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Speak to your doctor about whether these medicines would be right for your child. The few existing studies that compare conditioning techniques with medications have shown the conditioning to be significantly more effective.
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Medicines may have some side effects and are generally not recommended before conditioning techniques such as the use of moisture alarms with behavioral modification have been used first without success. Several different types of medications have been widely used to treat bed-wetting. The alarm system we recommend is the Palco Wet Stop. A psychologist with pediatric behavioral medicine expertise can assist with developing such a program (e.g., Drs. The success rate of moisture alarms increases significantly when used with a well designed behavior modification program. While it may take several weeks or months for the child to stay dry on his or her own, moisture alarms have the highest long-term success rate. As long as someone is sure the child wakes up, the alarm may be successful. However, bed-wetters do not always wake up to the alarms, which supports the idea that many of these children have a problem waking up when their bladders are full. The alarm consists of a moisture-sensing device attached to the pajamas that wakes the child with a loud signal or vibrating alarm. Moisture Alarms: These alarms often can condition the child learn to feel when the bladder is full and when wetting is just about to happen.These should never be used if your child wets during the day or usually has to rush to go to the bathroom. These exercises are also generally unpleasant for the child and family. Special exercises to stretch or condition the bladder: These are usually not successful.This may help keep the bed dry but rarely helps a child to stop bed-wetting. Waking the child at set times during the night: Some families find it helpful to wake the child once or twice at night to go to the bathroom.Reasonable limitation of fluids, especially drinks that have caffeine, such as colas, helps in a few cases. Limiting fluid before bedtime: By itself, this rarely works.Treatments that may help include the following: Doctors who care for children have experience with bed-wetting. Your doctor is the best source of information. They may fear sleep-overs and having friends find out about their bed-wetting. Some children may be very upset by their problem and even have feelings of personal failure. By age 10, only one in 20 have this problem. One out of five 5-year-olds are affected by this condition. An estimated five to seven million children in the United States wet their beds. However, it is hard to say when bed-wetting will stop. In these few cases the wetting is seen as a regressive symptoms in response to the stress. These children have experienced a stress such as parental conflict, trauma, abuse, or hospitalization. Psychological factors are clearly contributory in a minority of children with enuresis.Sleep Apnea has been associated with enuresis.Genetics: There is a 15% incidence of enuresis in children from families without the problem compared to 44% and 77% of children when one or both parents, respectively, were themselves enuretic.Some children have bladders that do not hold as much urine as other children’s do.
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Some children produce more urine during sleep than do others.Some children do not wake up when their bladder is full. Several factors seem to contribute to the problem including: There is rarely one clear cause that can be determined. However, many older children continue to wet the bed. What causes bed-wetting?Īs children grow older, they are usually able to stop wetting the bed at night. In some cases bed-wetting may be related to a urinary infection, so every child should initially have his or her urine tested by the doctor. This may be a sign of a more serious problem, and it is important to speak to your family doctor or pediatrician. In some cases, bed-wetting occurs with daytime wetting and/or bowel problems. If bed-wetting is still occurring at age six or seven, you should speak to your family doctor or pediatrician. After toilet training, which usually occurs by four years of age, many children have a brief period of wetting during the daytime or at night. The medical term for bed-wetting is enuresis (en-your-ee-sis). Bed-wetting is almost never done on purpose or due to laziness on the child’s part. Bed-wetting, loss of urine during sleep, can be a major problem for children.