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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.
My little baby girl who is 6 months old is having sticky eyes when she gets up. Since last 4 months, she is having tears coming out from her left eye. I consulted my doctor, she said her tear glands are forming so there is nothing to worry. Will get alright on its own. There is a yellow discharge which comes out when she gets up. Kindly suggest.
My son has a problem that he doesn't like to eat home made food. He has no interest in eating any sort of home made food. He sits for long long hours hungry without eating anything. please help me wat should I do? Should I give him any tonic?
Hi sir, my wife is 3months pregnancy n it was by ivf. Now we were done blood test today tsh is. 09 n t4 is 2.03. Is there any risk to baby? Please suggest me a good solution please.
My 10 month old baby girl skin is becoming so dry and is scaly at some places. Her cheeks are becoming red. Please suggest some natural remedy or any moisturizer or lotion to make her better.
My daughter is 6 yrs old. Her weight is inadequate. 16kg. She can not digest any dairy product. We are worried for her health. How to gain weight.
I have a girl baby who is 40 days old.Usually she is getting severe stomach pain and gas trouble Dr advised me to give her colicaid 2 to 5 drops according to the pain even though sometimes she is normal sometimes she is struggling a lot.Is it advisable to use gripe water for pain or can u give alternative medicine.
I am a student and my age is17 but my body doesn't look like as 17 .I am so weak what can I have to do for a healthy body please suggest me.
Breastfeeding is advocated to be the only best thing for a newborn. But while it is the most natural thing to do, it isn't an easy process. It is challenging and full of surprises. Researches throw up facts that surprise all. For example: breastfeeding is like a shield against breast cancer.
Here are 3 such lesser known facts:
1. The milk contents - ever wondered what your baby thinks of the taste of your breast milk. Well, the fact is that your breast milk is tailor-made for your baby. From the taste to its benefits, it is a full course meal. When the feeding begins, the milk is watery. This is to quench the baby's thirst. Then the consistency thickens and the milk becomes higher in fat content. This meets your baby's electrolyte needs as well as energy requirement. Want to know something more amazing? through the day, your breasts milk's properties keep changing. By evening, it has higher sedating properties and helps the baby's body meet nutritional demands. This should explain that satisfied smile babies have when they sleep right after their feeds.
2. Variation in milk production - it is okay and natural if you feel you are lopsided. Many breastfeeding mothers feel that one breast is heavier than the other since it produces more milk. This is possible and happens a lot. Our body is not perfectly symmetrical between left and right. This applies to breasts as well and shouldn't be worried about. Because of this, milk production can also vary between both the breasts.
3. It causes weightloss - some women are known to lose their pregnancy weight by breastfeeding. Yes, this is also a lesser known fact. Breast milk happens to be a high calorie food which the baby literally sucks off the mother's body. This leads to shrinking of the mother's body.
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I had my delivery 6 months before and I had a gestational diabetes. Now again after 6 months I am getting the same symptoms of diabetes. Can this affect me and my baby as my baby is on feeding.
Dear sir, my new born child head is affected with some like badda, please advice how to remove this from head ?
My son is 5 months old has had runny/watery green poop for 4 weeks now. No other signs of illness, she is gaining weight and I have taken her to the GP a week ago who said not to worry. He is purely bf and went from having 2 bm's a day to about 10. When he poops its like a green watery explosion and soaks into the nappy. She has also had mucous poops. The watery poop did seem to get worse after that.
My daughter age is 7 years. Since one month, pus is discharging from her left ear with bad smell. Already consulted an E.N.T. Specialist. He suggested to use candid ear dropsfor 10 days. But invain.
My baby girl is 12 months old and 8 kgs only. Her birth weight was 3 kgs. She eats pureed food any solid given she will not accept and vomits. We are not forcing her to eat but we are trying on solids. I also want to introduce top milk. Confused on cows/buffalo/tetra pack and whether to give it on day time or night. Lastly she will gain weight if I introduce top milk as I am still continuing breastfeeding. Thanks.
My baby is 7 months old only she was suffering from loose motions from last 2 days we have consulted Dr. He suggested medicine darolac and zenflox oz. What ever food we are feeding that is directly coming in motion. Please give me suggestion.
My spouse got cracked nipple problem. She has 15 month baby with breastfeeding. She is using nipcare cream and some antibiotics which was prescribed by her doctor but not getting relief.
Hi. My daughter is 10 months old I want to ask what are things I shud give her a healthy diet for her can I give dry fruits to her if yes how?
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.