Bedwetting, also known as enuresis, is a condition whereby children wet the bed. It is fairly common in children and is only considered abnormal if it happens consistently over the age of 5. There are many reasons why children may wet the bed, but laziness is not one of them. It is important as a parent to be open-minded when it comes to this condition.
The only and major symptom of bed-wetting is bedwetting.
Causes of bed-wetting:
The reason why the age of 5 is the cut-off is because this is believed to be the age when bladder control is achieved. Call our doctor if:
Diagnosis of bed wetting is made through a thorough history. The doctor will first rule out whether or not your child has an underlying condition that is causing the bed-wetting. They may then do a physical exam followed by a urine exam to rule out diabetes. A physiological exam will then rule out emotional stress of any other psychological problems. In most cases however, there is no cause found for the bed-wetting.
When should you worry about bedwetting?
The above symptoms point to a urinary tract infection and may need further investigation. It may also be diabetes or an abnormal urinary tract.
If a child who was previously okay begins bedwetting, they may be undergoing a mental problem at school or at home that may need to be addressed.
Medication for Bed Wetting
Most children who wet the bed do not need any medication. Sometimes however our doctor may recommend medication after a careful analysis of the child’s individual condition.
The most common drug given is known as DDAVP, it works by reducing the amount of urine your child produces at night. It is reserved for children who fail to show improvement even after the use of the alarm system. It may also be used by children who are attending school camps and sleep overs.
DDAVP is safe to use as long as you never exceed the recommended dose. It is also ideal that you limit the amount of fluid intake. It has a good response rate and children may experience a dry night after the first try.
Call us for an appointment with our Paediatricians at Kids Health Space.
This refers to the inability to pass stool or passing of minimal very hard stool accompanied by pain. There are many causes of constipation because it is by far one of the most common childhood conditions. About 30-40% of children each year suffer from constipation and therefore as a parent, it should not be a cause of worry.
Symptoms of constipation:
Causes of constipation:
Imitators of Constipation:
Breastfed and over a year old – This is because their body is adapting to eating solid foods and they may take some time to find routine.
Straining babies – In young babies, straining is normal as they are simply trying to push stool against gravity. Redness of the face while pushing stool is normal. Brief straining may occur at any age
Large stools – Keep in mind that children who eat a lot are also more likely to pass more stool and this is absolutely normal.
Treatment of constipation:
An enema may be used to encourage bowel movement
The child may also be put on a laxative although for a short period until the constipation passes.
Laxative options for children
These are tablets or liquid that are placed in your child’s bowel that cause the rectum to empty. Never give an enema to your child unless the doctor tells you to.
Call us for any concerns regarding constipation and book an appointment with our Paediatricians or Paediatric Gastroenterologist (Dr Thacker) at Kids Health Space.