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Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.
The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.
Factors that affect the age at which wetting is considered a problem include the following:
- The child's gender: Bedwetting is more common in boys.
- The child's development and maturity
- The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.
No one knows for sure what causes bed-wetting, but various factors may play a role:
- A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
- Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
- A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
- Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
- Urinary tract infection: This infection can make it difficult for your child to control urination.
- Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
- Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.
- Wetting during the day
- Frequency, urgency, or burning on urination
- Straining, dribbling, or other unusual symptoms with urination
- Cloudy or pinkish urine, or blood stains on underpants or pajamas
- Soiling, being unable to control bowel movements
Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.
When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.
Consult your child's doctor if:
- Your child still wets the bed after age 7
- Your child starts to wet the bed after a few months or more of being dry at night
- Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
- Self-Care at Home
Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful
- Reduce evening fluid intake.
- The child should urinate in the toilet before bedtime.
- A system of sticker charts and rewards works for some children.
- Make sure the child has safe and easy access to the toilet.
Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I don't have enough milk to feed my 12 month baby give me prescription To increase. My brestmilk supply?
Hi. I am 21years old. I have 6 months baby. I reduced little my stomach fat. Bt I have big back. How to reduce my back calories?
Hi, My daughter is getting some infection on skin which is not getting well. It starts with a small boil and very next day it turns into shady spot which keeps growing. It is mostly on her legs and it keeps occurring. I consulted with few specialists but still not satisfied with the results. Please help.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? What exactly is a spine block injection? Will it work long-term for low back pain due to disc problems? What causes Hashimoto's thyroiditis, and what is the best method of treatment? Can iodine help this condition?
My daughter is of 17 months old. Her weight is less then normal. Her weight is 8.5 kg that is not good. I am concerned for her. Since you are a doctor of nutrition, Please prescribed the name of any nutrition that I give her to get better improvement.
My son (1 year old, 11 kg) was crying inconsolably and twisting his body and after half an hour he vomited two times around 4 pm yesterday. Also he has got fever at night and in today's morning. Then I consulted pediatrician yesterday and he advised that due to viral infection my son is suffering and symptoms may get subsided after 2-3 days. Dr. Has prescribed maxtra, grandem, one ear drop (for any irritation in ear on sos). Please advise on this issue.
5 practical ways to boost your child's immunity
Children are as vulnerable as they are adorable. Their immune system is not as strong as that of adults, so they are easy victims to environment borne diseases like cold, cough, influenzas and other infections. Here are 5 practical and easy ways in which you can boost your child's immunity and make sure that your role as a parent is sufficiently fulfilled.
1. Decide judiciously what he is supposed to eat and drink
Your child's daily diet must contain a lot of fruits, vegetables, juices, organic foods and proteins. Healthy fats like butter, pastured eggs, coconut etc. Are also essential as they help in absorbing important vitamins like vitamins a, d, e, k and others. Even your child's water intake should be at an optimal level. Processed food and excessive sugar intake should be avoided as they add to your child's calorie count.
2. Get your child to exercise
Regular exercise is a must. It may include running, swimming, jumping or simply strolling. Screen time should be limited as much as possible as those video games and i-pads are robbing your child of his immunity. Make sure your child spends a few hours outside in the sun so as to absorb vitamin d that is obtained from sunlight, for his immunity.
3. Ensure a clean and hygienic environment for your child
You must make sure that that your child learns to keep himself clean. Teach him to wash his hands whenever necessary and tell him not to sneeze and cough in a way that spreads germs. Maintain a clean and healthy environment in and around your home but make sure that you don't shoo away the good bacteria that prevent diseases.
4. Cut down the stress levels of your child
It is very important for you to recognise and eliminate stress from your child's life to ensure immunity for him. Do not force your will upon your child and let him follow his heart. Help him relax if he is stressed and talk to him patiently about things that are worrying him. Maintain a healthy and loving environment in your family to help your child grow.
5. Ensure you child gets adequate rest
Make sure that your child gets adequate amount of comfortable sleep. It is important for you to make your child understand the benefits of sleeping early. This not only increases his/her immunity but also helps him/her to stay attentive and focussed.