To determine the causes of enuresis in children and prescribe the right treatment therapy, parents should refer their children to specialists such as a pediatrician, urologist, gynecologist, or neuropathologist.
Going to a doctor is recommended for children over the age of 4 when they “wet their bed” more than once in 21 days. Children over the age of 6-10 with enuresis problems should be examined by a urologist.
In addition, the following tests should be performed in enuresis:
• urofloumetry (assessment of the functional status of the bladder);
• cystography (rengrenography of the bladder filled with a special contrast agent);
• Ultrasound examination of the kidneys and bladder;
• Cystoscopy (as directed).
There are now more than 300 types of enuresis treatment, which can include: physiotherapy, special diets, acupuncture courses, autotraining, various medications, and even hypnosis.
General tips for parents of children with enuresis:
• Support your child, point out that many children in the world have similar problems.
• Do not insult or punish the child if he urinates. This is not his problem, it is a common problem and should be solved together.
• Do not wear diapers before bedtime, most 4-5 year olds with enuresis are children who have been in diapers for a long time. Pampers are worn at certain times: when walking, on a visit, or on a long trip. Pampers should be forgotten by children by the age of one and a half. Parents, on the other hand, should teach the child to use the toilet during this period.
• Reduce fluid intake in the evening and at bedtime (4 hours before bedtime). It is best to drink the portion that requires fluids in the first half of the day and until the evening.
• Get your child used to going to the toilet before bed.
• Ensure that children ages 6-7 follow a specific daily regimen, ensuring that they do not go to bed later than 21pm.
• Various triggers before going to sleep: try not to play active sports, not to show "scary" movies.
• In some cases, parents force their child to urinate by waking them up for a certain period of time to prevent them from urinating. Doctors advise not to do so. Because in this case, children do not fully wake up, and perform their needs in a state of partial sleep. This leads to the strengthening of the mechanism of enuresis in them.
• If the child is afraid of darkness or loneliness, try not to turn off the night light in his bedroom, leave the door to your bed open to yourself.
• Praise even if there was a “drought” at least one night.
Medications
Drug treatment is usually prescribed by a doctor and the following medications are used:
• Hormones: Adiuretin SD (Desmopressin) - is prescribed in the form of drops or aerosols when enuresis develops due to hormonal deficiency, ie when the release of vasopressin is reduced. Treatment with this drug is carried out in conjunction with psychotherapy for several months.
• Psychostimulants: Mesocarb (Sidnocarb) - affects the overall tone of the smooth muscle tissue in the body, including the bladder.
• Caffeine.
• Antidepressants: Imipramine, Amitriptyline.
• Adrenomimetics: Ephedrine. Its effect is explained by its psychostimulant effect.
As a result of proper treatment, enuresis disappears completely in 30% of children in a short time, and sharply decreases in the rest.
Other methods
Dolphin therapy is a type of psychotherapy in which enuresis disappears as a result of contact with dolphins. Hypnotherapy is a method of persuasion that uses classical and Erickson hypnosis.
Phytotherapy - sedative sedative herbs: mint, varleriana, motherwort and others.
Contrast shower - Contrast shower is taken in the morning for the purpose of physical interaction.
Bath of coniferous trees.
Improving family relationships, solving children's mental and school problems.
Enuresis in a child requires serious consideration. A course of treatment that is not completed will lead to a recurrence of the disease.
