Practice diagnosis and treatment of enuresis

2021-03-25 12:00 AM

Do not scold or embarrass your child with bedwetting. This creates feelings of guilt, fear and makes the child lose confidence, making the problem worse.

A condition in which a child does not have autonomy in urinating, leading to urination in his pants or in bed at night.

Bedwetting is a common and common phenomenon in children, due to the incomplete development of the nervous system that controls the bladder. Usually, most children under 3 years old have enuresis, about 10% of children continue to have enuresis until 5 years old, and about 5% of children will still have enuresis until 10 years old. The prevalence of enuresis in boys is higher than in girls, and is often related to a family history factor. About 1% of children develop enuresis due to physical causes, such as a birth defect, urinary tract infection, polyuria or bladder nerve disease. If the diagnosis has ruled out physical causes, there is no need to worry too much about cases of enuresis before 10 years of age, as the problem usually goes away on its own. However,

Follow up and record the child's enuresis in an ongoing period of time to determine if the child stops enuresis or not. If so, it is possible to exclude physical causes, except for an acute urinary tract infection.

Babies often have bed-wetting at night, when they are deep asleep. If your child is older than 4 years old and still has daytime enuresis it could be a sign of bladder neuropathy and a specialist need to be referred for a more detailed diagnosis.

Learn about family history. Enuresis is more likely to occur in families in which previous generations also had enuresis.

Use a urine test to check glucose and proteinuria. Urine sampling and culture if urinary tract infection is suspected.

There is no need for drug treatment if the child does not show any signs of physical illness. Some of the following remedies can help improve the problem:

Do not let your child drink much water at night, before bedtime.

Remind or take your child to urinate before bedtime.

After about 2-3 hours of sleep, children should wake up to urinate. Repeat many times to form a habit for children.

Do not scold or embarrass your child with bedwetting. This creates feelings of guilt, fear and makes the child lose confidence, making the problem worse.

For older children, about 7-10 years old, you can instruct them to mark themselves on a chart of bed wetting nights during the month. This helps children to try to improve on their own and see their own progression, thus having great encouragement significance.