Bedwetting or nocturnal enuresis is a condition where the child continues to pass urine in the bed during his or her sleep. There are two types of bedwetting, one is called the primary bedwetting where the child has never attained dry by night status. The majority of children do attain this status before the age of five years. In secondary bedwetting, the child has attained the status of dry by night and again resorts back to passing urine in the bed. This could be because of neurological conditions or diabetes or urinary tract infections. Now primary bedwetting is a common cause and it can have a major psychosocial impact on the child and the parents. There are also practical issues involved with the change of linen and the clothes of the child. One of the key things we need to recognise is not to blame the child for this condition.
Once the child is beyond five years and continues to have this problem, it is better to seek medical help. However, some of the common things which a doctor practises are, we encourage children to drink adequately in the day time but restrict their fluids in the nights. Preferably, we do not give any liquids two hours before the child sleeps. The other thing which we can do is asking the child to empty the bladder before the child goes to sleep. Waking the child after one or two hours after sleep and again making the child pass urine. Also you could utilize positive reinforcements like star charts, where you give a tick mark for the nights where the child has been dry. If all these measures fail, again medical help has to be obtained where the doctor could prescribe a medicine to help achieve control over the bladder .
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