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Bed wetting (Enuresis) in children

 

  1. Your child is diagnosed with bed wetting if he\her after the age of five at least once a month.
  2. Children with bed wetting are usually with unidentifiable cause.
  3. Children achieve urinary continence at different ages, but most of them do so by the age of five years.
  4. Your child has no control over his bed wetting, he need sympathy not punishment.
  5. The child is target of the problem, so you should involve his and motivate him\her to participate in each step of treatment.
  6. Encourage your child to help in cleaning the bed and removing the wet bed sheet.
  7. Encourage your child to keep a record of all the wet and dry nights each month, reward him for the dry nights and do not punish him for wet nights.
  8. Psychological treatment in the form of emotional support and behavior modifications is effective in controlling nocturnal enuresis in some children and should always be used in conjunction with drugs.
  9. Most children with nocturnal enuresis improve with no treatment. 1-2% of them continue to be incontinent till adulthood.
  10. Using the alarm bell which awakens the child during a sleep when his\her bed has been found to be helpful to control bed wetting in children. This method be used before starting the drugs.
  11. Certain drugs may help some children (follow your physician advice) if used regularly, but their effect is temporary. Most children relapse after withholding the drugs. These drug has some sidr effects and should be used as prescribed by your physicisn.
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