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There are many doubts, concerns and questions that parents of children with enuresis have. Follow the ones they do most often. The role of parents, both in the diagnosis and in the treatment of childhood enuresis, is important and indispensable.
In Guiainfantil.com we respond to Common Questions Parents Ask About Bedwetting.
1- When and how does a child stop peeing?
Sphincter control is a process that requires and depends on the development and maturation of the Central Nervous System as well as on learning and conditioning. It should start around 15-18 months. At this age, the child does not control the pee but perceives the sensation of urinating on himself, and communicates it. From 18 months, the child can anticipate and perceive the sensation of pee or pressure in the bladder, and express it. About 2 years or 2 and a half years, the child starts control. Now you can go alone or with the help of your parents to the bathroom. This process occurs first during the day, and then at night. Complete toilet training is achieved around 3 years of age, when school activity begins.
2- What happens when a 3-year-old continues to pee?
If at this age the child does not control sphincters and continues to pee on himself involuntarily, this child is said to have (primary) enuresis. But since toilet training requires learning on the part of the child, which can be delayed, it is normal to wait a margin of time (up to 5 years) to diagnose the problem of enuresis.
3- What happens if enuresis is not treated in children?
For a long time it was believed that psychological problems were the cause of bed-wetting. Today we know that the cases of emotional problems suffered by these children are the consequence and not just the cause of the wet bed. Lack of toilet training among children can lead to low self-esteem, problems with sociability, relative anxiety problems, inhibitions to sleep outside the home, feelings of isolation and depression, as well as feelings of annoyance in parents.
4- When should the child be taken to the doctor?
When the child wets the bed, parents must take essential steps to solve the problem: recognize it, treat it normally, and seek medical advice. They should take the child to the doctor when his lack of urine control is negatively influencing his behavior and that of his family; when after a long period of control the child suddenly returns to wetting the bed; when urine has a bad odor; if you have itching or pain when you pee; if you urinate many times even in small amounts; or if you have severe constipation.
5- Why should the child take the doctor?
Wet bed at night is not a disease but a symptom and as such should be treated by the specialist. The child should be taken to the doctor to prevent the problem from creating further problems. Emotional problems are one of the consequences of childhood enuresis. Children do not know what is happening to them and at the same time they must fight daily against the shame of wet dawn and with the confusion of not being able to control it. Consequently, they suffer a decrease in self-esteem with feelings of guilt and frustration. This situation may lead them to develop behavior disorders, anxiety and depression problems, fears and isolation. The doctor will interview parents about the urination habits of their children, will do a complete physical examination of the child, before establishing a treatment.
6- Is it the same to pee on yourself during the day than at night?
Wetting your clothes during the day and your bed at night is not the same as wetting only during your night's sleep. There are daytime symptoms, which are often not perceived by the family, that may associate urine control problems with inadequate bladder activity. For example, wetting clothes during the day with small urine leaks accompanied by an overwhelming desire to urinate, or when the child performs maneuvers to retain urine: crossing the legs, stooping by putting his heel against the vulva, jumping on it place, etc. Also avoid familiar comments such as: 'he gets wet because he is lazy', 'he pees himself because he is distracted', because they can attract attention and confuse the signals. Anyway, it is best to consult the doctor.
7- What are the effects of enuresis on children and their parents?
Enuresis affects children in different ways depending on their age, as well as their parents:
- 5-year-olds: behavioral disturbances and unhappiness. To his parents, insomnia and aggression.
- For 10-year-olds: Marginalization, feelings of guilt, frustration, humiliation and stress. To their parents, anxiety, overprotection, emotional tension, family stress, feeling of guilt.
If bed-wetting is not treated, children can develop more serious problems such as relationship difficulties, social withdrawal, insomnia, and depression.
8- Is enuresis transmitted from parents to children?
Although there is no known gene associated with the disorder, there is usually a familial trend. Up to 60 percent of children with primary nocturnal enuresis have a sibling (more often if they are twins) or a parent who has already had the problem. In fact, if both parents checked their urine at night later than normal, the child is likely to wet the bed beyond the age of 5 or 6.
9- Does enuresis have a cure?
Most children who wet the bed are cured. Nocturnal enuresis is a common, benign, and self-limited disorder. The sooner it is dealt with, the faster a positive solution will be achieved.
10- What can be done at home so that the child controls the pee?
There are some tips and tricks to make the child stop peeing, such as: stop giving him fluids at night, limit his consumption of caffeine, chocolate, and cola drinks, mainly at night, invite the child to go to the bathroom before going to sleep, listen to his opinions, offer him (not force) disposable underwear for the night, praise him when he does not urinate at night. It is also advisable to use an alarm system when the bed gets wet, play with the child to retain urine, and ask him to change the sheets on his bed when he urinates on it. These tips may or may not work.
You can read more articles similar to Parents' Frequently Asked Questions About Bedwetting, in the category of Urine - Urination on site.