My son 13 years old. His problem is pass the urine at sleeping time. Kindly suggest me best solution.

Question

Dear , this is a common problem in children of both sexes. It could be that he has some defect in lumber spine like spina bifida or some adhesions. In majority of cases no organic defect is found either in vertebral column or spinal cord. In most cases there is psychological problem or faulty habit. To decide what it is one wants to know about history like 1 did he have any dry nights at any stage of his life or from early childhood bedwetting continued? 2. When did it start? 3. Did it start after the birth of second child? 4. Is someone in the home is hard task master or strict displetarian? 5. Is his teacher rather harsh on him? 6. Does he have any close relationship with anyone in the family? in short this a sort of cry for help or attention seeking. So parents will have deal with tactfully and softly 1. Be soft and gentle with him 2. When you come home from work firstly inquire about him and talk to him about how his day passed. 3. When he comes home from school take notice of him and talk to him 4. At night ask him to pass urine before he goes to bed. 5 find out roughly the time when he wets the bed and arrange for an alarm take to toilet to pass urine. This is the best and simplest way of getting his brain to wake up and pass urine in toilet and not in bed. 6. Do not give him milk or any drink at bedtime. 7. Ask him to make resolution at bedtime not to pass urine in bed. 8. If he has problem at school with boys or teacher sort it out quietly. If somebody is harsh on him ask them to be soft on him 8. After all of these measure, if nothing works continue the same and add tab. Imipramine hydrochloride (impranil or depsonil) 25mg. One hour before his bedtime. If bedwetting happens in the daytime sleep as well then give it three times a day for at least 3 months and stop the medications to see whether he remains dry. If not then continue for 3 more months.

Kiran Mehta · Accepted Answer

Dear , this is a common problem in children of both sexes. It could be that he has some defect in lumber spine like spina bifida or some adhesions. In majority of cases no organic defect is found either in vertebral column or spinal cord. In most cases there is psychological problem or faulty habit. To decide what it is one wants to know about history like 1 did he have any dry nights at any stage of his life or from early childhood bedwetting continued? 2. When did it start? 3. Did it start after the birth of second child? 4. Is someone in the home is hard task master or strict displetarian? 5. Is his teacher rather harsh on him? 6. Does he have any close relationship with anyone in the family? in short this a sort of cry for help or attention seeking. So parents will have deal with tactfully and softly 1. Be soft and gentle with him 2. When you come home from work firstly inquire about him and talk to him about how his day passed. 3. When he comes home from school take notice of him and talk to him 4. At night ask him to pass urine before he goes to bed. 5 find out roughly the time when he wets the bed and arrange for an alarm take to toilet to pass urine. This is the best and simplest way of getting his brain to wake up and pass urine in toilet and not in bed. 6. Do not give him milk or any drink at bedtime. 7. Ask him to make resolution at bedtime not to pass urine in bed. 8. If he has problem at school with boys or teacher sort it out quietly. If somebody is harsh on him ask them to be soft on him 8. After all of these measure, if nothing works continue the same and add tab. Imipramine hydrochloride (impranil or depsonil) 25mg. One hour before his bedtime. If bedwetting happens in the daytime sleep as well then give it three times a day for at least 3 months and stop the medications to see whether he remains dry. If not then continue for 3 more months.