BEDWETTING (ENURESIS)- WHAT YOU NEED TO KNOW

 

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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