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