02-14-2014 04:39 AM - edited 02-14-2014 04:41 AM
Parents who are considering the option to seek bedwetting treatment for their children should keep in mind the following considerations:
Unfortunately, some parents tend to look at bedwetting as a personal failure on their part and simply want to treat the child, even if treatment may not be the best option at that point in time. However, it is important that parents do not force treatment in unfavorable situations; otherwise, the treatment will fail and tension could arise between the parents and child.
02-17-2014 01:02 PM
We have four children and 3 of them have had bed wetting problems. One we were able to use a chiropractor for treatment which help tremendously. The other two it is random and no treatment was needed. However we did have the youngest checked throughly by a DR and we found that she was not emptying her bladder all the way. With age this had improved. Great article!!!
02-18-2014 03:18 PM
My Children ahd this problem till he was 6 years old. We thought of visiting some doc then but later, we thought of waking him up sometime in night and making him also walk to the wash room so that he is empty in his bladder and doesn't wet the bed. Now he is way out of that habit and never repeats those. We din't give him any therapy for that and he lerant on his own.
02-18-2014 11:19 PM
I'm happy that it worked for you. In very few cases, waking the child up and dragging him to the bathroom can help.
Having said that, this is the most common mistake. By waking up your child at night the responsibility for staying dry is transferred from the child to the parents. The child empties his bladder regardless of the pressure within the bladder. There is no learning process and the child becomes accustomed to emptying his bladder during sleep. It is important for the child to take responsibility for staying dry.
Tal Sagie, M.A
05-28-2014 09:21 PM
Dear Dr. Sagie:
My son is 12 years old and we have been unable to overcome this problem. As mentioned in the article, I believe that his problem stems from being a very deep sleeper and from genetic pre-disposition (my mother and I both get up at least once at night to use the toilet). We live in Honduras and the expert most related to this issue that we have been able to visit is a pediatric neurologist, although perhaps you could recommend a different specialty. My son has been prescribed the following by this doctor:
1) avoiding liquids after 7 pm
2) vesicular exercises (stopping and starting his urine flow)
At first the imipramina did not help, so the dr. raised the dosis from 1 tablet to 1 1/2 tablet.
We didn't look for this doctor for this issue. My son has physical problems with one hand. While there, we mentioned the enuresis and his stuttering problem.
All these problems break my heart, but the honest truth is that the one that bothers him the most is the enuresis.
His prescription ran out and I have not been able to get it refilled yet (2 weeks) because we live four hours from the doctor, so in the meantime I have resumed getting him up before I go to bed. Naturally, I was alarmed to read that you believe this to be the most common mistake. I assumed that I was training him to get up at night, which I imagine will be his pattern at some point. I just can't bear to let him wake up wet and get depressed when I know we can avoid this if I simply take him to the bathroom around 12 or 1. You mentioned "dragging him to the bathroom"; although my son walks himself there (staggering under my guidance), he is a total zombie and has no recollection of it later, so I understand what you mean.
What else can we do? What do you think of the treatment we have been prescribed? Please advise. This is so painful.
05-29-2014 12:34 AM
I certainly understand and sympathize the awful nights you and your son are experiencing. The majority of enuretics (90%) do not have either anatomical or psychological problems. For most enuretics, the primary source of the issue is unusually deep sleep. These are normal, healthy children who have not learned to activate the appropriate reflex system during sleep. Typically, when a person sleeps and pressure is built up inside the bladder, a signal is sent to the brain. Among enuretics, the signal is not recognized by the subconscious reflex system and instead of contracting the sphincter muscle, the circular muscle that keeps the bladder closed, the child relaxes the muscle and urinates during sleep.
Your son's bedwetting frequency certainly justifies professional treatment.
I have no doubt that his bedwetting issue will strongly affect the quality of life especially at a later age.
Medication is definitely not a solution. The advantage of medication is that some or even considerable progress might be seen during the initial stages of drug usage; however, in addition to possible side effects of the drug, there is a very high relapse rate (60-90%) when the patient stops using the medication.
Our unique treatment model is based on experience with more than 30,000 patients and takes into consideration all aspects of bedwetting.
To learn about TheraPee's online program please go to - http://www.bedwettingtherapy.com/
Dr. Jacob Sagie, Ph.D.