When a child involuntarily urinates at night while sleeping
Do not enter into the blame game…
If your child is bedwetting at night (also known as enuresis) do not enter into the blame game or become so frustrated that you make them feel naughty or ashamed. Do not accuse them of being lazy. Do not allow others to make fun of them and do not punish them.
Approximately 15% of children encounter enuresis (bedwetting)
Children achieve bladder control at different ages. By the age of 6 years, most children no longer urinate in their sleep. Bed-wetting up to the age of 6 is not unusual, even though it may be frustrating to parents. Treating a child for bed-wetting before the age of 6 is not usually necessary.
Bedwetting (enuresis), persistent bedwetting, beyond the age of three or four, is related to two reasons.
This can be explained as an imbalance of the bladder muscles. The muscle that contracts to squeeze the urine out is stronger, at moments, that the sphincter muscle that holds the urine in. Your child can have a bladder that is little or too small to hold the normal amount of urine. Or your child can produce more urine that their normal size bladder can hold.
Some children sleep so deeply that they are not aware of the message the bladder sends to the brain saying it is full.
Two types of Enuresis (bedwetting)
Bedwetting (enuresis) can be described in two ways:
1. Primary Enuresis:
I. Primary Enuresis
If your child’s has never been dry at night and the problem continues into the school years. It is most likely related to a physically and/or neurologically immature bladder and deep sleeping pattern.
If your child begins bedwetting after several months or years of dryness during the night enuresis can be stress relating to your child’s fears or insecurities. Some changes or events that can be attributed to your child’s emotional stress are starting school, moving to a new home, parents conflict or divorce, losing a family member or loved one, the arrival of a new baby or child into the home. Children who are being physically or sexually abused sometimes begin bedwetting.
The management of secondary nocturnal enuresis involves identifying and addressing the underlying stressor.
Ways to help your child stop primary enuresis;
Even though most children outgrow bed-wetting on their own there are behavior therapy techniques you can teach your child to help stop nocturnal bedwetting.
Offer Positive Emotional Support to Your Child:
It is only logical to believe that your child feels guilty and embarrassed for bedwetting. Your expressed frustration regarding your child’s inability to control their bladder will only make matters worse. Negative comments will cause your child to have low self-esteem and create behavior problems that will be more difficult to change. Remember your child is not bedwetting to make you mad and punishing them will not solve the problem. Try to be patient as you and your child work together to get through this period of growth.
Help your child cope emotionally with bedwetting
If you or your child are having emotional difficulty dealing with this or another emotional issue or if your child has developed a behavior problem please call 708-224-8528 for a free phone consultation
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