Bedwetting in Children & Teens: Nocturnal Enuresis

Nocturnal enuresis , defined as nighttime
bedwetting beyond age 5, affects many school-age children and even some teens. It’s not a serious health problem, and children usually outgrow it. Still, bedwetting can be upsetting for children and parents.

It’s important to work with your child’s doctors to find possible causes and solutions. Here are some frequently asked questions.

How common is bedwetting in school-age children and teens?  

Occasional “accidents” are common among children who are toilet trained. Around 20% of children have some problems with bedwetting at age 5, and up to 10% still do at age 7. By the late teens, the estimated rate of bedwetting is between 1% and 3% of children. Nocturnal enuresis is 2 to 3 times more common in boys than girls.

There are 2 types of nocturnal enuresis:

• 
  Primary enuresis: a child has never had bladder control at night and has always wet the bed.    
• 
  Secondary enuresis: a child did have bladder control at night for a period of at least 6 months, but lost that control and now wets the bed again.

Primary enuresis is much more common. Secondary enuresis in older children or teens should be evaluated by a doctor. Bedwetting in this age group could be a sign of a urinary tract infection or other health problems, neurological issues (related to the brain), stress, or other issues.

What are some causes of bedwetting?

Although it is not completely understood why bedwetting occurs, it is thought to happen because of a delay in the development in at least one of the following three areas at nighttime:

• 
  Bladder:  less space in the bladder at night
• 
  Kidney: more urine is made at night
• 
  Brain: unable to wake up during sleep

In babies and toddlers, links between the brain and the bladder have not fully formed; the bladder will just release urine whenever it feels full. As children get older, the connections between brain and bladder develop. This allows a child to control when the bladder empties. This control usually develops during the daytime first; it takes more time before it happens at night.

Other bedwetting risk factors: 

• 
  Genetics. If one parent wet the bed after 5 years old, their children may have the same problem about 40% of the time. If both parents wet the bed as children, then each of their children would have about a 70% chance of having the same problem. 
• 
  Stress. This is one of the most common reason for secondary enuresis. Children experience
  stress when moving to a new home or school, experiencing a parental divorce or losing a parent or other people they love, or going through another major life event. This stress can cause bedwetting; treating the stress can stop the bedwetting.
• 
  Deep sleep. A deep sleep pattern can be part of normal adolescent development, as can a poor sleep schedule and too few hours of sleep. This is all common during
  puberty and especially during a teen’s high school years. 
  
• 
  Obstructive sleep apnea/snoring. In rare cases, bedwetting happens because a child has
  obstructive sleep apnea and
  snores. Children with this condition have a partly blocked airway that can briefly stop their breathing when they sleep. This can change the chemical balance of the brain, which may trigger the bedwetting.  
• 
  Constipation. The bladder and bowels sit very near each other in the body. A backed up bowel (constipation) can push on the bladder and cause the child to lose bladder control. Treating the
  constipation is often the first step to treating the bedwetting in these cases. If your child is having pain or straining with bowel movements, this could be contributing to bedwetting. 
• 
  Bladder or
  
  kidney disease. This may be the case if a child has both daytime and nighttime bladder control problems and other urinary symptoms such as pain when peeing or the need to pee frequently.
• 
  Neurologic disease. Sometimes a spinal cord problem that develops with growth or that is present early in childhood can cause bedwetting. If your child has other symptoms like numbness, tingling, or pain in the legs, a spinal issue may be considered. However, this is a very rare cause of bedwetting. 
• 
  Other
  medical conditions and/or medications. In rare cases, other medical conditions like
  diabetes cause enuresis in children.
  Some studies suggest that children with
  attention-deficit/hyperactivity disorder are more likely to have enuresis, possibly because of differences in brain chemistry. Some medications can also increase the chances of bedwetting.  

How is bedwetting evaluated?

Your child’s doctor will first take a complete medical history and ask about any other urinary symptoms such as the urge to urinate a lot, the need to “run to the bathroom” a lot, or pain or burning while peeing. The doctor will also ask about sleep patterns, how often your child moves his or her bowels, and family health. The doctor will ask if either parent wet their bed at night as a child. Finally, the doctor may ask about stressful events in the child’s life that could be adding to the problem.

Your child will also receive a complete physical exam including a simple urine test (urinalysis). This test shows signs of a disease or an infection.  In most children with enuresis, the results of this test come back completely normal. X-rays are usually not needed.

Is there treatment for older children and teens who wet the bed?  

Yes. However, treatment for bedwetting first depends on if it is caused by something like stress, which would need to be managed first.  Overall, children who take an active part in their treatment have a better chance of decreasing or stopping the bedwetting.

Bedwetting alarms:

Research shows that about half of children who properly use enuretic (bedwetting) alarms will stay dry at night after a few weeks. These alarms buzz or vibrate when a child’s underwear gets wet. Over time, the brain is trained to associate the feeling of needing to pee with the alarm going off, and getting up and going to the bathroom. This therapy requires active participation by an adult to make sure the child fully wakes up and goes to the bathroom when the alarm goes off.

Medications:

There are only two medications that have been approved for bedwetting—imipramine and desmopressin. It is important to note that bedwetting usually returns once medications are stopped, unless the child has “grown out of” nocturnal enuresis.

• 
  Imipramine works well in some children with nocturnal enuresis. There is a chance of overdose on this medicine, so it is important for parents to strictly control how and when they give the medicine. An
  EKG is recommended before starting this medicine, although heart problems have not been reported with doses of imipramine used to treat bedwetting. Children with an abnormal EKG should not use this medicine.

• 
  Desmopressin (DDAVP) helps to reduce the amount of urine your body makes.  It improves bedwetting in about 40% to 60% of children. DDAVP comes in both nasal spray and pill forms and is taken before bed. It is important to not drink any fluids after taking it to decrease the risk of electrolyte imbalance.  An additional medication, oxybutynin, has been show to be helpful, especially in patients who do not respond to DDAVP alone and can be given in combination with it.

Will bedwetting stay with my child into adulthood?

Bedwetting almost always goes away on its own. Most children will grow out of it by the late teenage years or sooner. Secondary enuresis may go away when the cause is found. It is either treated, or it gets better on its own. If bedwetting has not stopped in the late teenage years, your child should be seen by a doctor.

Remember

Never wait to talk about bedwetting with your pediatrician to find a solution that works best for your child and your family.

Additional Information:

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Still Bedwetting? – Specialists Help

Q1. My son is 10 years old, turning 11 in October. He wets the bed just about every night. He currently takes DDAVP tablets before bed and does not drink fluids after 6:30 pm. I just can’t get him to stop wetting the bed. I read a news study that said heart hormones are sometimes elevated in children who wet the bed. How can I find out if this is the issue and, if it is, will this help me to find a better treatment?

It sounds like you have tried a lot of different techniques to help your son with his bedwetting (also called nocturnal enuresis). First, I just want to emphasize how common an issue bedwetting is in children, especially males. About 5 percent of children aged 10 to 11 years old will have issues with nocturnal enuresis. There can be a variety of causes, including a small bladder, an immature bladder that does not always empty appropriately, a family history that makes bedwetting more likely, deep sleeping, stress, and increased urine production at night that may be related to abnormal secretion of hormones that affect urine volume.

I believe the “heart hormone” that you have heard about is atrial natriuretic peptide, a hormone involved in the body’s fluid regulation that is secreted from the heart. Studies I have read have not supported initial thoughts that children with nocturnal enuresis have abnormal amounts of atrial natriuretic peptide. It is not currently recommended as a treatment for children with primary nocturnal enuresis.

Certainly, by the age of 10, I do recommend treatment for those with bedwetting issues because it can be very embarrassing for children this age to attend sleepovers or camp. DDAVP (desmopressin) has been shown to be effective in almost 50 percent of patients who have nocturnal enuresis; however, there is a very high relapse rate when the medication stops. DDAVP works by decreasing the production of urine. It is usually given right before a child goes to bed. It seems that your son has not responded to DDAVP, which is not uncommon! Surprisingly, the most effective treatment for bedwetting is actually “bedwetting alarms,” or underwear that can detect urination. These “alarms” help approximately 70 percent of patients, with a low relapse rate. I would certainly recommend that you try a bedwetting alarm before you try a new medication. Your child’s pediatrician can give you specific instructions about how to best use the alarm to modify bedwetting behavior.

If your son is still having significant issues with bedwetting, I would recommend he see a pediatric urologist. Your son’s primary care doctor can be a great resource in helping you develop a plan for your son’s treatment. I would definitely involve him in whatever decisions you make.

Q2. My daughter is 7, and she wets her bed about three times a month. Is this normal? What can I do to help?

— Maria, New Hampshire

Bedwetting is a common childhood problem. The medical term for it is nocturnal enuresis. Most children are toilet trained by the time they are 5 years old, however, approximately 3 percent of girls your daughter’s age will have occasional nocturnal enuresis. If your daughter has no other symptoms, such as an increase in amount, frequency, urge, or pain with urination, and if she has always had difficulty with wetting the bed, she has a benign type of nocturnal enuresis.

The exact cause of this type of nocturnal enuresis is not known. It can be embarrassing and cause anxiety for both children and parents, especially as children get older and want to have or attend sleepovers. Nocturnal enuresis does seem to run in families. It may be due to deep sleep, a small bladder, delayed control of the urination system, or some psychological component.

Although diapers may seem like a tempting solution, it’s important that your daughter learns how to better control the problem. There are several strategies you can try to help reduce the frequency of these episodes. I recommend starting with a conversation to explain nocturnal enuresis to your daughter, so that she understands what is occurring and does not feel guilty or unusual for having this issue. There are good handouts on the topic that can help you with this discussion. Other things you may want to try include:

• Limiting your daughter’s food and fluid intake close to bedtime (but not during the rest of the day).
• Completely removing any caffeinated beverages like iced teas or sodas from her diet.
• Developing a routine in which your daughter uses the bathroom right before she goes to sleep to fully empty her bladder.
• You or your daughter can keep a diary to try to track her bedwetting improvements.
• Have her help clean up if she has an accident, however, do not treat this as a punishment! Praise both dry nights and thorough cleaning up of accidents. Avoid criticism and teasing by other family members!

These simple measures help to improve symptoms in most patients, although only about a quarter of patients are “cured” by these measures. If your daughter continues to have nocturnal enuresis, there are other options, such as special “bedwetting alarms” or underwear that can detect urination, hypnotherapy, and medications.

Rarely, bedwetting may be caused by a urinary tract infection or can be a sign of a more significant issue. This is unlikely if the problem only occurs at night and on an occasional basis. A number of behavioral and medical treatments exist for benign nocturnal enuresis that does not get better on its own, or by using the simple measures mentioned above. Consult your child’s pediatrician if your daughter is having any other symptoms associated with her nocturnal enuresis or for more details about treatment options.

Learn more in the Everyday Health Kids’ Health Center.

What Causes Your Child to Wet the Bed?

Waking in the middle of the night to change your child’s sheets after a bedwetting episode is practically a rite of passage for parents. And it’s more common than you think.

“I call it the hidden problem of childhood,” says Howard Bennett, MD, a pediatrician and author of Waking Up Dry: A Guide to Help Children Overcome Bedwetting. “Unlike asthma or allergies, it’s just not talked about outside the house.”

Bedwetting: The Secret Problem

That secrecy about bedwetting makes the situation tougher for kids and parents alike. “Ninety percent of kids think they’re the only ones who wet the bed, which makes them feel even worse,” says Bennett.

Yet bed-wetting children are far from alone. Though children naturally gain bladder control at night, they do so at different ages. From 5 to 7 million kids wet the bed some or most nights — with twice as many boys wetting their bed as girls. After age 5, about 15% of children continue to wet the bed, and by age 10, 95% of children are dry at night.

Wet beds leave bad feelings all around. Frustrated parents sometimes conclude a child is wetting the bed out of laziness. Kids worry there’s something wrong with them — especially when teasing siblings chime in. Fear of wetting the bed at a friend’s sleepover can create social awkwardness.

For some, bedwetting may be an inevitable part of growing up, but it doesn’t have to be traumatic. Understanding bed-wetting’s causes is the first step to dealing with this common childhood problem.

The Bedwetting Gene

There’s no one single cause of bed-wetting, but if you want an easy target, look no farther than your own DNA.

“The majority of bedwetting is inherited,” says Bennett. “For three out of four kids, either a parent or a first-degree relative also wet the bed in childhood.”

Scientists have even located some of the specific genes that lead to delayed nighttime bladder control. (For the record, they’re on chromosome 13, 12, and 8.)

“Most parents who had the same problem communicate it to their kids, which is good,” suggests Bennett. “It helps a kid understand, I’m not alone, it’s not my fault. “

The Usual Bedwetting Suspects

Yet genetics only tells part of the story. Researchers have identified a number of factors that likely contribute to bedwetting. “All of these are debated, but each probably plays a role in some children,” says Bennett, including:

• Delayed bladder maturation. “Simply put, the brain and bladder gradually learn to communicate with each other during sleep, and this takes longer to happen in some kids,” Bennett tells WebMD.
• Low anti-diuretic hormone (ADH). This hormone tells the kidneys to make less urine. Studies show that some kids who wet the bed release less of this hormone while asleep. More urine can mean more bedwetting.
• Deep sleepers. “Families have been telling us for years that their children who wet the bed sleep more deeply than their kids that don’t,” says Bennett. Research confirms the link. “Some of these children sleep so deeply, their brain doesn’t get the signal that their bladder is full. “
• Smaller “functional” bladder. Although a child’s true bladder size may be normal, “during sleep, it sends the signal earlier that it’s full,” says Bennett.
• Constipation. Full bowels press on the bladder, and can cause uncontrolled bladder contractions, during waking or sleep. “This is the one that’s hiding in the background,” says Bennett. “Once kids are toilet trained, parents often don’t know how often a child is going … [they’re] out of the ‘poop loop.'”

Bedwetting: When Is It Worth Worrying?

Bedwetting that’s caused by medical problems is genuinely rare — 3% of cases or less, according to Bennett. Urinary tract infections, sleep apnea, diabetes, spinal cord problems, and deformities of the bladder or urinary tract — all are worth mentioning, but probably not worrying over.

Medical causes of bedwetting are nearly always uncovered by simply talking to a child and her parents, performing an exam, and testing the urine, says Bennett.

“The vast majority of kids who are wet at night have nothing medically wrong with them,” he emphasizes.

Children who have gained nighttime bladder control, then “relapsed” into bedwetting, are slightly more likely to have medical causes. Psychological stress (such as divorce or the birth of a new sibling) is an even more common cause, though.

Pediatricians don’t diagnose primary nocturnal enuresis (the medical term for bedwetting) until age 6. It’s an arbitrary cutoff — after all, 12% of children wet the bed at that age. “It’s really only a problem when either the child or the parents start to think so,” says Bennett.

Bedwetting Treatment: Becoming ‘Boss of Your Body’

The potential harm of bedwetting is more often psychological than medical. “After age 6, many children start to have sleepovers, and that’s when bed-wetting can be particularly embarrassing and stressful,” says Bennett.

“It’s just as important to know what doesn’t cause bedwetting — the myths around it,” says Bennett. “No child wets the bed on purpose, or from being too lazy to get up to pee.”

Dragging themselves out of bed to change wet sheets on yet another night, parents frequently become frustrated. “Intentionally or unintentionally, parents express disapproval that this is happening,” says Bennett. “It’s understandable, but it makes the situation worse.”

Addressing the problem positively can avoid lasting problems, and numerous strategies can help children cope with and improve bedwetting. Some bed-wetting treatments include:

• Encouraging a child to pee before bedtime.
• Restricting a child’s fluid intake before bed.
• Covering the mattress with plastic.
• Bed-wetting alarms. These alarms sense urine and wake a child so they can use the toilet.
• Bladder stretching exercises that may increase how much urine the bladder can hold.
• Medications.

Because bedwetting gets better on its own, “in the past, doctors often said to parents and kids, ‘Don’t worry about it,'” says Bennett. “But if it’s causing anxiety or social problems, it’s important to know there are things families can do to make the situation better.”

How to Help Your Child Stop Wetting the Bed – Cleveland Clinic

You’re frustrated. You’re
exhausted. Your child is already in school – and they’re still wetting the bed
at night. You’ve tried limiting liquids after dinner. You’ve woken your child
up in the middle of the night and asked them to go the bathroom. Still, no
luck.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

You aren’t alone. Parents often worry about bed-wetting in their children, a problem defined as “involuntary urination in children 5 years of age or older.” But in reality, about 15% of children in the U.S. are still wetting the bed at age 5.

To help parents deal with this challenge, we turned to Charles Kwon, MD, a pediatric nephrologist and Audrey Rhee, MD, a pediatric urologist.

Should
I be worried?

Dr. Kwon says bed-wetting isn’t a concern until your child is 7 years old.

When your child is older than age 7 and still wetting the bed, you might want to talk with your child’s primary care physician or a pediatric nephrologist or urologist. The underlying issue is usually a bladder that’s not yet matured.

Also, keep in mind that about
15% of children age 5 or older actually stop wetting the bed each year.

“When I meet a child who is wetting the bed, it’s twice as likely to be a boy. He usually presents with no other medical problems,” Dr. Kwon says.

Dr. Kwon says the parents are usually upset because it’s an ongoing issue – and everybody needs to get some sleep. There are chances too that there’s a family history of bed-wetting as well. To combat bed-wetting, doctors suggest:

• Shift times for drinking. Increase fluid intake earlier in the day and reduce it later in the day.
• Schedule bathroom breaks. Get your child on a regular urination schedule (every two to three hours) and right before bedtime.
• Be encouraging. Make your child feel good about progress by consistently rewarding successes.
• Eliminate bladder irritants. At night, start by eliminating caffeine (such as chocolate milk and cocoa). And if this doesn’t work, cut citrus juices, artificial flavorings, dyes (especially red) and sweeteners. Many parents don’t realize these can all irritate a child’s bladder.
• Avoid thirst overload. If schools allow, give your child a water bottle so they can drink steadily all day. This avoids excessive thirst after school.
• Consider if constipation is a factor. Because the rectum is right behind the bladder, difficulties with constipation can present themselves as a bladder problem, especially at night. This affects about one-third of children who wet the bed, though children are unlikely to identify or share information about constipation.
• Don’t wake children up to urinate. Randomly waking up a child at night and asking them to urinate on demand isn’t the answer, either. It will only lead to more sleeplessness and frustration.
• An earlier bedtime. Often children are deep sleepers because they’re simply not getting enough sleep.
• Cut back on screen time, especially before bedtime. Improving sleep hygiene can help their minds slow down so they can sleep better.
• Don’t resort to punishment. Getting angry at your child doesn’t help them learn. The process doesn’t need to involve conflict.

Medications:
not usually recommended

Although there are medications (including a synthetic form of a hormone) that can address bed-wetting, Dr. Rhee doesn’t prescribe them unless a child was already put on the medication by another provider.

“There are side effects,” she
says. “Plus it’s a temporary fix, a Band-Aid remedy, when what we want is an
overall solution. ”

Does
my child

want to learn?

Families often wonder if a child is bed-wetting on purpose. Parents will ask, “‘Don’t they want to get better?’” Dr. Kwon often tells parents that it’s typically not their fault nor is it their child’s fault. “I tell them not to get too stressed, because this issue often resolves on its own,” he says.

Dr. Rhee adds it’s also important to talk to your child to see if there is motivation to change. If they are motivated to change, a bed-wetting alarm can be the solution. 

You can clip the alarm to the child’s underwear or place it on the pad on the bed. Once the device detects any moisture, the alarm goes off.  But if the child isn’t independently motivated, the alarm may have no benefit for the child and may just further frustrate the family.

“If they’re still sneaking drinks late at night and eating what they shouldn’t, then it doesn’t make sense to invest in an expensive bed-wetting alarm. So, I directly ask a child if bed-wetting bothers them, to find out if it’s the parents’ frustration that brought the child to the appointment or their own,” Dr. Rhee says.

As the child gets older and has opportunities to go to slumber parties and weekend trips, bed-wetting can affect their confidence and social life. This will most likely motivate the child to solve the problem and avoid feeling embarrassed.

When bed-wetting signals more serious issues

Occasionally, bed-wetting is a sign of something more significant, including:

• Sleep apnea – If a child snores a lot or otherwise shows signs of sleep apnea, Dr. Rhee will investigate further. Otherwise, this isn’t a first course of evaluation of a child with bed-wetting issues.
• Urinary tract infections (UTIs) – A urine sample can detect these infections, which is a typical test doctors will order when bed-wetting is an issue.
• Diabetes – A urine sample can also detect diabetes in children.

If a child also has daytime incontinence, age is something to consider. Generally children will outgrow the issue. “In preschool, about 20% of children have daytime incontinence. But, only 5% of teenagers have these symptoms,” Dr. Kwon says.

5 Common Reasons Why Children Wet the Bed

Choose an AuthorAaron Barber, AT, ATC, PESAbbie Roth, MWCAdam Ostendorf, MDAdriane Baylis, PhD, CCC-SLPAdrienne M. Flood, CPNP-ACAdvanced Healthcare Provider CouncilAila Co, MDAlaina White, AT, ATCAlana Milton, MDAlana Milton, MDAlecia Jayne, AuDAlessandra Gasior, DOAlex Kemper, MDAlexandra Funk, PharmD, DABATAlexandra Sankovic, MDAlexis Klenke, RD, LDAlice Bass, CPNP-PCAlison PeggAllie DePoyAllison Rowland, AT, ATCAllison Strouse, MS, AT, ATCAmanda E. Graf, MDAmanda Smith, RN, BSN, CPNAmanda Sonk, LMTAmanda Whitaker, MDAmber Patterson, MDAmberle Prater, PhD, LPCCAmy Coleman, LISWAmy Dunn, MDAmy E. Valasek, MD, MScAmy Fanning, PT, DPTAmy Garee, CPNP-PCAmy Hahn, PhDAmy HessAmy Leber, PhDAmy LeRoy, CCLSAmy Moffett, CPNP-PCAmy Randall-McSorley, MMC, EdD CandidateAnastasia Fischer, MD, FACSMAndala HardyAndrea Brun, CPNP-PCAndrea M. Boerger, MEd, CCC-SLPAndrea Sattler, MDAndrew AxelsonAndrew Kroger, MD, MPHAndrew SchwadererAngela AbenaimAngela Billingslea, LISW-SAnn Pakalnis, MDAnna Lillis, MD, PhDAnnette Haban-BartzAnnie Drapeau, MDAnnie Temple, MS, CCC-SLP, CLCAnthony Audino, MDAnup D. Patel, MDAri Rabkin, PhDAriana Hoet, PhDArielle Sheftall, PhDArleen KarczewskiAshleigh Kussman, MDAshley EcksteinAshley Kroon Van DiestAshley M. Davidson, AT, ATC, MSAshley Minnick, MSAH, AT, ATCAshley Overall, FNPAshley Parikh, CPNP-PCAshley Parker MSW, LISW-SAshley Parker, LISW-SAshley Tuisku, CTRSAsuncion Mejias, MD, PhDAurelia Wood, MDBailey Young, DOBecky Corbitt, RNBelinda Mills, MDBenjamin Fields, PhD, MEdBenjamin Kopp, MDBernadette Burke, AT, ATC, MSBeth Martin, RNBeth Villanueva, OTD, OTR/LBethany Uhl, MDBethany Walker, PhDBhuvana Setty, MDBill Kulju, MS, ATBlake SkinnerBonnie Gourley, MSW, LSWBrad Childers, RRT, BSBrandi Cogdill, RN, BSN, CFRN, EMT-PBrandon MorganBreanne L. Bowers, PT, DPT, CHT, CFSTBrendan Boyle, MD, MPHBrian Boe, MDBrian K. Kaspar, PhDBrian Kellogg, MDBriana Crowe, PT, DPT, OCSBrigid Pargeon, MS, MT-BCBrittney Hardin, MOT, OTR/LBrooke Sims, LPCC, ATRCagri Toruner, MDCaitlin TullyCaleb MosleyCallista DammannCallista PoppCami Winkelspecht, PhDCanice Crerand, PhDCara Inglis, PsyDCarl H. Backes, MDCarlo Di Lorenzo, MDCarol Baumhardt, LMTCarrie Rhodes, CPST-I, MTSA, CHESCasey Cottrill, MD, MPHCasey TrimbleCassandra McNabb, RN-BSNCatherine Earlenbaugh, RNCatherine Sinclair, MDCatherine Trimble, NPCatrina Litzenburg, PhDCharae Keys, MSW, LISW-SCharles Elmaraghy, MDChelsie Doster, BSCheryl Boop, MS, OTR/LCheryl G. Baxter, CPNPCheryl Gariepy, MDChet Kaczor, PharmD, MBAChris Smith, RNChristina Ching, MDChristina DayChristine Johnson, MA, CCC-SLPChristine Mansfield, PT, DPT, OCS, ATCChristine PrusaChristopher Goettee, PT, DPT, OCSChristopher Iobst, MDChristopher Ouellette, MDCindy IskeClaire Kopko PT, DPT, OCS, NASM-PESCody Hostutler, PhDConnor McDanel, MSW, LSWCorey Rood, MDCorinne Syfers, CCLSCourtney Bishop. PA-CCourtney Hall, CPNP-PCCourtney Porter, RN, MSCrystal MilnerCurt Daniels, MDCynthia Holland-Hall, MD, MPHDana Lenobel, FNPDana Noffsinger, CPNP-ACDane Snyder, MDDaniel Coury, MDDaniel DaJusta, MDDaniel Herz, MDDanielle Peifer, PT, DPTDavid A Wessells, PT, MHADavid Axelson, MDDavid Stukus, MDDean Lee, MD, PhDDebbie Terry, NPDeborah Hill, LSWDeborah Zerkle, LMTDeena Chisolm, PhDDeipanjan Nandi, MD MScDenis King, MDDenise EllDennis Cunningham, MDDennis McTigue, DDSDiane LangDominique R. 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Bedwetting (Nocturnal Enuresis) (for Teens)

What Is Enuresis?

The medical name for not being able to control your pee is enuresis (pronounced: en-yuh-REE-sis). Sometimes enuresis is also called involuntary urination. Nocturnal enuresis is involuntary urination that happens at night while sleeping, after the age when a person should be able to control his or her bladder. (Involuntary urination that happens during the day is known as diurnal enuresis.)

Most of us think of bedwetting as something that happens with little kids. But this problem affects about 1–2 out of every 100 teens.

What Happens in Enuresis?

There are two kinds of enuresis:

• Someone with primary nocturnal enuresis has wet the bed since he or she was a baby. This is the most common type of enuresis.
• Secondary enuresis is a condition that develops at least 6 months — or even several years — after a person has learned to control their bladder.

The bladder is a muscular receptacle, or holding container, for pee (urine). It expands (gets bigger) as pee enters and then contracts (gets smaller) to push the pee out.

In a person with normal bladder control:

• Nerves in the bladder wall send a message to the brain when the bladder is full.
• The brain then sends a message back to the bladder to keep it from automatically emptying until the person is ready to go to the bathroom.

But people with nocturnal enuresis have a problem that causes them to pee involuntarily at night.

What Causes Enuresis?

Doctors don’t always know the exact cause of nocturnal enuresis. But they think that these things may play a role:

• Hormonal problems. A hormone called antidiuretic hormone, or ADH, causes the body to make less pee at night. But some people’s bodies don’t make enough ADH, which means their bodies may make too much urine while they’re sleeping.
• Bladder problems. In some people with enuresis, too many muscle spasms can prevent the bladder from holding a normal amount of pee. Some teens and adults also have relatively small bladders that can’t hold a lot of urine.
• Genetics. Teens with enuresis often have a parent who had the same problem at about the same age. Scientists have identified specific genes that cause enuresis.
• Sleep problems. Some teens may sleep so deeply that they don’t wake up when they need to pee.
• Caffeine. Using caffeine causes a person to pee more.
• Medical conditions. Medical conditions that can trigger secondary enuresis include diabetes, urinary tract abnormalities (problems with the structure of a person’s urinary tract), constipation, and urinary tract infections (UTIs).
• Psychological problems. Some experts believe that stress can be linked to enuresis.

Doctors don’t know exactly why, but more than twice as many guys as girls have enuresis. It is often seen in combination with ADHD.

How Is Enuresis Diagnosed?

If you’re having trouble controlling your urine at night, talk to your doctor to learn more about nocturnal enuresis and to rule out the possibility of a medical problem.

The doctor will do an exam, and ask you about any concerns and symptoms you have, your past health, your family’s health, any medicines you’re taking, any allergies you may have, and other issues. This is called the medical history. He or she may ask about sleep patterns, bowel habits, and urinary symptoms (such as an urge to pee a lot or pain or burning when you pee). Your doctor may also discuss any stressful situations that could be contributing to the problem.

The initial exam will probably include a urinalysis and urine culture. In these tests, urine is examined for signs of disease. Most of the time in people with nocturnal enuresis, these test results come back completely normal.

How Is Enuresis Treated?

Doctors can do several things to treat bedwetting, depending on what’s causing it. If an illness is responsible, which is not very common, it will be treated.

If the history and physical exam do not find a medical problem and the urine tests are negative, several behavioral approaches can be used for treatment:

• Manage what you eat and drink before bed. People with nocturnal enuresis can take some basic steps to prevent an overly full bladder, such as decreasing the amount of fluids they drink before going to bed. You can reduce the chances that you’ll wet the bed by going to the toilet just before bedtime.

  It may help to avoid eating foods that can irritate the bladder. These include coffee, tea, chocolate, and sodas or other carbonated beverages with caffeine.

• Imagine yourself dry. Using a technique called positive imagery, where you think about waking up dry before you go to sleep, can help some people stop bedwetting. Some people find that rewarding themselves for waking up dry also works.
• Use bedwetting alarms. Doctors and nurses sometimes prescribe bedwetting alarms to treat teens with enuresis. With these alarms, a bell or buzzer goes off when a person begins to wet the bed. Then, you can quickly turn the alarm off, go to the toilet, and go back to sleep without wetting the bed too much. It can take many weeks for the body to unlearn something it’s been doing for years. Eventually, you can train yourself to get up before the alarm goes off or to hold your urine until morning.

  People who sleep very deeply may need to rely on a parent or other family member to wake them up if they don’t hear the alarm. The key to bedwetting alarms is waking up quickly — the sooner a person wakes up, the more effective the behavior modification for telling the brain to wake up or send the bladder signals to hold the pee until the morning.

• Sometimes doctors treat enuresis with medicine. But no medicine has been proved to cure bedwetting permanently, and the problem usually returns when the medicine is stopped. Doctors sometimes prescribe a manmade form of ADH to decrease urine buildup during the night. Other medicines relax the bladder, allowing it to hold more pee.

If you’re worried about enuresis, the best thing to do is talk to your doctor for ideas on how to cope with it. Your mom or dad can also give you tips on how to cope, especially if he or she had the problem as a teen.

The good news is that it’s likely that bedwetting will go away on its own.

Bedwetting (for Parents) – Nemours Kidshealth

What Is Bedwetting?

Bedwetting is when kids who are old enough to control their bladder pee at night during sleep. It’s a common problem in kids, especially those under 6 years old.

Why Does Bedwetting Happen?

Doctors don’t know for sure what causes bedwetting or why it stops. But it’s often a natural part of development, and kids usually grow out of it. It’s most common in young kids, but can last into the teen years. Most of the time, bedwetting is not a sign of any deeper medical or emotional issues.

Bedwetting often runs in families: many kids who wet the bed have a relative who did too. If both parents wet the bed when they were young, it’s very likely that their child will.

How Can We Cope With Bedwetting?

Bedwetting is an issue that millions of families face every night, and can be very stressful. Kids can feel embarrassed and guilty about wetting the bed and anxious about spending the night at a friend’s house or at camp. Parents often feel helpless to stop it.

Bedwetting usually goes away on its own, but may last for a while. It can be embarrassing and uncomfortable for your child, so it’s important to provide emotional support until it stops.

Reassure your child that bedwetting is a normal part of growing up and that it’s not going to last forever. It may comfort your child to hear about any other family members who struggled with it when they were young.

Try to have your child drink more fluids during the daytime hours and less at night (and avoid caffeine-containing drinks). Then remind your child to go to the bathroom one final time before bedtime. Many parents find that using a motivational system, such as stickers for dry nights with a small reward (such as a book) after a certain number of stickers, can work well. Bedwetting alarms also can be helpful.

When your child wakes with wet sheets, don’t yell or punish. Have your child help you change the sheets. Explain that this isn’t punishment, but it is part of the process. It may even help your child feel better knowing that he or she helped out. Offer praise when your child has a dry night.

When Should I Call the Doctor?

Bedwetting that begins suddenly or happens with other symptoms can be a sign of another medical condition, so talk with your doctor.

The doctor may check for signs of a urinary tract infection (UTI), constipation, bladder problems, diabetes, or severe stress.

Call the doctor if your child:

• suddenly starts wetting the bed after being consistently dry for at least 6 months
• begins to wet his or her pants during the day
• snores at night
• complains of a burning sensation or pain when peeing
• is drinking or eating much more than usual
• has swelling of the feet or ankles
• is 7 years of age or older and still wetting the bed

Also let the doctor know if your child is under a lot of stress, if you’re feeling frustrated with the situation, or if you could use some help. In the meantime, your support and patience can go a long way in helping your child feel better about and overcome the bedwetting.

Remember, the long-term outlook is excellent and in almost all cases, dry days are just ahead.

90,000 Incredible years. Bedwetting – 2 responses to Babyblog

PROBLEM 11. Nocturnal urinary incontinence

There is nothing wrong with babies peeing at night, but if it lasts longer than a certain age, such babies are called enuretics or “pisunami”. Parents have different opinions as to when you can start teaching your child to ask for a potty and at what age he should sleep “dry”. Some adults start worrying about babies peeing at night when they are 3-4 years old, but these worries are premature.

It happens that this happens to children over 5 years old. Data show that one in four children aged 4 to 6 has this problem. 40% of children wet the bed at age 3, 30% at age 4, 20% at age 5, about 12% at age 6-8, 5% at age 10-12, and 2% when entering adulthood. There are 2 times more boys who have problems urinating at night than girls.

Why is this happening?

There are many theories about the causes of bedwetting, but none of them has been convincingly proven.For most enuretics who have never stopped urinating in bed at night, the most likely cause is the delayed physiological development of the bladder control mechanism. The ability to stay dry is a natural process in the development of the nervous system, just like the ability to walk and speak, it is determined by a combination of physiological maturation and motivational readiness. Hereditary or genetic factors play a role here: the parents of enuretics in 30% of cases were enuretics themselves than the parents of non-enuretics.In 70% of families with at least one enuretic, there is at least one other family member with this problem.

For a child who has been dry at night for a long period of time (about six months), and then began to wet the bed again, external factors may be the cause. Having a new baby, getting sick, divorcing a parent, moving to a new home, or moving to a new school can cause temporary regressions in behavior such as bedwetting. In general, in the development of a child, the most vulnerable in the case of stress is a newly mastered skill.Usually this phenomenon is temporary, it disappears as soon as the baby gains self-confidence. Bed-wetting should not be considered a sign of deep-seated emotional distress or impaired intellectual development.

Physiological causes of enuresis, such as urinary tract infections, are rare – less than 1-2%. However, if your child is peeing in his pants day or night after age 5 or has pain when urinating, you should see a doctor.

What to do with a child of four to six years old?

Be patient and comfort your child. Regardless of age, the most important thing in regards to this problem is to maintain a positive, supportive and confident belief in the child’s ability to eventually learn to control the bladder. Do not pressure, punish, scold or shame the child, as this attitude will make him feel incompetent, anxious and desperate, and the problem itself will increase.

Although you yourself may feel desperate about the endless washing, remember that the child is not doing this on purpose or to make life difficult for you.The main thing is to remove from him the feeling of guilt and shame that he may experience for a wet bed, to maintain in him a sense of confidence in his ability to control urination. Remember to prevent other children from teasing the enuretic.

Make a schedule. Together with your child, draw up a scheme for obtaining stickers for a dry bed. You can give a sticker (of course, with praise and encouragement) for each dry night. Then, when the child has a certain number of stickers, he can choose something for himself from the list of rewards.You can create a calendar with stickers or funny faces for “dry” nights. Thus, the reward program helps to motivate the child and sets a goal for him to strive for. But don’t forget – nothing is more motivating than support, praise, and encouragement from your parents.

Maintain toilet use skills. It may be helpful to have regular toilet rules for children. The rules can, for example, include a visit to the toilet immediately after waking up, then after breakfast, lunch and dinner.Often children are so addicted to the game that they forget to go to the toilet – then they get excited and suddenly pee in their panties. Reminders can help prevent this. Praise the children for remembering to go to the bathroom themselves, day or night.

Reduce stress. If the child has been dry at night for some time and suddenly starts to pound in bed again at night, check if he is experiencing a stressful situation that could cause a similar regression. If there is any external factor: adding to the family or moving to a new school, do your best to reduce stressful feelings.This can be extra attention and support and individual play time with the parents. When the child adjusts to the situation and feels confident again, these symptoms will disappear.

What to do with a child of six to eight years old?

Limit fluid intake in the evening. It is sometimes helpful to limit the amount of liquids you drink after dinner. If you manage to do this without much confrontation, then it is worth giving it a try. On the other hand, if you find yourself embroiled in fights over evening drinks, it is best to allow your child to drink, as there is no direct evidence that the amount of drinking before bed affects your toddler urinating in bed at night.

Develop a sense of responsibility in your child. Useful to lay a towel or folded sheet. Then show your child how to take off a wet towel at night if something goes wrong, and how to put on a new sheet and lie down again without bothering you. Make sure your child has an adequate supply of clean linen and knows where to put a wet towel and pants. This method not only makes him responsible for his behavior, but also significantly reduces the amount of parental attention he receives for a wet bed.

Exercise to stretch your bladder. There is scientific evidence that suggests that the bladder is not as large in enuretics as in other people. By training children to retain more and more fluid, the capacity of the bladder can be increased. This can be done by forcing the child to drink more fluids and then retain urine for as long as possible. Then ask your child to write in a measuring cup to measure how much urine he can hold.Every day, the child will try to break his record of the previous day. If he succeeded, he should be encouraged. (A six-year-old has a normal bladder capacity of 140 to 200 ml.)

Another type of bladder training is that you ask your child to “start and stop” the stream of urine when he pees. He can be told that he trains the muscles and strengthens the walls of the bladder to stop wetting the bed. Keep in mind that both types of exercise require the child to be highly motivated, and the parents do it seriously for several months.

Wake up your child in the middle of the night. It is helpful to know when your child urinates in bed. If this usually happens 2 hours after falling asleep, you can wake him up during this time so that he goes to the toilet. Or, if the child wants to, you can set an alarm in the bedroom, which will ring shortly before he usually urinates in bed. Eventually, the baby will learn to recognize the bladder signal and will get up on its own.

What to do with a child of eight to twelve years old?

Use the alarm. Special alarms (Wetstop, Nytone, Night Trainer) can undoubtedly be very successful in helping older children stay dry at night. However, for this method to succeed, your child must be motivated and motivated. The child wears a small, lightweight, battery-operated alarm clock under his pajamas, which rings when the first drop of urine appears. The child wakes up, stops peeing and goes to the toilet. After two to three months, he learns to wake up from the feeling of a full bladder.The first course of treatment is successful in 70% of cases, but the relapse rate is quite high when the alarm is stopped. This situation can be prevented by taking additional steps to gradually change the alarm mode. First, when the child is dry, start removing the alarm every fourth night, then every other night, and so on. And also ask the child to drink a lot before bed so that he learns to stay dry even with a full bladder.

Take medication. The most popular medicine doctors prescribe for this problem is imipramine, an antidepressant that inexplicably stops urinary incontinence at night. After 2 weeks of using imipramine, 25-40% of children improve. However, the percentage of relapses is quite high as soon as the medication is stopped. The drug should be used only if the child is over 8 years old, and after all other remedies have been tried. There are times when this can be useful, for example, if a child is going to a children’s camp.

Don’t worry too much about your child peeing at night if it doesn’t start to interfere with his social life. For example, if this keeps your son from going to camp with friends or spending the night at a friend’s house, he will probably be motivated enough to try to do something with you. But remember: bedwetting is not a disease, it happens in all children, regardless of treatment. So, be patient, positive and calm and you are guaranteed a good result and complete self-respect for your child.

To the content
 

90,000 Children’s bedwetting. What should parents do? | Child health | Health

In medicine, urinary incontinence is called enuresis. Despite the fact that this is a fairly common phenomenon among children, parents and the child himself react very painfully to it.

However, do not scold the baby or despair. The problem can be solved if you understand it carefully.

At what age does enuresis appear in children?

Up to one and a half to two years, a child wears a diaper, as he relieves himself unconsciously.Already at the age of 3-4 years, children are able to control the state of their bladder. Until this age, a wet sheet is not a problem. But if infantile enuresis does not go away several years later, parents should consult a specialist.

“If urinary incontinence occurs in children at the age of 4-5, then this can be called a problem. In this case, the parents need to go with the child to the doctor. Children from one and a half to two years, especially girls, no longer have urinary incontinence, they lie down and wake up dry.Boys are worse off with this. But up to 3-4 years old, this is a natural situation due to the fact that parents now use diapers for a very long time, “said Hayk Khachatryan, a pediatric surgeon, urologist-andrologist at Best Clinic , .

What are the reasons and which doctor should I go to?

Enuresis is day and night, but most often children wake up in a wet bed already in the morning.

The cause of any form of infantile enuresis can be both physiological and neurological problems, therefore, parents must definitely show the child to a urologist and neurologist.

“Urologists began to deal with enuresis, because the area itself is urological and the patient always went to the urologist, but, in fact, this is a problem for neurologists. Parents should definitely consult with this expert. The doctor will prescribe therapy to make the child calmer, ”Khachatryan said.

Other disorders that can cause infantile enuresis are: immaturity of the central nervous system and bladder; diseases of the genitourinary system; urinary tract infections; the action of psychological factors and stress (the appearance of new faces, quarrels in the family).In rare cases, bedwetting can indicate a number of endocrine diseases (diabetes mellitus and diabetes insipidus). Enuresis can also be one of the side effects of certain medications.

On the Internet, you can find information that childhood incontinence is a hereditary disease. However, Khachatryan disagrees with this statement.

“Enuresis is not a genetic disease. It has no hereditary form. Although the behavior of the nervous system: excitability, the prevalence of the sympathetic over the parasympathetic – this, of course, is inherited from the parents, ”the doctor said.

Mobile devices can also cause bedwetting, the expert noted.

“When people began to actively use laptops, tablets and other devices, there were a lot of people who suffer from insomnia, including children,” the doctor said.

According to the urologist-andrologist, the human body distinguishes between day and night due to the fact that there is a blue spectrum in sunlight, which our eye perceives as day. In the dark, it is not there, therefore, the eye transmits information to the brain that it is now night.

“When a child lies before bed with a phone, his brain perceives this blue glow and realizes that now is not night at all, but as if it were day. Thus, one of the main causes of enuresis is a violation of the regime. All modern devices using LEDs contribute to the hyperexcitability of children and disruption of their biorhythm of day and night, which leads to such a manifestation as enuresis, ”Khachatryan explained.

How do I get rid of the problem?

It should be noted that parents should never scold their children for a wet sheet.The child cannot restrain himself, not because he was too lazy to get out of bed at night and walk to the toilet. Kids themselves often do not understand how it happened, and in the event of a parental reproach, they blame themselves for the fact that, in principle, they cannot control. Ultimately, this only increases the nervous tension.

“It is absolutely pointless to scold children, because they do not even feel when they have wet themselves. It’s just that their bladder was contracting too much, and there was no response to the brain. They realized that they had described themselves only after the fact, when they woke up and found that it was wet under them, ”Khachatryan said.

Also, in no case should parents immediately run to an ultrasound scan or independently “prescribe” medicines to their child, the names of which they read on the Internet. The treatment of a child must be trusted by professionals.

Control of the baby’s day regimen will help to get rid of the problem. Every 2.5–3 hours it is worth gently but decisively taking the child to the toilet or planting it on the potty. This should be done just before bedtime.

“Parents should accustom their child to a certain routine: do not give a lot of water in the afternoon (late afternoon), be sure to take the child to the toilet before going to bed, do not give him any devices with a bright screen in the evening, put him to bed on time and approximately in one and wake up at the same time.Children with bedwetting need not be afraid to wear special absorbent briefs at night. There is also the so-called “alarm therapy”. When incontinence occurs closer to morning, parents can wake up their children at this time and take them away to write – this also gives its results, ”the expert advised.

Routine activities that the child needs to do daily in the same sequence will help to normalize the night’s sleep. So, for example, before going to bed, you can take a dip in a bathtub filled with soapy foam, or read a fairy tale.In the evening, you should limit or even exclude active games.

Will it pass?

Parents shouldn’t worry – bedwetting is almost always cured, the doctor reassured.

“There is only one category of patients who are very difficult to cure – these are people with intrauterine lesions of the spinal cord, that is, a malformation of the spinal cord (spina bifida). Injuries or infections that damage the spinal cord nervous system can also complicate treatment.Only doctors will help in this situation, ”said the surgeon.

The most important thing in the treatment of infantile enuresis is to consult with a specialist in time to determine the specific cause of the disease. Parental support also contributes to a speedy recovery.

90,000 5 tips on how to stop your child from peeing at night

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Once your little one has mastered the potty habit during the day, they will most likely be ready to sleep without a diaper at night in a very short time.It is quite normal for a child to pee at night for a while, and it may take a little longer to get rid of this habit. With our 5 helpful tips, you will learn how to teach your child to get up at night on the potty, and say goodbye to changing diapers in the middle of the night forever – hurray!

1. Wait until the child is ready for potty training

As with many aspects of child development, it will take much less time to train your child to potty-potty at night if you wait for the right moment.

Here are some signs that your little one is ready to switch to an adult toilet:

• The child asks you to remove the night diaper.
• When the baby wakes up, he asks to use the toilet.
• The baby’s diaper is dry after sleeping several nights in a row.
• Night panties are only slightly wet in the morning

2. Prepare before how to train your child to wake up on the potty at night

It is worth doing a few things before teaching your child to get up on the potty at night.Getting up at night will be much easier if you consider what obstacles may arise. Our tips for potty training at night will help you prepare for this process in advance and make your night potty trips more comfortable:

• Place the water-repellent mattress on the child’s bed.
• Place the potty next to your baby’s bed if the toilet is far from his room.
• Leave a light on the stairwell if you have several floors, or just a portable lamp in case you move around the apartment to the toilet.
• Be sure to teach your child to go to the toilet before going to bed.
• Have your child use the toilet as soon as he gets up in the morning.
• Prepare a spare set of bedding and pajamas in advance to be prepared for any emergency.

3. Talk to your child

Take some time during the day for a few weeks before weaning your child off peeing at night to explain to the child why he needs to get out of the warm crib and go to the toilet, and show how this works in practice.Offer incentive prizes for successful trips to the bathroom at night, and if your child has older siblings, include them in the process. So things will definitely go faster.

Your child may have questions such as can he call you for help if something happens if he does not see something at night? Explain that it is as important at night as during the day to follow all the same personal hygiene practices: wiping, flushing, and washing your hands after using the toilet.

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4. Consider the ways that work for you personally

Different parents have different approaches to how to wean a child from peeing at night. Some ask the question: “Do I need to wake up the child at night on the potty?” and use the “going to the toilet while dreaming” method, while others restrict the child’s intake of fluids before bedtime. No two children are alike, so it’s always best to focus on the method that works specifically for your family.Try a combination of different methods until you find your own – the most effective.

5. Calm, only calm!

Unpleasant accidents in the process of teaching a child to get up on the potty at night cannot be avoided. Sometimes they also happen when you already started to think that everything worked out. Don’t worry – this is completely normal. The main thing is not to get nervous and keep yourself in control, and everything will be in order. If your child sees that nothing bad will happen, even if he wakes up wet, he will feel more confident and the process of potty training will go much faster.And you can congratulate yourself on another achievement in your life and the life of your baby.

90,000 Beware: evil spirits! – This is the Caucasus

Daniil Berkovsky

Birth, marriage and death are the main stages in a person’s life, and many traditions and rituals are associated with them. Each nation has its own, but in all this diversity there are common features.Dagestan beliefs and rituals, albeit in a simplified form, have survived to this day. “This is the Caucasus” asked the staff of the Institute of History, Archeology and Ethnography of the Dagestan Scientific Center of the Russian Academy of Sciences Ruslan Seferbekov and Khaibulu Magomedsalikhov to tell about the most interesting of them.

Childhood fears

Protecting a child from the shaitan, the human evil eye and other evil spells begins even before his birth. Therefore, a pregnant woman is not advised to go to a funeral, look at sick and ugly people.It is also not recommended to leave the house at night, when the evil spirits are especially active. And if you had to go out, you should take a guide and a piece of bread with you as a talisman.

It is believed that the behavior of the mother during pregnancy affects the health and character of the child. She should not stare at something, otherwise the baby will be born cross-eyed, you cannot sit in the corner of the room or around the corner of the table – he will have a bad character, you cannot pour water over the threshold – the child will urinate in bed for a long time.

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Pregnant women are not supposed to sew or knit – otherwise the umbilical cord will wrap around the baby’s neck.Even the clothes for the baby are sewn not by her, but by her mother or older sister.

When a pregnant woman is pregnant, it is not customary to talk about food that cannot be treated to her. It is believed that the baby will develop birthmarks in the form of those fruits, berries and other foods that the pregnant woman wanted but could not try.

A whole squad of demonic characters: Albasly, Khal, Irischiv, Sutkatyn, Ayum, Guduch and others – are trying to steal the fetus from the mother’s womb. To stop them, the pregnant woman is instructed to have a needle or pin on her clothes, and a knife under the pillow.A piece of bread left overnight on the windowsill in the room where she sleeps is considered the same talisman.

But now the child was born, and every new moment of his life: giving a name, laying in a cradle, the first tooth and the first step – everything is accompanied by rituals.

When the first tooth appears, for example, a ritual dish is prepared – a mixture of seven types of cereals and beans, cooked with dried meat. There may be five ingredients – the main thing is that there is an odd amount. This treat is also distributed to an odd number of neighbors.The ritual is believed to facilitate the growth of the remaining teeth.

Avars call this dish gyi, mug, for Lezgins – git , Tabasarans – kyuyars , Laks – hakhhari , Dargins – hyaya , Kumyks – shabshi . And ethnographers call it panspermia, consider it a symbol of fertility and claim that it appeared in the Neolithic era – seven thousand years ago!

The same dish is distributed to neighbors and relatives at the first steps of the child.The belief says that a baby, standing on his own feet, sees around a fiery circle or a transparent, but very strong wall, erected in front of him by evil forces. The wall disappears after this ceremony.

In order for the child to stand firmly on his feet, a specially baked cake is broken on his knees or over his head. Sometimes a round loaf or bagel is baked and rolled across the floor between the baby’s legs.

The first nails of a child are not thrown away. They are kept in a clean, secluded place or buried in the ground so that no one can see.Otherwise, the ill-wisher can take possession of them and harm the child with the help of black magic. The same goes for missing teeth and umbilical cord.

A number of taboos are associated with the cradle. The empty cradle is not rocked, the child is not carried over its upper crossbar, the cradle is not placed on the bare floor. If a child smiles at you in the cradle, then you should not smile back – this can harm him.

So that the child is not afraid of bad dreams and all sorts of intrigues of evil spirits, a knife or scissors is placed under the mattress.

It is not recommended to hold a baby in your arms for a long time and often, to pass it from hand to hand, because they believe that the baby can lose, “leave” his health in someone’s hands, or someone else’s energy can affect him.

Even close people can jinx. And if the baby is among a large number of strangers, it is slightly stained with soot in order to protect it from the evil eye.

If a child is often and very ill, his name is changed. The new name should deceive the evil spirits of the disease.

Wedding Planner

Most wedding ceremonies concern the bride – it is she who passes into the new world, and therefore is especially vulnerable.

It is considered a bad sign if on the wedding day the bride steps on shards of broken dishes or ash – dreams can be shattered, and life can turn black as soot. Therefore, the yard is thoroughly swept, and a new carpet is laid under the bride’s feet. In the old days, a lamb skin was laid – a symbol of fertility.

Daniil Berkovsky

In order for the girl’s life in the new house to be full of joy and prosperity, the mother-in-law feeds the bride with honey.Honey and flour are also symbols of fertility, so in some villages a young woman dips one hand in honey and the other in flour. Sometimes the bride leaves a honey handprint above the bedroom door – it scares away evil spirits.

In southern Dagestan, girls with a mirror and a burning lamp accompany the bride to the groom’s house. The mirror saves from evil spirits (how can you not remember “Constantine” with Keanu Reeves), and the fire brought from the father’s house – from the evil eye.

The bride’s dress in former times was embroidered with silver jewelry or just coins.It is believed that silver saves from evil spirits. Many brides today prefer a white dress. But the face, as before, must be covered with a veil or, as in some villages, a scarf to protect against harmful magic.

Wealthy married women are entrusted with opening the bride’s face, making the bed for the newlyweds, preparing the wedding halva. The poor and childless are not involved in these important matters, so that their misfortunes are not passed on to the young family.

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You say, “to get married is not to drink water”? You don’t know Chechen customs yet.There, without a glass of water, the bride will not talk to you. The main thing is that the water does not interfere with

In some villages, mummers participate in wedding celebrations, they scare away evil spirits. The costume of the mummer usually consists of a sheepskin coat, turned out with the fur, and a mask made of sheepskin and felt with horns, mustache and beard attached to them. The mummers tumble, arrange fights among themselves and hustle among the guests, act out small everyday scenes. Sometimes women dress in men’s clothing and men in women’s clothing.They paint their faces with paint, fill their eyebrows with soot, women paint on their mustaches. So carnivals are not only in Venice and Rio de Janeiro, they can be observed in the mountains of Dagestan.

If you are invited to a wedding in the village of Duakar, we advise you to first get medical insurance. And don’t draw too much attention to yourself. Because they celebrate here, as they say, from the heart. Young people are having fun with the mummers, pouring water on the guests and throwing everything that comes to hand.

In the old days, it was not customary to shoot at weddings in the villages of Dagestan.They shot only in special cases – during a fire, the birth of a son. And also during eclipses of the moon – to scare away demons – and into a hail cloud. There was a belief that it was carried by a mythical black crow and could be scared with shots. Now firing in the air announces the arrival of the wedding cortege to the groom’s house.

The bride must be showered with grains of wheat, rice and other “seeds of the earth”, small coins and sweets. Unmarried girls then put these sweets under the pillow to dream about the groom.

They put a little boy on the bride’s knees and wish to give birth to their first-born son. In some villages, the child is rolled over the bed of the newlyweds – so that the young one is fertile.

Pagan rituals intertwined with Islamic ones. Thus, the ritual of concluding a Sharia marriage ( nikah, magar ) is carried out away from prying eyes. It is believed that the bride and groom are vulnerable to spoilage. If, while pronouncing the words of the vow, the ill-wisher will tie knots on a thread, braid a braid, lock the lock, distort the words of the vow, these magical actions can deprive the groom of male power and destroy the marriage.Therefore, the place and time of marriage is kept secret from outsiders. Or they put up guards, who make sure that no one put damage on the young.

Rest in Peace

The deceased is taken out of the house and carried to the cemetery head first, and not feet, as is customary among the Russians. Legend has it that this will confuse the spirit of the deceased and prevent him from finding his way back. Otherwise, the death of other family members may follow.

The grave mound is poured with water after the funeral.In accordance with Islamic beliefs, as soon as a drop of water falls into the left ear of the deceased, he wakes up in another world and answers the questions of the angels Munkar and Nakir about his earthly life.

It is believed that the soul of the deceased in the first 40 days after death is hungry and needs to be fed. Souls feed on the smells of food, and the more people the relatives of the deceased feed, the more his soul will get.

If the deceased often dreams, it is believed that his spirit is hungry.Alms should be given ( sadaqa ). So if a stranger on the street hands you a cookie or candy, don’t refuse. Most likely, he treats you in memory of a person dear to him.

The cult of ancestors is also associated with a massive visit to cemeteries on the days of fasting before Eid al-Adha. During the funeral, women do not go to the cemetery, but they can visit the graves of loved ones on other days, including the days of mass visits. There they also distribute sadaqa for the repose of the souls of the dead.

Rita Roitman

90,000 Enuresis in children – in simple words about a complex problem

Nocturnal enuresis is a medical condition that involves involuntary urination during nighttime sleep. Enuresis is a type of urinary incontinence, which itself is one of the most common problems in childhood and adolescence. According to official statistics, 20% of children aged 5 years, 10% -15% of children aged 10 years and at least 3% of adolescents suffer from various forms of urinary incontinence.There is no more accurate information on the prevalence of this pathology in children. This is partly due to the fact that neurologists, psychiatrists, urologists, nephrologists are engaged in it – and each specialist had his own view of the problem and his own statistics.

As practice shows, among doctors there is no clear understanding of when exactly the “wet bed” symptom should be considered a pathological phenomenon. It is widely believed that nocturnal enuresis is normal before 5 years of age. It must be said that this age was chosen very conditionally and is associated with the formation of the so-called.n. “Mature type of urination”, when the child acquires the skill to control their behavior associated with going to the toilet. Often one has to meet with a situation when a doctor or parents do not pay attention to enuresis at all until the age of 14-15, citing the fact that the child will gradually “outgrow” the problem. This stereotyped approach is unacceptable for two reasons.

First, urinary incontinence (and enuresis in particular) at first may serve as the only symptom of much more serious diseases of the urinary system, nervous or endocrine system.So, enuresis occurs in children with urinary tract infections (cystitis), helminthiasis, congenital malformations of the urogenital area or obstruction of the urinary tract, neurogenic bladder, abnormalities in the development of the spine and spinal cord. Only a urologist who is well versed in the pathology of urination in children can suspect such a situation in time, conduct a competent examination and treatment. Neither general practitioners nor parents have such competence.

Secondly, almost all children with urination disorders are in a state of latent social maladjustment. They have a low level of self-esteem, often conflict situations arise in the children’s team and family. All this negatively affects the development of the child and, in the end, leads to serious psychological problems.

According to a survey of Swedish psychologists, urinary incontinence for a primary school student is one of the three most severe “critical” stressful situations in life (after divorce and the death of parents).

In addition, recent studies have shown that nocturnal enuresis in children is by its nature almost identical to the problem of frequent nocturnal urination in the elderly. Constant night waking and going to the toilet is the most debilitating symptom for adults, which makes them take medications or go under the surgeon’s knife for years. Therefore, one should not assume that nocturnal enuresis is harmless and does not affect the well-being of the child in any way.

There is still no single protocol for the diagnosis and treatment of children with nocturnal enuresis.In practice, urologists at EMC Children’s Clinic adhere to the principles developed by the ICCS (International Urinary Incontinence Society). After a comprehensive diagnosis and exclusion of pathologies requiring immediate surgical or drug treatment, step-by-step treatment can be presented as follows:

Step 1: behavioral therapy;

Step 2: alarm – therapy;

Step 3: pharmacotherapy.

Behavioral therapy

This is a system of cognitive methods.The main help at this stage is to inform the family and the child himself about the observance of the daily regimen and especially the drinking regimen. If a violation of the drinking and urination regimen is detected, which is of a behavioral and situational nature, correction of these violations is required before any types of drug treatment are carried out under the supervision of a pediatrician. The drinking regimen should be organized so that fluid intake is distributed evenly throughout the day and limited in the evening. Quiet games and reading are recommended in the evening.This therapy requires the support of the parents, the desire of the child, patience and time.

The child and parents need to learn how to properly empty the bladder and monitor the frequency of stools. It is helpful to keep a diary of the frequency of urination and episodes of bedwetting, as well as the time of bowel movements. The effectiveness of this therapy is monitored by a doctor every 1-3 months. At the same time, conversations are held with the parents and the child, supporting the motivation to continue treatment.

Alarm-therapy

After correcting the stereotype of the child’s behavior for 4-6 months and in the absence of nocturnal hyperproduction of urine (diagnosed by the urination diary), the use of a night alarm clock with moisture-sensitive sensors (alarm-therapy) can be added to the treatment. This method helps the child to wake up the moment the laundry gets wet with urine. This type of treatment has a particularly good effect in families with stable motivation not only for the child, but also for the parents. If there is no improvement during the first month of treatment, it should be discontinued and switched to pharmacotherapy.

Pharmacotherapy

The third step is pharmacotherapy. This stage is strongly not recommended to be performed independently, guided by data from the Internet or advice from non-specialists. For the treatment of nocturnal enuresis, both hormonal drugs and means of influencing the central nervous system are used. Only a pediatric urologist-andrologist, together with a neurologist and a pediatrician, can correctly select a drug regimen without harming the child.

Treatment of children with enuresis is a complex task that requires the participation of diverse highly qualified specialists: a pediatric urologist-andrologist, a pediatrician, a neurologist, a psychologist, specialists in radiation and ultrasound diagnostics, and rehabilitation therapists.At the EMC Children’s Clinic, you can get an appointment with a pediatric urologist-andrologist who has many years of experience at the Pediatric Urinary Pathology Clinical Center, which is the country’s leading institution for urinary incontinence. All the necessary analyzes and studies can be performed on the basis of the clinic on modern equipment as soon as possible. Experienced psychologists will help in solving this problem.

90,000 The child is written in a dream Advice from a pediatrician Articles about children’s health Directory of medical institutions

”
Pediatrician Tips

A child pisses in bed at night

A large number of children and adolescents, all over the world, sleep at night in wet beds.Nighttime incontinence in children can occur for many reasons.
The main mistake many parents make is that they scold their child for it. In no case should this be done, on the contrary, you need to explain to him that he is not alone in writing at night and there are still children who also suffer from this. Then the child will not think that he is alone.

Causes of nocturnal enuresis

Why does the child piss on the bed? – There are various causes of nocturnal enuresis, among which the following are distinguished:

Skills

Each of the children is individual, and, therefore, can be accustomed to going to the toilet at different ages.Independent night control in children 3 years old is observed in 70% of cases, in children 5 years old – in 80% of cases. Relying on these statistics, it is possible to assert the presence of nocturnal enuresis in a child only upon reaching the age of 4-5 years. Based on this, doctors recommend not to give your baby plenty of fluids before bedtime, and also to avoid drinks that contain caffeine.

Genetic trait

Urinary incontinence at night in children can occur due to the slow formation of a regulatory system due to which the bladder may not empty for several hours.Over time, the child’s regulatory system will develop and the problem will disappear by itself.

Symptoms of another disease

It happens that the cause of nocturnal enuresis in children is associated with the occurrence of diseases such as urinary infection, kidney disease, as well as endocrine diseases such as diabetes mellitus, hypothyroidism and hyperthyroidism. In such situations, the baby pees both at night and during the day.

Do not forget about such diseases as epileptic seizures at night or blockage of the upper respiratory tract at night, which also gives such a side effect as urinary incontinence in bed.It is worth mentioning that some drugs can react in the form of bedwetting, such as thioridazine and valproate. Here it is necessary to seek help from a doctor so that he can determine the true cause of the disorder.

Temporary difficulties

A child’s bedwetting may be temporary difficulties.

– There are situations when a child writes unexpectedly at night, since this has not been observed before. In this situation, there is no need to talk about the presence of nocturnal enuresis in a child; most likely, this case arose due to the effect of stress on the baby’s nervous system.These stressful situations include: family problems, the adaptation period at school or in kindergarten. In such a situation, all the forces of the parents should be directed towards eliminating the psychological pressure of their child and strengthening his nervous system.

Physiological abnormalities

Why do children have urinary incontinence at night? The most difficult form of nocturnal enuresis to eliminate can be urinary incontinence, which has arisen due to disturbances in the fetal brain – in the event of pathological processes during childbirth and childbirth, as a result of hypoxia or injury.

Medical certificate: Such pathologies cause a lag in the formation of the central nervous system of children and the production of hormones, as well as vasopressin. In this situation, it is necessary to seek the advice of an endocrinologist. A neurologist can examine the baby for congenital abnormalities of the genitourinary system and changes in the nervous regulation of the bladder. For the latter case, the main symptom is urinary incontinence at night and sometimes during the day. And pathological changes in the secretion of antidiuretic hormone contributes to the fact that the baby is peeing only at night.- This hormone is responsible for regulating the amount of urine produced – if there is a large amount of it in the blood, then less urine is produced. – Which is typical for the night time, when the level of this hormone in the blood, in a normal way, increases. In the case of enuresis, an absolutely opposite situation occurs – when the hormone is not produced in the proper volume.

How to solve the problem

If you find or suspect your child has at least one of the above symptoms of serious diseases or pathologies, you should immediately consult a doctor.But if the problem of bedwetting in a baby lies in skills or temporary difficulties, it can be solved by introducing some rules:

For children from 6 years old, the so-called bedwetting alarm clock can help to eliminate bedwetting. – Its action is aimed at waking the child to the toilet when only a couple of drops of urine gets on the bed. – This device allows children to solve the problem on their own – developing skills in the problem of urinary incontinence at night. The effectiveness of its use is 70-85% of cases. But it takes some time to develop skills – the first time of use, the child can wake up only after complete urination.And within a few weeks, he will already be able to wake up and stop urinating. As a result, the need to pee will wake him up instead of an alarm clock. The need for such a device may completely disappear after 3 weeks, but in some cases a longer period is required.

In any case, the problem of bedwetting can be solved and parents must understand that bedwetting is a fairly common problem, such a disorder can be cured, so the child should not feel guilty and withdrawn.

The specialist talks about the diagnosis and treatment of nocturnal enuresis in children:

Main page & gt Materials of the magazine & gt Why “Why do children pee in bed at night?”

“Why do children pee in bed at night?”

Urinary incontinence in official medicine is called enuresis and occurs in children quite often. About 500,000 children under the age of 16 regularly wet their beds. To solve the problem, you need to find out its cause, and there are many options.

All children are different, and therefore they learn to go to the toilet on their own at different ages. Almost 70% of children are capable of self-control at night by the age of 3, more than 80% by the age of 5, and 90% of children by the age of 8 and a half. Based on these statistics, it is possible to talk about enuresis no earlier than the child turns 4-5 years old.

A regular alarm clock will help you form the right habit. Wake up your child at least twice a night: the first time around midnight, the second time in the morning, around six o’clock.And of course, try not to drink it before bed, planning to drink plenty of fluids in the morning and afternoon. Also, avoid drinks that contain caffeine (and this is not only coffee, but also soda).

Perhaps the cause of the problem lies in the slow development of the regulatory system, which allows the bladder not to empty for several hours. Over time, the child should learn to control urinary function, and the problem will disappear by itself.

Symptom of another disease

It happens that enuresis occurs on the basis of various diseases such as urinary infection, diabetes, kidney disease.In such cases, involuntary urination occurs not only at night, but also during the day. It already requires the help of specialists and a course of therapy to treat the underlying disease.

In some cases, the child suddenly starts peeing on the bed, when it has not happened before. Consequently, there is no need to talk about the presence of persistent prerequisites for enuresis. Rather, we are talking about the effect of stress on the baby’s nervous system: it can be problems in the family, and adaptation to kindergarten or school, and the appearance of a second child.Therefore, all efforts of parents should be aimed at eliminating the psychological pressure of the child and strengthening his nervous system.

The most severe form of enuresis for correction is urinary incontinence resulting from damage to the fetal brain during the pathological course of pregnancy and childbirth due to hypoxia (insufficient supply of oxygen to the brain) or trauma. These pathologies contribute to a delay in the maturation of the child’s central nervous system and to a violation of the production of hormones, including vasopressin.In this case, it is best to seek advice from an endocrinologist.

The nephrologist will help examine the child for congenital anomalies of the genitourinary system and disorders of the nervous regulation of the bladder. In the latter case, the symptoms are frequent urination in small portions or profuse rare urination, as well as daytime urinary incontinence.

& middot Teach your child to go to the toilet before bed.

& middot Praise every time the night is dry.

& middot Use good protection for your bed or sofa to avoid damaging the mattress and to make bed linen easier to change.

& middot Consult your doctor about the use of Desmopressin tablets or spray. The drug with an efficiency of up to 70% reduces the amount of urine produced at night. However, it also has side effects: it can cause headache, stomach pain, nausea.

The main thing to remember is that there is no one’s fault in this situation.The child experiences what is happening more sharply than the parents, so in no case should you scold or shame him. Remember that he is small and scared, so he expects help and sympathy from you.

Comments

Help am 10/13/2016 1:24 PM

Hello, I am 16 years old in February, I will already be 17, I’m writing to bed from early childhood (from birth) I don’t know what to do with this, help please call or write 89674039195, please help, I beg you. I’m already tired of this (((((((

Nurik 08.10.2016 17:55

You are all fagots

train 09/23/2016 11:53

My son is 10 years old, he started writing kokda poshol to school, can it be somehow connected with this?

yes 09/07/2016 01:16

And I am 14 years old today I described myself at night and got up, what to do so as not to write in bed at night

Ekaterina 09/06/2016 20:15

All comments apply! Be sure to consult a nephrologist , in order to exclude an infection, suddenly there are simply problems with the organs, everything is curable! Dear guys, do not be ashamed of the main thing to go to the doctor in time.All the best

Vika 08/13/2016 20:09

I am 11 and I sometimes piss in bed

irina 07/03/2016 21:51

Son is 4.5 years old piss in bed at night and not during the day. What to do.

Timofey 06/11/2016 18:34

I’m 13 and peeing in bed, help me.

Egor 05/17/2016 10:31

Te happened to be current

Alena 04/21/2016 15:51

Hello! My daughter is 16 years old, in July 17, she sometimes pees in bed at night, I don’t know what to do, I ask you to help, tell me how to be.

Fairy 04/06/2016 20:56

Sister is 20 years old, she pisses Help at night

Nastya 04/04/2016 07:09

I’m Nastya I’m 9 years old I’m gawking at night in bed

a girl who pisses 03/30/2016 13:06

What the hell. I’m 13 and damn it. I do not piss every night, of course, but all the same. and thank God that I’m not peeing in a puddle, and so, get my panties wet. But still. what to do?

Anya 03/12/2016 21:57

my child has the same problem she is 11 years old but she sleeps so soundly and does not feel anything and in the morning a puddle please help

Tatiana 12.03.2016 08:35

A 10-year-old child eats in bed every night tell me what to do because we are already adults

Sergey 02/10/2016 11:44

My relative urinated at night until about 16-17 years old, they were thinking of taking a respite from the army. But it has outgrown as they say. So I don’t see anything wrong. Although now I faced this with my daughter. Wait, everything will pass by itself.

Karina Simtikova 01/10/2016 11:49

Hello, my name is Karina, I am 12 years old and somehow I suddenly began to write in bed.This was not the case before. At night I do not feel anything and in the morning I only feel that something is wet, please help.

I’m a boy 01/03/2016 12:09

Hello, I’m 14 years old. I pee at night. The whole sofa is wet. I do not want to write, please help.

Dale Carnegie find an example 04/09/2015 01:56

It’s all about: \ ‘not mine, not sorry! \’
So that the child stops writing at night, he needs to be able to control himself in a dream, and in childhood, dreams happen realistic or very deep, so the child’s attention needs to be focused on so that he can wake up when he wants to use the toilet, and not swim in a warm lake, as usual in a dream.
There is an example of this in Dale Carnegie, where the parents gave the child the opportunity to choose and buy a bed for himself, after that he did not write at night, it seems that something should be entered into the subconscious, that this is his bed and he is responsible for it himself , cherish and possess her, and not spoil the things of the parents.

MARAT 01/10/2015 09:53

hello my name is Marat I am 14 years old I have been peeing in bed since birth well, not every night my mother is angry and I don’t want that I sleep very soundly I don’t feel anything but in the morning there’s a puddle, every night I’m apply a little bag please help me I will be infinitely grateful to you please call this number 89286802451 if you know something please help me I can’t live it anymore

Malkina Elena 12.12.2014 17:42

I raised four children and everyone stopped wetting the bed by the age of one and a half. But the grandson is 2.5 years old and he still urinates in bed day and night. When he is awake, there are no such problems, even on the street he can endure 3-4 hours. What to do?

Victoria 10/03/2014 23:30

my child has the same problem, she is already 6.5 years old, but we can write every night, if we do not drop off after 1.5-2 hours (better after 1.5, I’ll be a little late and allooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo after falling asleep, I limit my drinking before going to bed, I’m already thinking about giving her a vibro alarm, so that she would wake up

Elina Bashkiria 07.09.2014 19:33

Hello. my son is 3 years 5 months old, he pees in bed at night, if even at night he was forced to pee in a pot in the morning, he even pisses into bed what to do. maybe he is unwell?

koz 09/02/2014 14:44

I wanted more advice

koz 09/02/2014 14:41

[email protected]

k4d67 09/02/2014 14:37

thanks I have such a problem girl soon five years, they still write at night what to do

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Recent comments

What if the child is peeing in a dream? This question takes many mothers exactly at the time when they decided that the baby is already fully accustomed to going to the potty, perfectly understands its purpose, and also knows how to ask to go to the toilet.

Here is a typical complaint of such a mother: “I don’t know what to do anymore. Since summer we have been sleeping without a diaper.before my son slept all night without peeing, did not wake up, and now I change bedding 2 times a night! At the same time, he sleeps, as if nothing had happened, wakes up only when the “job” has already been done. I don’t give a lot to drink at night, before going to bed I always go to the pot. Already desperate, should I act or let go of the situation and wait it out. Maybe it will work out by itself? ”

When is the norm to be written, and when is the pathology?

If the baby is not yet 4 years old, then small “accidents” during sleep will occur.The connection between the higher nervous system and the bladder is not yet so perfect that the baby feels the need to go to the potty every night. Such children may already be fully aware of their desires during wakefulness, but may not feel them in a dream.

The child writes in a dream and wakes up when he already feels wet. That is, discomfort is a stronger irritant than an urge to urinate. Gradually, the child’s nervous system will mature, and the problem will go away on its own.

If parents do not focus on it, this period will be painless. Just put in a change of pajamas, underwear in advance. And when the baby wakes up, put it on the pot and change them.

Should I wake my child up at night so that he goes to pee? No, you shouldn’t do that. In addition to informing him that “we have a problem” in this way, it will disrupt his sleep patterns. It’s okay that from time to time you will return to diapers again. The kid will not remember them, but the night will be calm for him and for you.

If a child writes in a dream when he is already 4 years old, then there is the likelihood of neurotic enuresis.

If it is a pathology?

As a rule, about 10% of children of preschool and early school age suffer from enuresis to one degree or another. Boys are more likely than girls.

You need to understand what is primary enuresis. It exists initially, when the baby was peeing in his pants all the time and never had the desire to ask for a potty.

There is secondary or neurotic enuresis.This is the name of the disease in the event that the child had a gap of about a year, when he successfully performed his business in the toilet. By the way, such children clearly have a family predisposition to urinary incontinence. Therefore, ask the parents of your significant other properly: if he or she had similar problems in childhood.

How is enuresis manifested?

Usually, complaints that a child is writing in a dream appear when a traumatic situation appears or repeats in his life.It can be a divorce of parents, another scandal in the family, a move, the death of a grandmother or a beloved pet. Cases of bedwetting occur in connection with physical punishment.

The personality of the child is also important. Urinary incontinence often occurs in children who are characterized by shyness, anxiety, self-doubt, fears, and impressionability.

These properties exacerbate the situation: at an early school age, these children begin to feel ashamed of their lack. Experiencing it as a feeling of inferiority.They are anxiously awaiting new urination, there is a fear of going to bed.

Often enuresis is combined with other neurosis-like conditions: tics, stuttering, tearfulness, irritability or moodiness.

How to treat?

If a child is peeing in a dream, first of all, you need to take him to the doctor. It is necessary to find out whether this pathology is neurological or there are any abnormalities in the structure of the genitourinary system.

Neurological enuresis is treated by a pediatric neurologist.Sometimes, for complex diagnostic procedures, it is necessary to go to the department.

An important point is the organization of the drinking and food regime. During the day, you do not need to restrict in liquid, but the last cup of tea you drink should be 3-4 hours before bedtime. The same applies to watching TV, outdoor games and reading fairy tales.

The most common diet is Krasnogorskiy. It lies in the fact that until 15 o’clock in the afternoon the child is not limited in liquid and food.Further, liquid food and drink are excluded. For dinner, dishes with a low water content are served, salted fish is allowed. The diet is carried out in a course of 2-3 months.

It is also important that your baby gets up and goes to bed at the same time. It is necessary to urinate before going to bed 2 times. Once – an hour before bedtime, the second – just before going to bed. There is no need to wake him up at night, this can cause anxious expectation and disrupt the process of falling asleep.

Among the medicines used are sedatives, tranquilizers with a hypnotic effect.Physiotherapeutic methods of treatment are used: electrosleep. darsonvalization, quartz on the pubis, sacrum, electrophoresis.

Re: The child writes in a dream

The doctor advised us this: I wake up at night, wake up the child as far as possible and take him to the potty. you need him to run with his bare feet on the cold floor and feel the whole moment that he went to do his business, and not just sat down on the potty half asleep on the machine and did not even understand what it was.

Re: A child is peeing in a dream

All children are different, if your daughter periodically pees, then it is absolutely not necessary to wake her up at night.Try to drink less fluids at night. Some children under 5 years of age have nighttime setbacks. And this does not mean at all that the child needs treatment.

Asks for a pot during the day, but not at night

Good afternoon,
we are 2 years and 5 months old. Consciously asking for a pot began at 2 years old. Now during the day he always asks to write and poop, but at night he wakes up on the pot only in very rare cases.
Tell me, at what age should I get up on the potty myself at night?
Can we turn to a psychologist?

We are still writing to bed

Hello! Please help, my son is 4.7 years old, and we still pee in bed, of course not often, but periodically.I try to lift it at night whenever possible, but I don’t always have time. Before that, I didn’t hurt, I thought it would pass, but it doesn’t go away, I was very tired of it.
For about 1 year they did not write in their daytime sleep, but yesterday the teacher in the garden said that she woke up wet.
Tell me what to do? Maybe you should get tested or undergo an ultrasound of the kidneys?

Re: We still write to bed

As I understand you, we write constantly, son 4.5, in the kindergarten for a month and a half in a daytime sleep was never dry.We passed all possible tests, did an ultrasound scan – everything is normal. Moreover, they began to take tests a long time ago, I sounded the alarm when Vanya and 2 were not there, and we are regularly taking tests now. We visited a neuropathologist – everything was within normal limits, we went to the surgeon, he didn’t even look at us, because until 5 years old, this is not treated with pills. In general, do what you want. Were treated by a homeopath, but while the drug works a little better, as the action passes, a full skiff sets in. I already just give up and I don’t know what else to do.

Re: The child began to pee at night

There are exceptions and children are peeing until the age of 6. However, your child has reasons why incontinence occurs. I would advise you to consult your prescribing doctors and neurologists again.
On your part, you can only limit the amount of liquid at night, raise and ask to pee at night.

Re: The child began to pee at night

From your side, you can only limit the amount of liquid at night, raise and ask to pee at night.

To be honest, we try to limit the liquid. And what about raising at night. I read that if you raise a child at night, then you need to wake him up completely so that he does not write half asleep, because on the contrary, it can reinforce the incontinence response. And it happens with us that after such wakes up, it is difficult for a son to fall asleep: sleep gets lost, he turns, turns, maybe for an hour and a half he does not sleep, and then in the morning he falls asleep. Of course, this is not always the case, but it happens. Maybe it’s better not to touch him? Well, it’s described – it doesn’t matter, I’ll wash it once more.Moreover, as a rule, the son urinates just before getting up (sooo rarely, when in the middle of the night)

Re: The child began to pee at night

You yourself answered your own question. So the ascent is not your option.

Re: The child began to write at night

Re: URGENT QUESTIONS. We ask in this thread!

Hello, pediatrician! There is a question for you, my son is 5 years old – he still wakes up in a wet bed in the morning, although everything is fine during the day.