The preschool age is most common problem nocturnal enuresis and should draw attention to several facts that may be useful.
Nocturnal enuresis can be extended to school age, which is the ultimate limit to which it must establish a normal control.
If nighttime urination occurs again after he had already once been established control (secondary enuresis), caution is justified to explore the possible organic causes (neurological disease, endocrine disease or urinary tract) or psychological problems.
Symptoms that suggest organic causes of nocturnal enuresis:
. Excessive urination at night - if the urine volume was greater than + 1 x 30 ml (urine of the "escape" in a diapers or bedding should be measured by weighing)
. If your child urinate more often than 6 times during the day, provided that you do not take excessive amounts of fluid
. "Running away" urine during the day
. The sudden and strong urge to urinate that the child has little control
. If urine does not flow while urinating in a continuous stream, but he often interrupted
. Constipation (constipation)
However, if control was never established to be patient and try not to express their (parents') frustration with the problem. To help achieve this goal needs to know that the child does not have to establish control of nocturnal enuresis until school age.
Children who wet at night are often very sensitive, emotionally demanding children. Expression of parental frustration makes them feel guilty and often exacerbate the problems.
I recommend a very calm and gentle approach, but it's also important to express a certain degree of strength, a certain degree of faith that the child can gain control over urination and determination must assume some responsibility for the consequences of urination. Therefore, a child should actively participate in night-coating bedding and sleepwear.
The use of night nappies do not suggest that it prevents the effect of discomfort that occurs due to wet clothing.The absence of discomfort prevents formation of reflex control and the problems of establishing lasting much longer.
It is recommended to spend the day "training" bladder retention of urine as long as possible. This increases the bladder capacity and increases the threshold of his feelings of fullness and trigger the process of discharge.
Care should be taken that the child goes to urinate just before going to bed. Preventive wake up at night is generally not recommended, especially in children who expressed dissatisfaction because they can be.
It is useful to diminish the amount of fluid after late afternoon.
Children who have a habit of continuous drinking soft drinks bottle (tea, soft drinks) usually drank a lot more fluid than they should be fair, they drink out of a sense of pleasure in the mouth (mulberry, sweet flavor).
Children at this age (after the age of three) would have to meet their emotional needs through other channels, in other ways. Word of the game in which a parent provides all of its heat gradually replaced pleasures of mulberry and sweet drink.
Children with enlarged tonsils and generally breathe through your mouth to drink more fluids because of the feeling of dryness in the mouth. Thus, for some children, nighttime urination can occur in the cold stage, when they are fully closed and nose when you drink more fluids.
Nocturnal enuresis, which extends the school children require specialized medical attention.
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