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.
Causes

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.

Symptoms

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
Constipation
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.

Bedwetting - 7 Possible Reasons Behind It

This is a very common condition seen in toddlers. When the legs are brought together then there is a gap at the level of the knee. It happens because of inward bowing of thigh bone or tibia. The deformity may appear to increase on standing.

Daily requirement of calcium

The optimal primary nutritional source during the first year of life is human milk. Premature infants have higher calcium requirements than full-term infants while in the nursery. These may be met by using human milk fortified with additional minerals or with specially designed formulas for premature infants. Around 6 months of age when weaning foods are started, food items rich in calcium should be added. Readymade formulas are fortified with calcium but one must remember that the bioavailability of calcium from human milk is greater than that from infant formulas or cow's milk. Hence breastfeeding should be encouraged. In children age 2-8 years the daily requirement is around 800 mg/d. In children 9- to 18-year-olds the daily requirement is 1,200-1,500 mg/day.

Some of the common items that are rich in calcium are.

Food Item	Quantity	Amount of Calcium in each serving
Milk	1 cup (240 ml)	300 mg
Cheddar cheese
1.5 oz (42 g)	300 mg
Spinach cooked	1/2 cup (90 g)	120 mg
Sardines or salmon with bones	20 Sardines (240 g)	50 mg
Sweet potatoes	1/2 cup (160 g)	44 mg
Vitamin D:

Babies younger than 1-year-old need 400 IU of vitamin D a day. Kids older than 1 year need 600 IU or more of vitamin D a day. Our bodies make vitamin D when our skin is exposed to the sun. The recommended exposure to sunlight is at least 30 min every day. There are various fortified food items that have vitamin D. Also medicines are available which can provide the daily requirement of Vitamin D

Physiological genu varus. In most of the toddlers, the legs are curved inwards. They should improve over a period of time. The legs should straighten by 2 yrs. The child should be investigated if the deformity is severe; the deformity is only in one leg, if the child complains of pain and if the child appears unusually short.

Bow Legs - Why Do Children Suffer From Them?

A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.

In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.

Here are several reasons why it is important to fill up a missing tooth:
1. Shifting of tooth: when a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
2. Tmj syndrome: after a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called tmj syndrome.
3. Decay of tooth and gum diseases: after the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
4. Alteration in facial appearance: a missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.

A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.

Why to Fill Up a Missing Tooth?

Stomach aches or abdominal pains are one of the most frequently reported health complaints faced by children. Children below the age of twelve are known to suffer from recurrent stomach pain. While pains such as these lead to momentary discomfiture, they also lay the path for graver worries if neglected for too long. Your child may feel sick and bunk school for two days; rest and home care can restore his or her health, but that in no way, is the best suited way of dealing with the situation. If tummy aches resurface over a certain period of time, parents should be cautious enough to look for the root cause and should try to eliminate it accordingly.

Widely noticed causes of stomach aches in children:

Unhygienic food can affect the child s digestive system.
Intolerance to a certain food item should not be overlooked.
Perpetual anxiety can make the tummy twist and turn.
Urinary Tract Infections can also lead to acute abdominal pain.
Serious factors such as gallstones or appendicitis could also be present. Immediate expert consultation is advised in such a case.
Caffeine and packaged soft drinks can be harmful.
Butter, ghee and other greasy products can trigger tummy aches.
Ways to treat tummy aches in children:

Keep children away from gas producing food items: Food that is hard to digest should be avoided. Lentil soup or dal should only be consumed in limited amounts to prevent the formation of gas. Don t let your child have too many nuts regularly.
Keep them hydrated: Fluid intake should be monitored. A child should drink at least six to seven glasses of water per day. Fruit juices or soups can also be given to them alongside main meals. This helps digestion.
Do not stack up food in one go: Eating a lot in one meal is a bad way of satisfying hunger. Have smaller meals in more numbers. Six to eight meals will keep your child full and will also eliminate chances of acid reflux which happens either due to an empty stomach or too much piling up of greasy food.
Timely check - up with the doctor: If tummy aches refuse to go away, take your child to a doctor for a thorough check- up. Administer medicines as prescribed by the physician.

Stomach Ache in Kids - 7 Causes Behind It!

Children are much more susceptible to tooth decay and gum disorders than grown-ups. This is because the gum and teeth in toddlers are very delicate. Moreover, children are more attracted to sweets and other food items, which cause damage to the teeth.
Here are several ways to protect the teeth of your little one:
1. Have a dental checkup: you should take your child to a dentist on his first birthday. Early prevention is important as any kind of problem in the teeth will be detected and this will save you from a lot of trouble in the future.
2. Teaching healthy habits: brushing is very important and you should teach your child to brush regularly, more than once a day. Before the development of teeth in your baby, you should brush his gums gently by using water on a soft baby toothbrush or with a clean and soft cloth. After developing teeth, brushing must be practiced with delicate toothbrushes and fluoridated toothpaste. If several teeth touch against each other, you should use flossing. Brushing is essential before going to bed, and no food should be taken after brushing.
3. Prevent" baby bottle decay: you should not let your child go to sleep with a bottle of juice or milk. The sugar contained in these liquids sticks to the child's teeth, which activates bacteria and may lead to tooth decay.
4. Avoid giving juice to your child: juice may be healthy for the body, but it leads to tooth decay in little kids. The amount of regular juice intake should never be above four ounces.
5. Avoid excess use of a sippy cup: sippy cups enable children to shift from bottles to a glass. However, all day long usage of sippy cups should be restricted as it may cause decay on the front and back portions of teeth, when the drinks are rich in sugar.
6. Be careful about sweet medicines: many medicines meant for children are sugary and stick to the teeth, increasing the chance of cavities. Several antibiotics cause overgrowth of candida or yeast and cause an oral disease known as oral thrush. This disease causes creamy patches on the tongue. In case your child needs sweet medicines, brushing should be increased.
7. Stop using a pacifier by the age of 2 or 3: pacifiers are good for children, but using pacifiers for a long period of time affects the lining of teeth. The shape of the mouth may also change. Hence, do not let your child use pacifiers after 2 or 3 years of age.
Children are quite prone to teeth disorders and decay in the teeth. Hence, measures must be taken to protect the teeth of children from any kind of disorder.

Ways to Protect the Teeth of Your Little One

When you become a mother for the first time it is a completely new experience which may often leave you feeling exhausted and wondering whether all the things are being done right. First time motherhood is a beautiful as well as a harrowing experience at the same time. Although there are many important things to keep in mind, you can keep the responsibilities simple and streamlined in order to remember them. 

Some of these are mentioned below

Properly handling your baby   New mothers tend to be very careful anyway with their new born children. However, first time inexperience may cause harm to your baby inadvertently. Some of the things you need to be careful about while handling you baby are
Supporting and cradling the head and neck of your baby, especially while handling them is very important.
When you handle your baby, be careful enough to ensure that you don t shake or jerk them too hard. Always be very mindful of the fragility of your baby s body.
Keeping your hands clean every time before you handle your baby is extremely important.
Keep a hand sanitizer handy for this reason. Also, if you have to attend to your baby in the middle of house chores, such as kitchen work, wash your hands thoroughly with soap and wipe clean before handling your baby.
Perfecting your breast feeding technique is very important   One of the more important things to consider is getting attuned to your lactation cycles; either storing the excess milk for later or ensuring your baby is fed properly according to your cycles as well as his or her demand. Some of the points that need to be kept in mind are
It is important to know how to improve and make the best out of your breast milk through improved breast feeding techniques. Thus, visit a lactation consultant who can easily formulate a plan for you and optimize your breast feeding techniques.
Although breast milk is very important, some minerals can only be supplied by specialized formulas. The best way to balance between breast milk and formulas and you lactation consultant along with your doctor should be able to give you some pointers.
Your breasts will become sore after repeated feeding or suction. It is important to perform warm compress and heat massages to ensure that they don t hurt.
Soothing your baby   The only way your baby can communicate with you is via sounds such as crying and babbling. Thus soothing and comforting the baby is something which you may already do instinctively, but you may have to fine tune your technique slightly. Some of the things to keep in mind would be  
Swaying or swaddling you baby in a way that mimics the coziness of your womb
The baby can be kept entertained with sound and lights
Keep your baby warm, but not too warm depending on the season. Striking the correct balance is very critical.
Try to make the cleaning and changing process enjoyable for your baby by integrating play and fun into it.
Sleep for the mother and the baby   The priority at this point in time is to ensure your baby s growth and health. Thus, live by the principle that you sleep when your baby sleeps. Ensure that you adjust your routine to get the best results to minimize feeling tired all the time. New mothers tend to lose a lot of sleep and thus have interrupted circadian rhythms that affect their body. It is very important to maintain your mental composure and also be able to focus on your baby better.

First Time Mothers - Things You Should Take Care Of!

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