observed in about 1% of adults.

Causes of Enuresis

Consensus regarding the causes of enuresis no. Some children are too small bladder, others too deeply asleep and not wake up when the urge to urinate. However, children without abnormalities of the urinary bladder and sleep disorders also suffer from enuresis.

Sometimes this is caused by hereditary factors. Proved that if both parents suffered from enuresis, the probability of enuresis in a child is 77%. If only one parent suffered from enuresis, the probability is 44%. If none of the parents did not suffer from enuresis, the likelihood of disease in a child is only 15%.

Perhaps the disease is associated with hormonal imbalance. Some researchers have attributed to the lack of elaboration of enuresis antidiuretic hormone (ADH) at night. Normally at this time of day the level of ADH increases and reduces the production of urine by the kidneys. In children with low content of ADH at night produced more urine. One possible approach to treatment of enuresis is based on raising the level of ADH.

Enuresis Treatment

* Some doctors recommend a set of special exercises to strengthen the muscles of the bladder. It is an exercise that allows the time delay urine and to monitor its selection.
* Another method is to decrease the amount of food consumed in the afternoon, and the rejection of beverages containing caffeine (cola, tea) before bedtime.
* Alarm-therapy. To pajamas baby attached alarming alarm that is triggered by moisture. The device sends a signal that wakes the child at the time of urination. From the bell alarm clock can wake up the parents too, so their part need understanding and support.
* Desmopressin acetate - a drug that comes in the form of tablets and nasal spray. Desmopressin is a synthetic analogue of antidiuretic hormone. Studies have shown that desmopressin reduces the production of urine in children older than 6 years, raising the level of antidiuretic hormone in the body.
* Ditropan (oxybutynin) and Detrol (tolterodin) - two drugs that can help some patients with enuresis. Both approved as a treatment for excessive activity of the bladder. Produced in tablet form.
* Imipramine (tricyclic antidepressant) - also available in tablet form. The principle of action of this drug is not completely understood, but it is known that its mechanism of action has been overcome by depression, not connected with the functioning of the urinary system. The effectiveness of drugs is 30-50%. However, after taking the drug, many children are again beginning to wet diapers. In medicine there are side effects, so it should be used only under medical supervision.
* Another method of treatment of enuresis - hypnosis. His successful use doctors who possess the technique of psychotherapy. On average, to get rid of enuresis should be 4-6 sessions. Relatively inexpensive, effective and safe (almost no side effects).

The most effective combined treatment methods for enuresis

Some specialists working with children recommend the combined procedure. When using the alarm clock to achieve the effect you want from 4 to 6 weeks. Imipramine is yielding results within a few days. With the simultaneous use of these two methods the chances for successful recovery are increased.

Alarming alarm and self-esteem of the child

Alarming alarm clocks - one of the most effective ways to treat enuresis. According to research, their effectiveness is about 60-85%. The probability of relapse enuresis after the cessation of their use - less than 35%. Nevertheless, some doctors opposed the use of this device, which, in their view, is a form of coercion. The child may perceive the need to use an alarm clock alarm as punishment, humiliation and insult. So first consult on this issue with a psychologist or therapist.

The main myth of enuresis

Studies have shown that parents often consider enuresis as a form of child disobedience. This is not so. Bed-wetting is not a manifestation of aggression or anger.

Child Support

There are many ways to help the child, who because of enuresis lowered self-esteem. The parents, who as a child also suffered from urinary incontinence, can tell about this child. Knowing that urinary incontinence can be a hereditary problem, relieve anxiety and help your child understand that enuresis - a very common problem, in which he himself did not guilty.

The ban on penalties

Pediatricians agree on is that for bed-wetting child should not be punished. It's only cause further confusion for the child. It is better to think of a way to praise or reward the child for the "dry" night. Encourage the child to and during treatment, if it helps. The problem may arise if the chosen method proved ineffective, and the child can not get dry. Tease and make fun of your baby in such a situation, would only contribute to its deterioration.

"Do not tease" - the main rule

The experts were unanimous in their opinion that in a family where the child suffers from enuresis, should be a ban on the jibes. Nobody (especially siblings) should not laugh at a sick child. Other children need to explain that the brother or sister wets the bed, not on purpose, and ridicule, not only do not help, but harm him (her). No need to every time to inform all members of the household, that the baby wet sheet.

A positive attitude will help your child

With a baby suffering from enuresis, better to talk in private, because he can shy brothers, sisters and other family members. According to studies, many children try to hide their problem and believe that with them that something is wrong. Knowing that the cause of the problem is the disease that frees the child from the complex of guilt. The effect can even make a simple change in the regime of the day. You can try to limit the consumption of food after a 18-00, excluded from the diet of baby food and drinks with caffeine (a substance possesses diuretic properties), carbonated beverages and juice citrus fruits. It is important to encourage the child to go to the toilet before bedtime.

Involves the child in the treatment

While the child is not "outgrow" the problem of enuresis, it is possible to sleep underlay between the sheets and mattress oilcloth. This protects the bed from the smell of urine. Doctors recommend that children ask themselves to change the wet sheets and blankets. It develops a sense of ownership and reduces the fear of the child, that all family members know about his "blunder." However, if other family members such duties are not charged, the baby may take the request to change the bedding as punishment. In this case it is better not to use the described method.

Future of the sick child

Enuresis is not harmful to the child's health. To calm down and to exclude the presence of the disease (diabetes, urinary tract infections, etc.), discuss this issue with the pediatrician. If you suspect that the disease will require a urine sample, X-ray study of the kidneys or bladder.

Guide for Parents

* Almost all children sooner or later helps some form of treatment or a combination thereof. Sometimes parents are too concerned about enuresis in children. Pediatricians urged to be patient, as bed-wetting can not take place overnight.
* In patients with enuresis often understated self-esteem and psychological complexes occur at the bed-wetting. Parents should explain that enuresis is a disease that eventually will pass. So you've made a great contribution to the mental health of the child.
* Regardless of the type of treatment after the course possible relapses enuresis. It is important to be patient and believe that with time the problem will be solved.
Rx Arizona