Thursday, August 13, 2009

MANAGEMENT OF BED-WETTING

The treatment for bed-wetting is simple but rigid. Give your child an early dinner with bland food and control the intake of liquids after dinner. Try to see that the whole family eats early without much fuss so that the child knows that an early dinner is normal. After dinner, remind him to urinate twice before he sleeps. If possible the child should be woken up every night a little before he usually wets the bed and asked to go to the toilet. During the day, a rough record should be kept of the gap between consecutive urinations. Gradually increase the intervals by small margins over a few weeks. Simultaneously encourage the child to stop urinating midstream to learn to strengthen bladder control.

If the wetting has started after a long spell of dryness, its cause is more likely to be psychological. It is essential that the parent or other members do not ridicule the child. Explore the various stressors at home, at school, or with peers. Frightening events can cause bedwetting. Spiteful and negative treatment by peers, punishment and comparisons by teachers, severe disappointment, ridicule and punishment by parents, or even compulsions of cleanliness can worse the problem. Rewards for dryness, praise and encouragement go a long way in overcoming the problem. Accidental bed-wetting should be ignored and the overall approach should be positive.


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