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Children Bedwetting – When is Investigation Warranted ?

All parents alike look forward to the next milestone their children achieved as they grow. Some of these parents are very eager that they expect everything to fall into its place naturally. However, there is truly no fixed time in a child’s growth that the children bedwetting could be avoided overnight, and diapers can be kept and packed away.


Bladder Control

Bladder control cannot be hurried and each child has his own timetable for this particular milestone of avoiding children bedwetting. Giving too much pressure on the growing child before he is ready can in fact hinder the achievement of this important milestone. Toilet training is a phase that may seem terribly important but should not be magnified into unrealistic expectations on the child.


Children Bedwetting

When then should parents seek help? When should an investigation for children bedwetting warranted? These are definitely questions that anxious parents ask when the child still wets his bed. As a rule of thumb, children with isolated primary nocturnal enuresis (i.e. persistent children bedwetting at night without a period of dryness since the child is toilet-trained) are normal and do not have any kidney or bladder problems. This is interpreted as if the child does not have any daytime wetting or other symptoms pointing to the urinary tracts, but only wets his bed at night, then his condition is entirely benign and he needs no investigation.

On the other hand, if the children bedwetting occurs after a period of dryness (secondary nocturnal enuresis), or when bedwetting at night is not isolated but is associated with wetting during the day, then a urinary tract infection and psychological stresses or causes have to be ruled out. Examples of such possible stresses include going to a new school, arrival of a new baby in the family or even parental discord.


Children Bedwetting Signs that Warrants Medical Attention

Parents should also look for signs such as that warrant a medical consultation:
* pain on passing urine
* frequent passage of urine (> 7 times a day with a normal water intake)
* frequent urge to pass urine
* straining when passing urine
* poor urine stream
* abnormal posture such as squatting on heels
 

 

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