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!

A mother s milk is said to be the most nutritious food for a new born baby. It contains the perfect balance of carbohydrates, fats, proteins, vitamins and minerals needed for your baby and changes to keep up with your baby s growing needs. However, the benefits of breastfeeding extend way beyond nutritional value. Breastfeeding is beneficial for both you and your baby. Ideally, a baby should be breastfed for at least the first six months. 

Here are 5 major benefits of breastfeeding.

Stronger immunity: Mother s milk is rich in antibodies and a number of unique compounds that help the newborn child s body fight bacterial and viral infections. No other form of baby food is as rich in these antibodies. Babies who have been breastfed have a lower risk of suffering from ailments such as ear infection, stomach upsets and respiratory problems. The first milk expressed by a woman s breasts after giving birth is known as colostrums. This milk coats the baby s digestive system and prevents the growth of harmful bacteria.
Fewer allergies: Breast milk is easier to digest than formula or cow s milk. This protects the gastrointestinal passages from inflammation and prevents undigested food from triggering allergic reactions. Being breastfed can also reduce the number of allergies a child may suffer from in their later years.
Healthy body weight: Breastfeeding makes a child less likely to suffer from obesity in their later childhood and adult years. This is because breast milk contains less insulin and more hormones as compared to formula. This helps regulate fat absorption. On an average, babied fed on formula put on weight quickly and are more likely to overeat in their later years.
Stronger bones: Breastfeeding is beneficial for both the child and the mother. When a woman is breastfeeding her child, her body s ability to absorb calcium increases. This helps increase bone density, especially as pregnancy can make bones weak.
Builds a strong mother-child bond: After 9 months of carrying a child to term, giving birth may lead to post partum depression and a mother may feel the connection between her and the child severed. Breastfeeding helps nurture this connection and provides emotional relief to both the mother and child. For the mother, this experience releases hormones that reduce stress and relax the body. For the baby, close physical contact is very important and this process provides the perfect opportunity to do so.

Breastfeeding - 5 Benefits of It!

ADHD, CDD, short-term memory loss, forgetfulness, insomnia and so many more terminologies we would have come across very often. They all seem to have evolved from a common origin and that is concentration issues. Have you pondered on these questions!! Why can t it be easy to concentrate? Why can t it be easy to remember everything? If yes, then read on to know more.
Concentrate! Focus! Pay attention! These are not just words but one huge and complicated process in itself. Many children and as well as adults often develop this issue wherein they find extremely difficult to concentrate.

Science behind concentration issues: When an individual performs a single task; for example reading a book, the image of what he is seeing hits the retina. From the retina, the nerve fibres carry the image to the brain which stimulates the brain cells to fire an action potential. The signal from here moves to the thalamus and proceeds to the visual cortex. This signal activates locus coeruleus which is a brain stimulant. It targets the particular area of the brain becoming the deciding factor as to how one responds to a stimulus, which in this case is an image. When there is deregulation of the locus coeruleus, it is then that a person develops disorders like ADHA, anxiety, depression, insomnia and others.

Factors influencing concentration:
Concentration is a skill that requires you to prioritize your senses while doing any work. It is an ability to block out distractions.

Dedication to the task
Interest in the task
One s ability to complete the task
Physical and emotional state
Conducive environment with few distractions.
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD)
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD) are the two predominant concentration issues. The first one is more common among the children while the latter is observed in mostly the adults. Any individual with ADHD or CDD can show abnormalities in their behavior and social life.

ADHD individuals tend to be forgetful and face problems sticking to one task and may even display excessive fidgeting. CDD individuals tend to be lethargic, move slowly and have trouble in staying alert. Adults may become socially withdrawn and exhibit slow information processing.

Solutions for concentration issues:
Concentration issues require a lot of time to be overcome. You can try to figure out what causes the distractions and avoid them as much as possible by refocusing your mind only on what you are doing. You can give yourself timers which comprise of  distraction time  and  focus time . This strategy helps if one s mind is actively processing other things. You may also create subtasks by listing the things you need to do and then ruling out one by one once you accomplish them. Always breathe better and try for long inhalation and exhalation. This helps to bring down your anxiety levels which hinder the concentration.

Though the above-mentioned strategies are just to help you improve your concentration they are not the ultimate cure for any of the issues. Every individual is unique and sometimes accepting oneself can solve many complications as it reduces the need for unnecessary thinking. Always bear positive thoughts in your mind as it will act as a driving source.

Concentration Issue - How Can It Be Managed?

Homeopathy is a natural and mild form of medication. The remedies are natural substances, which have been diluted and potentized. Homeopathic medicines are best applied during childhood and work very effectively with children. A child's self-defense or immunity gets stimulated naturally towards a healthier state without any kind of side effects. Homeopathic remedies are very safe, effective and mild. They are especially effective for children, on the grounds that the remedies work by stimulating vitality of a child's body. Children have a higher vitality naturally and thus, homeopathic medicines are extra effective during childhood. Moreover, homeopathic medicines are soft globules, which dissolve in the mouth. They are easy to take and have a sweet, pleasant taste as well.

Here is a list of diseases and disorders, which are common during the childhood along with their homeopathic remedies.

Teething
1. Chamomilla is used in case of painful teething during childhood. It is used when a child has got one hot cheek and one cold cheek.
2. Coffea cruda may be used to treat restlessness in teething children.
3. Calcarea phosphorica is another homeopathic remedy used for delayed and difficult teething in children.

Colic
1. Dioscorea is the common homeopathic medicine for treating colic cramps in the abdomen.
2. Colocynthis is also used to relieve intense cramps and pain in children. The irritability factor of the pain is treated.
3. Magnesia phosphorica treats colics with spasmodic or intermittent characteristics.

Fever
1. Aconite is an effective homeopathic remedy for treating sudden fever. The child's skin is likely to be hot, and the temperature of the cheeks may differ.
2. Ferrum phosphoricum is used for treating fever that occurs due to inflammatory problems. This kind of fever gives you pale, red cheeks.

Irritability and restlessness
1. Passiflora is an ideal homeopathic relaxant for children.
2. Avena sativa is used when a child cannot sleep due to restlessness.
3. Kali phosphorica treats restlessness in children occurring because of over stimulation.
4. Magnesia phosphorica and natrum phosphoricum are other homeopathic medicines, which act as relaxants.

Cough and cold
1. Ipecac is the best homeopathic remedy for constant coughing along with nausea.
2. Aconitum napellus is used when a child wakes up from sleep with a dry, hoarse cough.
3. Spongia tosta cures cold, croup and cough which start from the throat.
4. Antimonium tartaricum is the homeopathic medicine used when mucous accumulates in the chest, giving rise to coughing.

Homeopathy is best applied in childhood as a child is at risk of developing a number of diseases. A child's body is delicate and much more sensitive than adults and is prone to getting affected easily. Moreover, homeopathy is natural and is the safest form of medicine for children.

Why Homeopathy Is Best Applied in Childhood?

Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.

Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Heartburn
- Pain in the stomach

Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:

Barium swallow
The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
pH probe

A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.

Upper GI endoscopy
Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.

Gastric emptying study
One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.

In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding

Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.

Gastro-Oesophageal Reflux In Babies

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