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Control infant enuresis It is a difficult mission, but not impossible because it is generally due to medical causes that can be treated. TheDr. Juan Carlos Ruíz de la Roja, book authorWhy do children wet the bed? Answers from a doctor, assures in this interview GuiaInfantil.com that in 90 percent of cases infantile enuresis is hereditary. The treatment of enuresis in children in each case will depend on the diagnosis to determine the causes.
Is enuresis inherited from parents to children?
Enuresis is a hereditary problem, to the point that in 90 percent of cases there is a family inheritance, which can come from fathers, mothers and even close relatives such as uncles. Assuming both the father and the mother have urinated, it is likely that 75 percent of the offspring have the problem and, if only the father or mother have urinated, about 50 percent of the children will suffer from enuresis.
Why do girls put off their diapers earlier than boys? Is it easier to get toilet training in girls than in boys? If so, why?
The problem of enuresis lies in a delay in the maturation of the bladder, on the one hand, and on the other, in hormonal maturation. In such a way that these children have a smaller bladder and a greater production of urine. With the growth and development of children, the problem of enuresis disappears. But what is the matter? That boys usually take longer to mature than girls and, for this reason, girls gain control over their toilets earlier than boys.
What is enuresis? When can you say that a child has enuresis? From what age is a child considered to have enuresis?
A child becomes enuresis when he has reached the age of 5 years and continues to urinate a minimum of four nights over the course of a month, for at least three months. If the child meets these requirements, we must consult a urologist.
What is the right time to take children with urinary incontinence problems to the doctor?
We must take the child to the specialist or the urologist whenever the child is 5 years old and we have not been able to remove the night diaper. In 90 percent of cases, infantile enuresis has a medical cause and must be diagnosed by performing medical tests, which are very simple, but which can lead us to know the exact cause for which the child urinates to choose the most appropriate treatment.
What can cause enuresis in children? Where do the causes of childhood enuresis reside? Are they more physical or psychological?
The causes of childhood enuresis are medical in 90 percent of cases and psychological in the remaining 10 percent. Among the medical causes, the most common are, on the one hand, that children produce more urine than normal due to diabetes, for example, or, on the other, that they have a delay in the maturation of their bladder, which means that have a smaller bladder, and therefore, retain less urine. Among the psychological causes, the beginning of school, the separation of parents or the birth of a sibling are the most common.
What physical or psychological consequences can a child with enuresis suffer?
The consequences of wetting the bed are tremendous, especially from a psychological point of view. They are children who socialize much worse because they usually do not go to camps, they do not go to friends' houses to sleep and they are children who sleep poorly because they think that in the middle of the night they are going to urinate, and stay awake, their sleep is not deep that makes the child's school performance much lower.
Should the boy or girl be punished for urinating on the bed? What consequences can punishments represent to the problem of enuresis in children?
You should never punish a child who urinates in bed at night because in 90 percent of the cases the child has a physical problem that he cannot control. Therefore, the child is not guilty of what happens to him. If on top of that we punish him, it is a double punishment or suffering because the child does not want to urinate, it is a physical cause that he cannot control. If we punish him we can cause him a psychological disorder and end with fears and problems that may affect him when the child is an adult.
Should parents give prizes to children who make progress in bedwetting treatment?
Children with enuresis, on the other hand, do have to be rewarded. If our son begins to advance because he no longer urinates, these children must be rewarded. Within enuresis we have to talk about positive stimuli and never negative ones. The child should never be repressed or punished for peeing on the bed.
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