BEDWETTING (ENURESIS)-
What you need to know:
1) Bedwetting can be uncomfortable and embarrassing
for a child.
2) It can be psychologically or
physiologically induced.
3) It may signal kidney or bladder
problem.
4) It may be related to sleep disorder.
5) Development of bladder control may be
slower than normal.
6) It may be due to emotional reasons,
maybe bullying at school, fears, insecurity, change of environment etc.
Chances are
that with time, almost every child outgrows it.
But there
are things that you can do besides waiting for time to pass.
First of all, let’s look at some
specific predisposing factors:
1) Physical trauma e.g., an injury to
the bladder such as an impact, a blow or direct hit to the bladder area.
2) Psychological stress, e.g. fear,
anxiety, insecurity etc.
3) Food sensitivity, food allergies or
intolerance.
4) Bladder atonicity i.e. inelasticity:-inability
of the bladder to expand and accommodate more urine.
5) Hypothalamus dysfunction; Nervous
disorder:- Any specific disorder of the CNS, Central Nervous System, that
influences autonomic mechanisms, endocrine activities and somatic functions.
Simply put, general regulation of water balance, body temperature, sleep,
thirst and hunger.
6) Children with special needs e.g.
autism, down’s syndrome, cerebral palsy etc, are more prone to these factors.
7) Urinary/genital tract infections.
8) Pelvic imbalance
9) Adrenal hypo-function
What you can do:
1) Be realistic: Don’t praise and don’t punish.
The child does not do it on purpose. So don’t punish when they are wet and don’t
praise when they are dry. Both can be extreme.
2) Set alarms: You can try bedwetting alarms.
Although this can interrupt a child’s normal restful sleep, but it can be of
help.
3) Practice patience and love: Understand
that children outgrow bedwetting after awhile.
4) Arrange the
room so the child can change the sheets himself. Also set out a felt covered
rubber pad so when he has an “accident”, he can change the sheets himself. Also
put out a dry pyjamas he can change into.
DIETARY SUGGESTIONS:
1) Eliminate allergenic foods, e.g. gluten,
dairies.
2) Stop fluid intake 1-2 hours before
bedtime.
3) Eliminate foods that cause bladder
contractions at dinner e.g., tea, coffee, carbonated drinks, acidic fruits,
spicy foods etc.
4) Ditch the diuretics: These are foods
that can increase urine output by promoting excretion of salts and water from
the kidneys.
Also, diuretic drugs should be taken with care.
5) Strengthen the bladder muscle: Muscles are basically made up of proteins. Adequate consumption of protein on a daily basis is highly recommended to build and strengthen bladder muscles.
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