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Treatment of Child and Adolescent Problems
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Bedwetting causes stress
Know that bedwetting is often a normal part of growing up. Most children don't stay dry at night until about the age of 3. And it's usually not a concern for parents until around age 6. There are ways to work toward dry nights as a family.
Reassure your child by being supportive. He isn't wetting the bed on purpose. And bedwetting isn't typically a sign of an emotional or physical problem. Explain that it is normal, very common and that he won't always wet the bed.
Bedwetting often runs in families. If you or your partner wet the bed as a child, talk with your child about it. It'll help him see that people do outgrow it. And it may help him feel less alone and embarrassed.
Many things can lead to bedwetting. It could be the slower development of bladder control or heavy sleep. There may be hormonal issues. Stress and anxiety can be a cause. A child who's been dry and suddenly starts wetting the bed may have an infection or a big life change such as a move may be bothering her. Be sure to speak with your doctor if this is a new problem.
If she's 4 or older, ask for her ideas. What might help her stop wetting the bed? brainstorm together. Drinking less in the evening and cutting back on caffeinated drinks may be worth trying. You can also offer options like disposable underwear or waterproof sheets. By keeping it positive and involving her, you'll help build her confidence and encourage good bedtime habits
Praise and reward for staying dry
When your child has a dry night, praise her for it. Some families mark wet days and dry days on a calendar. Stickers or stars can make it fun. If your child stays dry a number of nights in a row, offer a small reward for a fun breakfast or small book. If she wets, be supportive and remind her that results will come if she keeps up her efforts
Provide simple reminders
Make using the bathroom just before he gets in bed part of his bedtime routine. Also, remind him that it's ok to get up during the night to use the bathroom. Nightlights can help him find his own way when he needs to go.
Resist the urge to wake your child a lot during the night. If you use this approach, waking once a night should be enough, perhaps right before you go to bed yourself. Keep in mind that if you deprive your child of rest and sleep, you may increase his level of stress. Stress can be a bedwetting trigger.
Involve your child in cleaning up
When he wets the bed, he can put his pjs in the hamper or help you change the sheets. Make sure he understands it's not a punishment, just part of what has to be done. The idea is to make him more aware of his bedwetting without scolding him or making him feel ashamed
Clean up: removing the smell of urine
Accidents happen. And when they do, urine can leave a stubborn odor in clothes and in bed linens. Try adding a half cup to a cup of white vinegar to your wash to remove the smell.
Cleaning a mattress: step 1
If you need to clean urine from a mattress, first use towels to blot up as much as you can. Keep blotting, but don't rub, until no more moisture comes to the surface.
Once you've blotted up as much of the urine as you can, saturate the entire area of urine stain with hydrogen peroxide. Let it stand for 5 minutes, and then use towels again to blot the area dry.
Once the mattress is dry, sprinkle baking soda over the entire area and let it stand for 24 hours. The next day, vacuum the baking soda away. It should be clean and odor free.
If your child is nervous about sleepovers, remind her of the steps she uses to stay dry at home. Giving her disposable underwear and extra clothes in case of an accident might put her at ease. A sleeping bag with waterproof lining may also help.
Beforehand, notify the adult host that your child may have some worries about bedwetting. Discuss your child's plans for handling it so everyone feels prepared.
Some medications (desipramine, desmopressin, or imipramine) may help for special occasions when your older child wants to stay dry, such as at camp.
Be patient about bedwetting
Scolding or losing your temper won't make your child stop wetting the bed. Don't bring up bedwetting in front of others to try to shame her. Embarrassment will only increase her stress and anxiety. Meanwhile, remember that bedwetting eventually does stop. Try practicing patience and providing support while you wait.
Dealing with teasing in the home
Bedwetting can make your child an easy target for teasing. To help him handle it, make your home safe for him. Don't allow anyone in your family to tease about it. Explain to siblings that bedwetting is something their brother doesn't have control over and that he needs everybody's love and support.
If your child avoids other children or comes home with unexplained injuries, she may be being bullied. Listen to what your child says. Talk with her and let her know that you know it's not her fault. Then talk with people at her school and ask what they've seen. Be proactive and work with the school to find ways to make the teasing stop.
When to call the doctor
If your child is still bedwetting at age 7, consider setting up a doctor's visit. While there may be a medical problem, most of the time there isn't. Also, see the doctor if your child suddenly starts wetting the bed after being dry for 6 months or more.
My 4+ son has ahr. He was prescribed juvetra for 1mnth and vit d supplement for 2mnths as he had borderline vit d defeciency also. He was prescribed defcort and chericof for cough problem. He has finished the 1 mnth course of juvetra. But still frequently develops cough for which the prescribed medicine are not fully working. Please suggest what to do.
Hello doctor, my 15 days baby is suffering from constipation from last 3-4 days, and also she is sneezing 3-4 times a day, so please suggest any medicine or any option, thanks.
My daughter is ten years old from last week she started getting vomiting and pain in her stomach and after two day she suddenly started getting scared I have done USG of her stomach and the report is clear she use to talk a lot But now she keep quite all the time when ever I ask her she just node her head in answer and if I ask her about her problem she just start crying and say that she is scared of bhoot I am very worried of her Please help.
My son 10yr old he is suffering from fever since yesterday, is it heat stroke or viral, today his fever rise up to 103? f what should I do for his fever he is also felling glidness when fever.
My son is 4 years old n fussy eater. He mostly refuses to eat n he likes very few foods and that too he eats little bit. So I always have to make him watch mobile n eat so he eats more. please help n from few days he is vomiting n not willing at all to eat n still his stomach looks big n tight. Is there any problem? Suggest.
Meri Beti 2 may ko hui hai jab hui to usko dabba ka milk diya gaya tha tub se dabba ka milk diya Ja raha hai but 17 June ko Dr. k pass Jane Par Dr. ne dabba ka doodh pine ko mana kiya hai agar mujhe lagta hai ki uska pet nahi bhar raha mujhe kaise pata chalega ki uska pet bhar raha hai.Please tell.
She has 16 month old now. But all physically developments late. I mean physically well. But they happened few day ya month later. Can you help me?
Hi my son completed 11 month but he is still crawling only but he will stand by holding things all and if I put him in walker he will walk fast all over. I am giving practice to him to walk by holding my hand but he walk only 10 steps later he sits. When will he walk. Any things I want to do.
For children with normal separation anxiety, there are steps you can take to make the process of separation anxiety easier.
1. Practice separation. Leave your child with a caregiver for brief periods and short distances at first.
2. Schedule separations after naps or feedings. Babies are more susceptible to separation anxiety when they’re tired or hungry.
3. Develop a “goodbye” ritual. Rituals are reassuring and can be as simple as a special wave through the window or a goodbye kiss.
4. Keep familiar surroundings when possible and make new surroundings familiar. Have the sitter come to your house. When your child is away from home, let him or her bring a familiar object.
5. Have a consistent primary caregiver. If you hire a caregiver, try to keep him or her on the job.
6. Leave without fanfare. Tell your child you are leaving and that you will return, then go—don’t stall.
7. Minimize scary television. Your child is less likely to be fearful if the shows you watch are not frightening.
8. Try not to give in. Reassure your child that he or she will be just fine—setting limits will help the adjustment to separation.
Abnormal separation anxiety needs expert assistance. Consult a psychologist for advise and intervention.
I got Gas problem, even someone press my hand forcedly. It has started. What should I do to get solution from gas and acidity?
My baby is 3 months I am not having milk so I am giving formula bt I frequently give breast milk to suck but fr the past 4 days he is not sucking my milk bt having formula I donno what to do. Plzzz suggest any way.
Hi my baby was born on 18 may 2017. After 1 week of his birth we are giving him formula due to my short nipples. And he started drink milk with bottle. And I use to store my milk in bottle with the help of breast pump and giving to my son. But after one month m trying to provide him breast feeding with nipples but he iz not following my breast feeding. Beoz I want him to follow breast feeding instead of bottle feeding and breast pump. I am very worried what should I do.
My 1.3 year old baby has made weight fall on his both legs, orthopedicIan said there is no fracture and given imol syrup but he is not able to walk properly. What to do. By when he will walk properly.
A child’s tantrums, especially during teens, are quite common. However, there could be some children who could be exhibiting an extreme version of these symptoms. This is known as oppositional defiant disorder.
Children with this disorder become easily irritable, angry, argumentative, defiant and feel vindictive against most elders (parents, teachers, and others). While this is something very common and can be ignored to be a part of teenage tantrums, the issue is when these symptoms do not seem to end. If they persist for beyond 6 months, it is time to worry. These may then begin to interfere with their daily activities including schooling, where they may not be easy for the teacher to manage.
Diagnosis of ODD: With the changing behaviour of teenagers, it is often difficult to pinpoint and say there is ODD. However, some guidelines for diagnosis are listed below. Angry/irritable, argumentative, defiant and vindictive. If these symptoms are seen for more than 6 months with no inducing reason, happens with non-siblings, and is affecting learning and playing, it is highly likely the child has ODD.
These symptoms can occur at home, at school, or in other settings – seen respectively in one, two, or more settings. Some of the symptoms are listed below.
- Repeated temper tantrums
- Anger bursts, swearing, using obscene language
- Extremely argumentative, especially with people in authority (teachers, parents, etc.)
- Annoying others and getting annoyed easily
- Noncompliance to rules and regulations at school and institutions
- Defending one’s mistakes and blaming others for it
- These result in poor academic performance, antisocial behavior, substance abuse, and higher suicidal tendencies.
Treatment depends on the presenting symptoms, the age of the child, and supportive care available. The child should be able to actively take part in psychotherapy to reap good benefits. It would otherwise be a task with no results.
- Psychotherapy will help the child improve its cope and express and control anger. This also improves problem-solving skills.
- Cognitive-behavioural therapy tries to mould the behaviour.
- If required, the parents also would be involved to improve family’s involvement in the treatment. Caretakers are given special training if required so that they can support in long-term medical care.
- The child also needs to be trained for appropriate behaviour under different circumstances.
- Rewards for positive behaviour and punishments for negative behaviour are useful ways.
Prevention: Early identification can help in minimizing distress to the family and help in the early arrest of the disease. The family is also taught basic and simple steps which can help in supporting therapy. Early rejection at school and loss of learning, can happen which can be managed with early intervention. A nurturing and supportive family can help manage the child very well. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.