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

Spitting up, refusing to try new foods and occasionally turning up their noses at feeding times, is normal but consistently refusing food and water, vomiting and allergies may indicate an underlying medical condition that requires attention. Common feeding problems that affect infants include sucking, prolonged chewing without swallowing, holding food in their mouth and grabbing food. Infants who are unable to close their mouths in order to keep food inside may also be said to be suffering from feeding problems.

Feeding problems could be triggered by medical conditions like a cleft palate, premature birth, respiratory problems, low birth weight etc. or by non-medical reasons such as the child s feeling of being unloved or stressed. Symptoms of feeding problems vary from infant to infant. However, some of the common symptoms exhibited are:

Problems with chewing

Excessive drooling

Refusing to eat foods or drink liquids

Long feeding times

Coughing or gagging while feeding

Difficulty with breast or bottle feeding

Nasal stuffiness while eating

Poor weight gain

Recurring respiratory infections

Vomiting or excessive spitting up of food

Arching the back while feeding

Disinterest in feeding

Though feeding problems are minor in most cases, it is important to consult a doctor if this behaviour continues over a period of time. This is because the child may be suffering from an underlying medical condition or could be at an increased risk of suffering from dehydration, aspiration and lung problems. It could also lead to delayed physical and mental development, speech problems and cognitive issues.

Feeding problems are addressed in many different ways. The first step to dealing with feeding problems is to change the texture and temperature of food being given to the baby. In addition, try changing the posture of the baby while feeding.

In some cases, mouth exercises may be needed to strengthen the mouth muscles. Chewing exercises and tongue movement may also help reduce feeding problems.

Encourage your infant to try different types of food by including different textures in their daily meals. Alternating food textures and liquids can make it easier for the infant to swallow the food. Do not force your child to eat in a hurry but let him or her take their own time.

In cases where the infant is not gaining weight, the doctor may suggest nutritional changes and a specific diet to help gain weight. In emergency cases, hospitalisation may also be required and your baby may be given a feeding tube to ensure he or she receives adequate nutrition.

12 Signs Your Child Is Not Eating Properly!

The word colic directly refers to the colon. Colic pain is a sharp abdominal pain followed by bouts of crying usually occurring in infants below the age of one year. The pain only last for a short period of time ranging from a few weeks to a couple of months. Very few number of babies will cry endlessly indicating towards an underlying condition.

It is mainly characterized by sharp crying for supposedly no apparent reason, irregular sleep patterns, and restlessness or owing to deviation from normal postures. The apparent causes of colic pain include indigestion and negative reaction of the sensitive gut to the breast or formula milk, although no concrete cause of the state has been discovered.

Doctors often suggest home remedies such as swaddling, pacifiers, holding and comforting the baby and more frequent feedings to reduce the condition. Since it is so common among infants and relatively less harmful, no proper medication is usually given. Physicians suggest mothers to reduce the content of caffeine, alcohol or spice in their diet. Sometimes a warm bath, burping the baby or going on more frequent walks is useful. Background music draws the attention of the baby and hence drives their focus, away from the abdominal pains.

Colic pains are mainly treated by care rather than medicine. The baby is made to feel comfortable and the distress is reduced just by being around the infant. The primary care giver plays an important role in consoling the child and helping them get through the sudden pain which further plays a significant role in personality development. Colic pains are extremely short lived and probably one of the first few challenges of parenthood. They are primarily dealt with care and feeding except in extreme cases where medicinal cures such as lactase drops and simethicone drops are used to treat the abdominal pain.

Colic Pain - How To Treat It

Bronchial asthma is a medical condition. It happens when the airways of your lungs swell up and become narrow. This limits the amount of air that can pass through the passages and this leads to respiratory distress. Asthma can affect anyone and usually, it starts from childhood.

What are the Symptoms of Bronchial Asthma?
Some common symptoms of bronchial asthma are-

  Wheezing and breathlessness
  Tightness of the chest
  Frequent bouts of coughing which are more common at night or in the early morning, making sleep difficult. 

Bronchial asthma does not go away on its own. It requires treatment.

What is Siddha?
Siddha is a very ancient system of medication and treatment that originated in Tamil Nadu. According to Siddha, the individual is a microcosm of the entire universe. And it is made up of some fundamental elements- earth, air, fire, water and ether as well as three humours- Vata, Pitta and Kapha. An imbalance of these components causes an ailment. So, the chief goal of Siddha is to restore the right balance to root out any illness.

Types of Asthma according to Siddha -
We find mention of asthma in Siddha literature. It is called Eraippu Noi. There are five types of asthma -

  Vazhi Eraippu Noi - Digestive troubles may lead to accumulation of Vata. This is not a grave form of asthma and can easily be cured.

  Iya Eraippu Noi - Exposure to cold climes or freezing winds or being drenched in rain can cause Kapha to build up in the system, which triggers this form of asthma. It is accompanied by symptoms such as the runny nose, nasal congestion, breathing trouble when lying down.

  Iyavazhi Eraippu Noi - Both Vata and Kapha accumulate to trigger this kind of asthma. Its symptoms include breathlessness, bloating, indigestion, disorientation, etc.

  Mukkuttra Eraippu Noi - An imbalance of all three humours- Vata, Pitta and Kapha are the culprits behind mukkuttra Eraippu Noi. A person who has contracted it might experience severe chest pain, constipation and even loss of consciousness.

  Mel nokku Eraippu Noi - This is the gravest form of bronchial asthma and requires extensive treatment.

Treatment of Asthma according to Siddha -

Siddha will first try to understand what kind of imbalance has caused your asthma. The medication depends on the type of asthma. Siddha medicines are made from particular parts of herbs that will induce you to either vomit or defecate to get rid of the excess humour that has accumulated in your body. Thus, the balance of Kapha, Pitta and Vata is restored.

You might also be suggested a few breathing exercises to strengthen your lungs and diaphragm.
Siddha follows a holistic way to curing bronchial asthma and targets it at its source. Unlike allopathic medication, medicines prescribed by Siddha are herbal and have no side effects.

Siddha Approach In Treating Bronchial Asthma!

SSHL is not like any other normal hear-loss trouble. Rather it is quite a severe condition. Sudden deafness can occur at any time due to several reasons. This trouble does not affect both the ears rather only one specific ear is usually affected, and thus this is one of the prominent signs that can help the doctors to understand that SSHL has occurred. 


What are the leading causes of this hearing loss?

    Head injury: If you have faced any severe kind of head injury ever, then it might bring SSHL. This is why you are suggested to get necessary treatment on time so that this kind of hearing loss can be avoided.
    Loud-noise exposure: If your ears are exposed to louder noises or sounds in a consistent manner, then there is a greater possibility of the occurrence of this hearing loss. Thus, you should stay away from unwanted noises. 
    Ageing: With the increase in age, hearing power slowly decreases. However, if you take proper precautions from the very beginning, then SSHL can be definitely avoided. 
    Blood-circulation troubles: Interrupted blood-circulation creates different physical troubles out of which hearing loos is one of the most prominent one. And if timely treatment is not provided, then it might get converted into SSHL. 
    Ototoxic medication: This kind of medication should not be continued for long without doctor's prescription otherwise SSHL might occur. 
    Lyme disease: This is a kind of disease, which occurs due to tick bites and this is pretty infectious in nature. Apart from that, this disease is now considered as one of the main sources of SSHL. 

How to evaluate this hearing loss? 

    History analysis: The history of the patient needs to be known first otherwise SSHL cannot be perfectly treated. If the history shows that the patient already has an existing trouble of ear loss for which SSHL has been proven, then in accordance with the same the treatment can be prescribed. 
    Laboratory and imaging: Laboratory analysis is one of the main methods for evaluating SSHL and necessary images of the ears boost the potentiality and importance of this kind of analysis to a great extent. 
    Quick evaluation: This kind of medical evaluation is mainly made on the basis of the symptoms. The doctors often follow the signs thoroughly in order to determine as to whether the patients have SSHL or not. This evaluation is highly supported by different medical tests that are prescribed by the doctor.

Sudden Sensorineural Hearing Loss: Causes and Evaluation

High fever is common in kids and a common worry for parents as well. If you are a parent, you need to know when the fever is serious, and when you should worry about it. Fever is a defence mechanism of the body. Body temperature rises if any foreign body (or antigen) attacks your body. As a defence, body temperature rises making it an unfavourable condition for the antigen. Fever means 100.4 degree Fahrenheit. Normally for kids, thermometer is placed under the armpit to record the temperature. You need to add an extra degree for accuracy. Paediatricians recommend treatment for fever if it's more than 101 degree F.

When to Call a Doctor

If the kid is less than 4 months old and has a fever of 100.4 degree F with other mentioned symptoms as highlighted, one must see the doctor as an emergency situation.
If a kid has 104 degree F fever, rush to the doctor. Such a high fever in children could lead to seizers.

You must call a doctor if the kid has a fever along with the following symptoms:

    Looks very dizzy
    Has a deteriorated immune system or even any other medical condition
    Has a seizure
    Has symptoms such as rashes, painful throat, annoyance, rigid neck or ear pain

Medication Side Effects:

At times, if you treat your children with some medication that does not suit them, it may lead to high fever. In case fever in a kid aged less than 2 years lasts for more than one day, it's time to see a doctor. And lastly, remember that normal body temperature is 98.6 degree F.

High Fever: When It Should Raise Alarm for Parents

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