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Treatments Available For Bed-wetting
Many treatments are indeed available for bedwetting problems. They can
be used in combinations or alone. They are as follows
1. Parental Waking
This is very effective. The parents must wake the child after a few hours
of sleep and encourage him to use the bathroom. The important thing here
is that the child must be fully awake to walk independently to the bathroom.
Parents must use minimal stimulus like calling child’s name, switching
on the lights, using a whistle, shaking the child’s shoulder, etc for
waking the child.
Initially the child may get confused or find it difficult to wake. If
so, try again after 20 minutes. The child must be awakened every night
at the time the parents go to bed continuously. This must be done until
the child himself wakes up or at least for a small sound. This has been
found successful.
2. Alarms
Alarms have been identified to be the best option of all. They just emit
a sound after the first indication of moisture which the child must recognize
and rush to the bathroom in time immediately. Over time, it is believed
that the child will learn himself to wake up whenever his bladder is full.
Sometimes the child may sleep so deeply that he will not wake to sound
of alarm. Hence a parental waking program must be developed to wake the
child for the sound. These alarms are very successful for treating children
10 years or above.
3. Motivational therapy
This treatment involves the parent to encourage and reinforce a sense
of control for the child to overcome bedwetting. Parents must constantly
say that he/she is capable of overcoming the problem easily with just
some efforts put in. They can in fact design a reward system if the child
stays dry. This will be a great encouragement. Sometimes, you can include
counseling sessions using a professional. The child must be willing to
participate in this. If so, this will be very effective.
4. Self-awakening training
This is mostly for children above 6 years. The parents must wake the child
from sleep for some days after which the child must get a practice to
wake up himself from sleep to use the bathroom. When both children and
parents are motivated, this can be effective.
5. Dry-bed training
This technique involves the practice of adhering to a strict schedule
of waking the child from sleep, whenever necessary and use the bathroom.
This must be continued for seven nights after which the child must wake
himself. If he again wets the bed for three consecutive nights, the seven-day
training must be adopted again. This involves less time but a greater
success in the long term if combined with other modes of treatment.
6. Drugs
Desmopressin and antidepressants have been found to be effective in overcoming
bedwetting. Though this is effective, soon after the medicine is stopped,
the bedwetting can resume. This is normally used for children above 8
years only after other modes have been found ineffective. They must be
used in combination of others, since only then the practice of taking
medicines can be stopped. Besides, they have side effects. It is just
an encouragement to the child saying that he can stay dry if he tries.
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