How to teach a child not to write at night. What to do if the child is writing. Enuresis and comorbidities

Nighttime urinary incontinence in children under 5 years of age is considered normal. Unfortunately, there are children who, even at the age of 7-10, sometimes wake up on wet sheets. In addition to the fact that the child is uncomfortable waking up in a wet, cold bed, he is also very ashamed. You can get rid of nighttime troubles only by establishing an accurate diagnosis of the disease that caused nocturnal enuresis.

What can provoke enuresis in children aged 7-10 years

Processes that contribute to bedwetting at night (enuresis) in young children school age, are represented by the physiological and psychological component. A wet bed when waking up causes trouble not only for the child, but for all family members. Most often, bedwetting occurs in boys and disappears in them by the beginning of adolescence.. This does not mean that the situation that has arisen does not need to be dealt with. If a child pees at night, he feels psychological discomfort, is ashamed and withdraws into himself.

The manifestation of nocturnal enuresis is caused by several reasons.

1. Causes of a psychological nature

By the way, the nervous stress experienced by the baby can provoke bedwetting.

• Change of environment (change of residence or transfer to a new school).
• Family conflicts.
• The loss dear person or a four-legged pet.
• Exam or test papers at school.

In most of these cases, enuresis resolves without outside intervention, but sometimes the help of medical professionals may be required.

2. Failure or immaturity of the central nervous system

The body does not receive a signal that the bladder is full and that it is time to empty it. This reason is one of the main contributing to the manifestation of enuresis.

3. Hereditary factors

If both mom and dad suffered from the problem of nighttime urination, then the probability of its occurrence in a child is almost 80%, and if one of the parents, then up to 45%.

4. Cold weather

Children are more sensitive to a strong drop in temperature.

5. When the child is often raised to the toilet at night

He can sometimes wake up on his own and it will work quickly for him. conditioned reflex to urination.

6. Malfunctions of the endocrine system

In this case, the child manifests not only enuresis. He noticeably increases sweating, swelling of the face or a tendency to be overweight.

7. Hormonal imbalance

8. Pathological abnormalities in the urination system

9. Infection in the genitourinary system or vaginal infection (in girls)

10. Weakened functions Bladder or kidney

The problem of enuresis during night sleep at 7-10 years old can be quite prosaic. It's just that the baby has a healthy, sound sleep, or the root cause lies in the large amount of liquid, fruit or cold foods that he consumed before bedtime. Treatment in these cases will consist in the timely control of children.

Which doctor will help children get rid of enuresis

First of all, parents, faced with nocturnal enuresis, turn to the pediatrician. As a rule, the doctor advises to wait a little, arguing that over time the problem will disappear. AT best case, he will assign general analysis blood and ultrasound internal organs.

It is not necessary, on the advice of a doctor, to wake the child more often at night. This can only make the situation worse. Because of the frequent getting up at night, the child may then show symptoms of childhood neurosis.

A good pediatrician should determine what kind of specialist the baby will need and give a referral to a pediatric urologist, psychologist or neurologist. Only a complete examination will help determine what caused urinary incontinence during a night's sleep.

Do not wait for the problem to "resolve" without medical intervention. Consult a doctor at the first manifestations of the disease.

Methods of dealing with enuresis, depending on the causes of its occurrence

After a complete examination and discovery of the causes of the disease, the doctor decides which method to use to solve the problem in a particular case.

Treatment with medications

• One of effective means from children's enuresis drug Adiuretin-SD is recognized which contains desmopressin. It is an analogue of vasopressin, a hormonal agent that normalizes the process of excretion or absorption of free fluid by the body. The drug is released in the form of drops in the nose and is prescribed to children from eight years of age. For a baby who has not reached this age, the doctor reduces the dosage.
• For bedwetting to improve children's sleep may prescribe tranquilizers having a hypnotic effect. (Radedorm or Eunoktin).
• With a neuropathic manifestation of the disease, Rudotel is prescribed, Atarax or Trioxazin (children over 6 years old).
• Neurological bedwetting is treated with amitriptyline. However, its use under 6 years of age is contraindicated.
• To increase the volume of the bladder, prescribe Driptan in tablets.
• To improve brain function, prescribe sedatives such as Persen, Nootropil, Novopassit, B vitamins, vitamin A and E. Pantocalcin may be prescribed. With its help, the development of impulses responsible for the assimilation of new skills is stimulated.

You can use these funds only as directed and under the supervision of a physician. In order not to harm the child, strictly adhere to the prescribed dosage.

Non-drug therapy

When the problem of bedwetting is psychological in nature, no medication will help unless irritating factors are excluded from the life of a student. First of all, you can not scold the child for a wet bed or tease and mock him. This will only make the situation worse.

Fear of punishment or ridicule will provoke the development of the disease. You can’t tell strangers about the problems of your son or daughter, especially in their presence.

Creating a favorable microclimate in the family is the first step to success in the fight against childhood enuresis.

In addition, other factors contribute to the solution of the problem.

• Daily regime. It is necessary to properly organize the time of rest and study of a teenager. He should avoid heavy loads that lead to overwork, and increase the duration of sleep. The last meal should be 2.5-3 hours before bedtime. In the evening, you need to limit the intake of liquids, especially juices, dairy and sour-milk products.
• Bladder training. The procedure begins at the age of seven. The child is taught to delay the process of urination. Track when the baby goes to the toilet, offer him to be patient a little more. Slowly increase the delay time. This will help develop bladder control.
• motivational therapy. The method is highly effective, allowing to solve the problem of nocturnal enuresis in 80% of children. The best doctor in this case is the child himself. The essence of the method is very simple - encouraging children for every dry night. One child needs simple praise, another needs new toy, bike or skates. Hang a calendar over your son's or daughter's bed, marking all the dry nights on it. Agree with the child that with a certain number of dry nights per week or per month, the baby will receive a long-awaited gift. If he fulfills his part of the agreement, you must, without any excuses, fulfill yours.
• Physiotherapy. The procedures contribute to the improved functioning of the nervous system, brain and bladder. As medical procedures, to ensure a dry bed for the crumbs, electrophoresis, acupuncture, magnetotherapy are used, electrosleep, circular showers and therapeutic exercises are used.
• Psychotherapy. The specialist teaches the child self-hypnosis and relaxation techniques. In the process of training, the reflex connection between the bladder and the nervous system, weakened for various reasons, is restored. With severe neurotic enuresis, therapy is used for depressive mood shift - tearfulness, fear, irritability or anxiety. An important role in this is played by family psychotherapy, that is, the creation of a favorable climate in the family and the comprehensive support of the child.

Folk methods of dealing with bedwetting

Traditional medicine with its recipes can also become an assistant in the fight against the disease.

1. A tablespoon of dill seeds brew a glass of boiling water and insist 1 hour. Up to 10 years old, drink half a glass in the morning on an empty stomach.
2. A decoction of St. John's wort leaves is added to the compote of lingonberry berries, and give the child to drink several times a day. The tool helps well with incontinence, which is caused by psychological factors.
3. One liter of boiling water pour 2 tablespoons of rose hips and let it brew. You need to drink infusion several times a day, replacing them with tea or compote. Rosehip not only helps to cope with enuresis, but also has a general strengthening effect on the entire body.

Traditional medicine offers a huge number of recipes for enuresis. But, before using them, do not forget to consult with your doctor.

For treatment to work, family members must be the moral support for the child. Praise him for every dry night, do not scold him if the bed suddenly turns out to be wet again.

It is necessary to reassure the beloved man, to inspire him that all this can be got rid of and that he is able to cope with the problem that has arisen. Feeling the full support of loved ones, the baby will quickly cope with such an unpleasant phenomenon as nocturnal enuresis.

Enuresis treatment with folk remedies - Recipes.

The first part of this article lists folk remedies for the treatment of enuresis in children, in the second part - the treatment of enuresis in adult men

How to cure enuresis in children

• Treatment of nocturnal enuresis in a boy by suggestion:

The boy was already 3 years old, and at night he still wet the bed. One evening grandma

ka, putting him to bed, said: “Now we will close your pisyun with this key, and at night we will give the key to grandfather to keep it, and in the morning, when you wake up, we will open it for you.” She showed the child the key, twisted

they have a grandson near the tummy and gave the key to grandfather. In the morning, when the grandson woke up, grandfather was already standing next to the key, turned it around the child's tummy and sent it to the toilet. The bed was dry that night. They did this for 8 days until

and the grandson did not say that now he would close and open the lock himself. How to get rid of enuresis

• Children's enuresis - aspen treatment:

1 st. l. bark, aspen twigs pour 1 cup boiling water, boil for 10 minutes. Take 1/2 cup 3 times a day.

The woman gave this remedy to her 7-year-old son. He drank a weak infusion of spring aspen bark instead of tea, but without sugar. Gradually, the boy's nocturnal enuresis disappeared.

• Treatment of enuresis with bird cherry:

The recipe is similar to the previous one, but instead of aspen bark and twigs, bird cherry bark is taken. The drink is not as bitter as the previous one, so children drink it more willingly.

• How did you manage to cure nocturnal enuresis in a boy:

The boy was already 6 years old, but every morning, if his parents did not raise him to the toilet in the middle of the night, the bed turned out to be wet. A relative managed to cure enuresis in a child simple method. Before going to bed, she dipped a cotton ball in water, squeezed it out so that it would not drip, and ran this wet cotton ball along the child’s spine and cervical vertebrae to the coccyx, back and forth 5-7 times. At this time, she read the prayer "Our Father". Parents asked the boy not to wake up at night. The bed was dry in the morning. Six months after nervous breakdown the child had a relapse. The method with cotton wool was repeated. 6 years have passed since then, the boy is doing well. (Healthy lifestyle 2009 No. 18, p. 9)

The same recipe was advised to the mother of a boy suffering from enuresis, a teacher kindergarten. Urinary incontinence in the child passed very quickly and forever.

• Treatment of childhood enuresis with viburnum roots:

It was time for the boy to go to school, but every night he wet the bed. Parents worried, treated him different means but all in vain. Once a gypsy woman came to them, who suggested a folk remedy for enuresis. Wash 15 pieces of viburnum roots 8-10 cm long, pour 2 liters of cold water. Bring to a boil and simmer over low heat for 40-50 minutes, insist, strain. Drink warm half a cup, adding a little honey, 3-4 times a day. The boy managed to cure enuresis with the help of this drink (HLS 2008 No. 19, p. 30)

• Birch buds:

1 st. l. crushed birch buds, pour 1.5 cups of boiling water, cook for 5 minutes on low heat under the lid, leave for 1 hour, wrap well, strain, squeeze. Take half a glass 2-3 times a day 20 minutes before meals. The course of treatment of enuresis is 2-3 weeks.

• Treatment of enuresis in a child with sugar, honey and sweets:

A woman managed to cure a 10-year-old boy living in the neighborhood from enuresis in such an unusual way: in the morning on an empty stomach, the child should eat 1 teaspoon of granulated sugar, on the second morning - 2 teaspoons, etc. On the 10th morning, you need to eat 10 tsp and start reducing one spoon at a time: at 11 in the morning - 9 spoons, etc. You can’t drink sugar. The course of treatment is 1 cycle.

There are many other examples confirming this method: children can be cured of nocturnal enuresis with the help of sugar, honey, caramels.

• These are the examples:

In the evening, when the child has already prepared for bed, let him suck on one caramel. You have to suck, not chew. In this case, the child should sit in bed, and not lie down. This should be done every evening for 2-3 weeks. The effect of the treatment will come necessarily.

To cure nocturnal enuresis in children, it is necessary to give them honey before going to bed, it is impossible to drink honey with anything, immediately go to bed. Children under three years old - 1 tsp. honey, from three to five - dessert, after five - a tablespoon. (2006 No. 17, p. 33).

If you want to cure a child from bedwetting, give him 2-3 days before bedtime for half a glass of water, stirring 1 tsp in it. honey.

• Enuresis in a girl and a hornet's nest:

A girl under 7 years old suffered from nocturnal enuresis. They managed to cure it like this: they found a large wasp nest in the attic, 15-20 cm in diameter. They removed the dust from it, put it in an enamel pan, poured 3 liters of water and boiled for 1 hour. This decoction was given to the girl instead of water 4-5 times a day. When the decoction was over, the nest was again flooded with water, but they had been boiling for 3 hours.

After the girl drank the second portion of the decoction, her nocturnal enuresis disappeared. (Healthy lifestyle 2007 No. 18, p. 33)

• Treatment of cystitis and enuresis in a child with parsley:

The boy suffered from cystitis and enuresis for a long time. He took a lot of medicines that did not help, but simple parsley helped.

Parsley roots should be washed, chopped and dried. 2 tbsp. l. roots pour 1 liter of boiling water, boil for 2-3 minutes. Insist 40 minutes. Give this decoction to the child instead of some water. The boy drank about half a liter a day, that is, the portion was enough for 2 days. It took only a month for the child to sleep peacefully. The cystitis also went away.

Parsley also helps - young children with urinary incontinence are given a decoction of the leaves, it is also useful to eat in the summer, as much fresh parsley as possible.

• Belarusian folk remedy for enuresis:

Take the bladder of a pig (but not a boar), soak it in salt water for several days, changing the water. Then soak in water baking soda. Then slightly boil the bubble, scroll through the meat grinder, add minced meat, stick cutlets, freeze. In the morning, fry 1-2 cutlets and eat on an empty stomach. Eat a slice of bread. The course of treatment is 9 days.

• Children's enuresis - treatment with thyme:

Thyme brewed and drunk like tea is a very effective folk remedy for enuresis. The woman took orphanage adopted child. The boy was 12 years old and suffered from enuresis. She began to give the child tea from thyme, after three months the disease was gone. True, the woman woke him up during treatment 3 times a night at the same time.

• Goat milk treatment:

The boy suffered from enuresis from birth. He was treated by a neurologist, in children's sanatoriums, but nothing helped. A familiar nurse advised to give the child fresh goat's milk, by that time he was already in the 5th grade. They began to take milk from a neighbor, in the morning and in the evening. The boy did not want to drink at first, but then he got used to it and began to ask for it himself. They drank milk for a year, and everything was removed.

Enuresis in adolescent and adult men

It often happens that nocturnal enuresis in boys does not go away for a long time, and even as teenagers and adult men they continue to wake up in a wet bed 1-7 times a week. In this case, the folk remedies listed above can help: aspen or bird cherry bark, dill seeds, parsley decoctions. Enuresis alarm clocks are very effective in the treatment of nocturnal enuresis in adolescents.

• Clay treatment:

This recipe helps with enuresis in children and adolescents, as well as involuntary leakage of urine in the elderly.

Somehow she came across a book where it was written that even cancer can be cured with clay. She began to make clay compresses for her son - she put hot clay on napkins, put one napkin with clay on the bladder area, the other on the lumbar region. When the clay cooled, I used two more napkins with fresh hot clay. Changed napkins until 20 minutes were up. Already after the fifth procedure, the teenager's pants became drier, he did not urinate in bed. In total, it took 10 procedures to completely cure enuresis in a teenager. (Healthy lifestyle 2008 No. 20, pp. 9-10)

• Enuresis in men - herbal treatment:

The most reliable remedy for urinary incontinence was considered by folk healers to be tea from a mixture of St. John's wort and centaury, taken in equal proportions. The man had an urge to go to the toilet every 30 minutes, after he started drinking tea from these herbs, the time increased to 1.5-2 hours.

Here is another recipe for enuresis: pour 100 g of galangal root into 500 ml of vodka, leave for 7 days. Take 1 tbsp. l. 2 times a day.

• Enuresis in adult men:

This method can be used to treat both children and adults, pre-conscripts were also treated. At young man until the age of 17 there was nocturnal enuresis, neither pills nor procedures helped. And this folk remedy helped to cure the disease.

A few minutes after the child went to bed, you need to approach him with a piece of herring and feed him. After that, say with him: “I won’t write to bed today.” Do this procedure every evening. The course of treatment is 10-15 days.

• Enuresis in men - horsetail treatment:

This recipe helped to get rid of enuresis to the author of the letter, besides, it was tested on relatives and friends. It is necessary to put in a half-liter jar 2 tbsp. l. horsetail, pour boiling water, insist 1-2 hours. Drink warm 20 minutes before meals. Daily rate - 500 ml. The course of treatment is 7 days.

Enuresis in older men

• Treatment of urinary incontinence with herbs:

In older age, enuresis in men has some other causes than in adolescents and young men. This is due to age-related changes in the genitourinary system, muscle atrophy, problems with the prostate gland. In men, with age, the size of the prostate increases, the lumen of the urethra narrows, frequent urination is replaced by difficulty, the bladder is not completely emptied, it stretches, and the muscle “dries out”. In the last stage of this process, urine drips or oozes from an overflowing bladder.

If enuresis is accompanied by inflammation of the mucous membrane of the bladder (this is often the case with prostatitis in men), then for treatment it is necessary to choose folk remedies that, along with the treatment of enuresis, relieve this inflammation. It must be remembered that the bacteria that cause inflammation die in an acidic environment, rosehip teas, or a mixture of centaury and St. ), decoctions from the bark of viburnum, an infusion of berries and lingonberry leaves in half with St. John's wort, an infusion of dill seeds are well-known remedies for enuresis

• For nighttime urinary incontinence, the following recipe will help:

Take 2 parts of parsley seeds, 2 parts of horsetail, and 1 part of heather, hop cones, lovage root, bean wings. 1 st. l. brew the mixture with 1 glass of boiling water, drink during the day.

• Urinary incontinence in men after removal of prostate adenoma:

An elderly man had an adenoma of the prostate removed, after which he suffered from urinary incontinence for several years. He did not agree to a second operation to correct the bladder neck, and turned to the newspaper Vestnik ZOZH for advice.

Doctor med answered him. Sciences Kartavenko V. V. who advised the patient to cope with enuresis using gymnastics aimed at strengthening the rectus abdominis muscles and long back muscles. Strengthening these muscles helps strengthen the walls of the bladder.

To strengthen the rectus abdominis muscles, you need to lie on your back, fix your legs and raise your upper body. To strengthen your back, you need to do the same, but only lie on your stomach (HLS 2011 No. 21, p. 14)

• Walking on the buttocks treats frequent urination and adenoma in men:

Frequent urination in old age occurs in a large number of men. There is an easy way to get rid of this problem - walking on the buttocks.

The man got up at night to go to the toilet every 30 minutes, because he had an adenoma. After he included walking on the buttocks in the exercises, he gets up only 1-2 times at night.

In addition to enuresis, this exercise - walking on the buttocks eliminates constipation, treats prolapse of internal organs, hemorrhoids, strengthens the muscles of the abdomen and back.

All folk ways treatments may be contraindicated. Before using prescriptions, consult your doctor!

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Bedwetting in children from a year to 5 years or more is a common occurrence in our age of diapers. This unpleasant phenomenon (among doctors it is called enuresis) spoils the life of both children and parents. Sad statistics suggests that in recent years the number of cases of this disease in children has increased. The reasons may be different. Below we will consider the main ones, and also try to answer the question: what to do if the child pees at night.

Causes of bedwetting in children

It often happens that parents begin to sound the alarm early and try to see something unnatural in the behavior of the child. Even if a baby of 3-4 years old peed himself at night, there is nothing to worry about. Childhood is the main cause of bedwetting in children. Until the age of five, babies are often unable to control urination at night. This is due to too deep sleep. It is worse if “surprises” happen to the child in the daytime. In this case, it would be useful to consult a doctor, although, most likely, no deviations will be found.

Psychological reasons

In some cases, bedwetting in a child is a consequence of psychological trauma or other psychological problems. These include:

• uncomfortable atmosphere at home;
• frequent quarrels and scandals in the family;
• a lot of pressure on the baby from the parents;
• lack of parental attention
• too busy days;
• constant stress;
• jealousy of younger or older brothers and sisters.

All these problems make the baby live in constant stress all day long (often constipation occurs against the background of this, it is difficult for the child to go to the toilet for small needs during the day). Only at night the body can relax and do its own thing.

Physiological problems

These include deviations in the development and health of the child:

• kidney problems;
• diseases of the urinary system;
• diabetes;
• psychical deviations;
• neurotic disorders;
• taking certain medications (enuresis is a side effect).

Most often, children of the second or third year of life and older are written at night.

If there is any of the above deviations, enuresis manifests itself not only at night, but also during the day. In this case, urgent treatment is necessary.

When does a child stop peeing at night?

If bedwetting every night is not caused by a disease or a psychological problem, but by age and imperfection of the urinary system, then at a certain age this “ailment” should disappear by itself.

Different doctors call different data. According to some, 90% of children outgrow childhood (primary) enuresis by the age of 8-9 years.

Others believe that as early as 5 years children's body can cope with the functions assigned to it and the child will stop writing at night.

Anyway, if after 5 years you often find the baby's crib wet, then it is better to consult a pediatrician.

Is a diaper needed?

Many doctors tend to think that the main reason for the frequent cases of childhood enuresis lies in the popularity disposable diapers. They allow the child to always stay dry and inhibit the natural instincts that need to be developed.

So, already at six months, the baby can quite consciously restrain the urge to urinate so as not to lie in wet diapers. A baby dressed in a diaper does not know what a wet diaper is, so he pees when he wants to.

In this case, you can advise parents to take the following measures:

1. potty train your child early.
2. switch to reusable diapers;
3. leave the baby naked more often (without a diaper);
4. after 1.5 years (potty training time), give up diapers at night.

Treatment of childhood enuresis

The first thing parents should do to rid their child of the habit of pissing in bed is to create a comfortable and friendly environment in the house. Do not take it out on the baby, do not reproach him, and even more so do not be ashamed of the described sheets.

Yes, washing a bunch of things every day is a dubious joy, but the psychological health and comfort of the baby should be above all.

1. First of all, do not scold the child and do not emphasize too much great attention on the problem. The kid is going through the same way as you (if not more).
2. Put an oilcloth under the sheet.
3. Surround your baby with care, warmth and affection. Show him your love so that he does not feel psychological discomfort.
4. Go on a visit, on trips, on picnics. Do not limit the child in simple joys and communication because of his problem.
5. Follow the daily routine: it is better to go to bed and wake up at the same time.
6. Don't let your baby drink too much at night. It is better to drink the main amount of liquid before 4-5 hours. BUT! Remember that such a restriction should not be a torment for the baby. If in the evening he is thirsty, let him quench his thirst.
7. In the evening, do not give your child yogurt, milk and fruits, as they have a diuretic property. Also in the evening it is undesirable to give the child liquid cereals, soups, salty and spicy dishes.
8. In the evening, give up noisy energetic games.
9. Buy your child a firm mattress.
10. Make sure your little one pee before bed.

These measures can greatly reduce the number of sheets described, but still they are not a solution to the problem.

There are four ways to deal with childhood enuresis:

• psychotherapeutic;
• medication;
• physiotherapy;
• folk.

Drug treatment of childhood enuresis

It is easy to guess what he means by using special means: tablets, potions, suppositories, etc. The doctor can prescribe antibiotics, antidepressants, drugs that increase the tone of the bladder, and others.

You should not delve into this topic, since only an experienced doctor can prescribe the right treatment. But it is important to note that it is preferable to treat childhood enuresis alternative methods such as physiotherapy or psychotherapy.

Physiotherapeutic method of treatment of childhood enuresis

These areas of treatment include:

• acupuncture;
• massage;
• magnetotherapy;
• music therapy;
• laser therapy.

It is better to contact a competent specialist to prescribe a course of a particular procedure. Not bad struggles with children's urinary incontinence homeopathy.

Psychotherapeutic method of treatment of childhood enuresis

This method is used when incontinence occurs against the background of psychological problems in a child. In this case, the consultation of an experienced psychologist is simply necessary. Psychotherapeutic methods such as:

• self-hypnosis;
• auto-trainings;
• drawing;
• hypnosis;
• dolphin therapy.

The last two methods, unfortunately, are not available to everyone, but the rest work just as well.

At home, you can implement several independent psychotherapeutic methods.

• Let's wake up the child!

Sounds barbaric, but try waking your baby every hour all night for a week. This is necessary so that the child does not have time to describe the bed and can go to the potty when needed. Next week, increase the period between awakenings.

If you notice that the child begins to toss and turn in his sleep and sleep anxiously, gently wake him up and put him on the potty. It is likely that it is during the period when the baby’s sleep becomes restless that he wants to go to the toilet.

• Autotraining

With older children (6-7 years old) you can practice a kind of auto-training. Let the baby repeat the installation after you: “When I want to go to the toilet, I will wake up and pee in the pot” (words can be changed, the main thing is the meaning). Get a notebook in which you will mark "dry" nights and "wet" nights. For 5 or 10 "dry" nights, reward the baby.

• Psychological games

On the Internet and in specialized literature, a large number of psychological games to correct the behavior of children. You can get advice from a psychotherapist, and he will also tell you what games are best to play with your child in order to wean him from the habit of writing to bed.

Parsley tea can help treat enuresis

Folk recipes for childhood enuresis

Traditional medicine has its pretty effective recipes for the treatment of childhood enuresis. However, before applying them in life, it is worth finding out why the child pees at night.

1. Parsley. Brew 3-5 grams of parsley roots with a glass of boiling water for 30 minutes. During the day, let the baby drink a glass of the resulting infusion.
2. Dill. Brew 1 tablespoon of dill seeds with 1 cup of boiling water and leave for 2 hours. The child should drink the infusion in the afternoon.
3. Birch. Pour 2 tablespoons of birch buds with half a liter of water. Infuse for 10-15 minutes, then strain and let the child drink.
4. Collection. Mix hawthorn fruit, peppermint and horsetail in a ratio of 2:1:1. Brew a spoonful of the mixture in a thermos in half a liter of water for 5-6 hours. Give the child an infusion 20 minutes before a meal, a quarter cup.
5. Herbs. Herbs are very effective in children's enuresis: mint, birch, chamomile, St. John's wort, motherwort.

But remember that before using this or that folk remedy, you need to consult a doctor (therapist or naturopath). It is better not to give herbal infusions to children of the second year of life.

Conclusion

When a child pees at night at 2-3 years old, this is the norm, but after five years, the baby should already control natural urges. In order to avoid / get rid of childhood enuresis in children over five years old, follow these rules:

• Do not scold the child;
• Provide a good environment in the house;
• Observe sleep and nutrition;
• Consult with a psychologist;
• Do not deny your baby the usual joys and games.

Only the kind patient attitude of the parents will help the child get rid of his little night problem.

Urinary incontinence during sleep is an unpleasant phenomenon for children and their parents. A medical condition of this kind is called enuresis. However, here it is necessary to make a reservation: if a child pees at night, this condition can be considered a disease only when he has reached the age of six. It is believed that at this age the formation of complete control of the functions of the bladder is completed. As a rule, enuresis occurs in boys 2 times more often than in girls.

Why does a child urinate at night

The following are the causes of urinary incontinence at night:

Infections leading to inflammation of the urinary tract
- birth defects urinary tract development
- organic lesions of the brain and spinal cord,
- psychotraumatic situations and stresses,
- neurotic states,
- mental disorders,
- side effect certain drugs (tranquilizers, anticonvulsants).

Treatment of nocturnal enuresis in children

For the treatment of urinary incontinence, an integrated approach is used, which includes a combination of several methods. Medical treatment consists in the use of pharmacological drugs (antibiotics, tranquilizers, antidepressants, metabolic drugs for the brain, hormonal drugs- depending on the reason why the child pees in bed).

Of the non-drug methods, psychotherapy (the method of self-hypnosis and hypnosis) and physiotherapy (acupuncture, laser therapy, magnetotherapy, music therapy, etc.) should be noted. Regime activities and diet also have a therapeutic effect on children with enuresis.

Doctors of several directions take part in the treatment. These are pediatricians, neurologists, endocrinologists, psychiatrists, urologists, nephrologists, homeopaths, physiotherapists, psychologists and some others.

Treatment of a child with folk remedies at home

After examining the child and establishing the cause of enuresis, you need to address the problem.

Of great importance here is the desire and perseverance in achieving the goal of the children themselves and their parents. What should be done to prevent the child from urinating in bed?

First of all, you can use the technique of night awakenings. According to this technique, the child is woken up every hour after midnight every day for seven days. Then, after a week, he is awakened once a night at the same time, picking up the interval so that the child does not have time to wet the bed during the remaining time. This period of time is smoothly reduced by moving the wake-up time one hour after falling asleep. If at the same time the child urinates 2 times a week, the whole procedure starts over.

Ten-year-olds can benefit from self-hypnosis at bedtime. The child should repeat to himself several times: “I want to wake up dry. Urine will not come out of my body while I sleep. If I feel like urinating, I will quickly get up and go to the toilet.” In addition, you can keep a diary in which to mark "dry" and "wet" nights. Parents agree with the child that for 10 "dry" nights they will give him a gift. It is important that your child change their own underwear after an episode of urinary incontinence.

Help in the fight against the problem can be provided by a special diet of N. I. Krasnogorsky. It consists in regulating the water and electrolyte balance in the body. A child up to 15 hours can drink any amount of liquid and eat different dishes. After this time, the volume of liquid and liquid dishes is sharply reduced. At 18 o'clock the child has dinner without taking liquid. During dinner, he should not be given diluted cereals, salty dishes, vegetables and fruits. It is allowed to eat butter, bread, eggs, meat and fresh fish. With such a diet, the liquid introduced into the body before 15 hours must be removed before nightfall.

At about 20 o'clock, before going to bed, the child takes salty food: some herring or a sandwich with sausage, smoked butter and cheese. After eating these foods, fluid will be retained in the tissues, which will reduce the rate of urine formation in the kidneys, and, consequently, the amount of it in the bladder. Such a diet, in combination with medications, is used for four weeks.

Among other things, parents and relatives of children suffering from enuresis need to achieve daily adherence to the daily routine and perform some general recommendations. In no case should you punish children, show rudeness and impatience when a delicate situation arises. It is necessary to systematically instill in a sick child confidence in his own abilities and in the effectiveness of treatment.

Limit your child's fluid intake as much as possible in the evening, especially after dinner. It is unlikely that it will be possible not to give a drink at all, but it is quite possible to reduce its amount by half. In addition to drinking, dishes and foods with a high liquid content (first courses, liquid cereals, juicy fruits and vegetables) are limited. In this case, the diet should be balanced in nutrients and energy. Make sure that the child during the day does not consume foods and drinks that have a diuretic effect (rose hips, green tea, currants, strawberries, raspberries, watermelon, melon). If this fails, try to have him consume them at least 3 hours before bedtime.

The surface of the bed on which the sick child sleeps should be covered with a hard mattress, and during deep sleep the child must be turned over repeatedly.

Try to protect him from excessive positive and negative emotional stress, as well as from overwork.

Insist that before going to bed, the child goes to the toilet or sits on the potty.

During sleep, the child should not be supercooled.

It is often effective to wake him up a few hours after falling asleep to empty his bladder. But, if at the same time, the child urinates unconsciously and is in a sleepy state, then your actions will only worsen the situation.

At night, leave a dim light in the children's room so that the child is not afraid of the dark and can safely sit on the potty or go to the toilet.

Herbs to use if your child is urinating

If the child does not have allergies, you can use herbal recipes.

1. Flowers and fruits of hawthorn - 2 parts, Peppermint leaves - 1 part, Horsetail grass - 1 part.
To 1 tbsp. l. collection, add 0.5 liters of boiling water, insist in a thermos for 4-6 hours. Drink on an empty stomach in the morning and 2-3 times a day before meals ¼ cup.

2. Oregano, hawthorn fruit.
Take one part of each herb. Brew a tablespoon of the collection in the same way in a thermos and drink during the day instead of tea, diluted with water before drinking.

3. Motherwort, Valerian, Horsetail herb, Hypericum herb
Boil 500 ml of boiling water for one part of each herb. Insist in a thermos and drink in equal parts all day, diluted with water.

4. 1 tbsp. a spoonful of dill seeds per 500 ml of boiling water. Insist in a thermos for 2-3 hours, strain. Drink 1/4 cup for 1 dose 1 time per day.

Treat with any prescription for 10 days. Then a month break and repeat.

Prevention of enuresis in children

Try to timely abandon the use of disposable and standard reusable diapers. As a rule, this time comes when the child is two years old. At this age, you need to instill children in the elementary rules of neatness.

Control the amount of liquid drunk by the child during the day (taking into account air temperature and season). teach children hygiene care for the body, including the care of the external genital organs.

If urinary tract infections occur, treat them promptly and thoroughly.

Protect your child from emotional overload and stressful situations. The birth of a brother or sister can also become such a situation for your child, so it is necessary to prepare the child for such a crucial moment long in advance.

Pediatrician Sytnik S.V.

Despite the abundance of diapers of different price categories, the presence of washing machines in almost every family, many parents are looking forward to when the baby starts to go to the potty without a miss. Oils are added to the fire by the stories of mothers of the same age who brag about the successes of their children. You can often hear stories about how a baby stopped doing at the age of 6 months.

In fact, it is considered the norm if the child is written before 18-24 months. Only after this age does he begin to master the excretory processes. In this case, misses can be observed for quite a long time. Having frozen or played too much, the baby can do a wet job in his pants at 3 years old, and at 4, and in some cases even later.

Child peeing at night

Until a certain age, the excretory system in children is imperfect and cannot be controlled. The body develops gradually. The nervous system matures, motor skills improve, the baby learns awareness. Usually readiness for potty training comes at the age of 1.5-2 years. All the successes that have been observed before are due to simple catching of parents, but not to conscious control of urination.

At the same time, we must not forget that each organism is unique. Some children develop faster, others slower, no matter how rushed things are. The child must be accepted as he is, not to compare him with his peers. In pursuit of new skills, you can do harm. Early potty training with screams and scandals will lead to psychological trauma and cause rejection in the baby. But this should not be left to chance. It is important to gently teach the child, to show how and where to properly relieve the need.

Causes of bedwetting in children

There are many factors that affect the process of urination, and children are especially vulnerable to them. The slightest stress or illness can lead to the loss of new skills or delay their development. The most common causes of incontinence include:

1. Psychological. If suddenly the child began to write at night, then most likely we are talking about stress. It can be caused by a change in the usual environment (going to kindergarten, the birth of a brother), an unfavorable psycho-emotional situation within the family (parents' divorce, conflicts).
2. The ban on the expression of emotions. If a child is often scolded for peeing past the potty, then he is constantly in fear. Control over one's own body weakens, mistakes become more frequent, which further aggravates the situation.
3. Physiological problems. These may be structural features of the urinary system (small bladder capacity), excessive fluid intake, neurological diseases or infections.

Opinions of doctors about the causes of urinary incontinence in children

Official medicine represented by Dr. E. O. Komarovsky, speaking of uncontrolled urination, implies systematic episodes (3 times a month or more). Single cases are considered the norm even for 7.8 years.

There are 5 main causes of enuresis: physiological with insufficient development of the central nervous system, neurotic with psychological problems, situational with bladder overflow, infectious with diseases of the urinary system and epileptic caused by seizures. In the first 4 cases, incontinence responds well to treatment.

What to do so that the child stops writing in bed, how to react

The first thing parents need to understand is that the baby cannot fully realize his act. He sees no problem in that he peed in bed or somewhere else. Sometimes it even causes some interest.

The child learns the world in different ways. The task of parents is to explain and teach how to do it and how not to. At the same time, it is very important to maintain peace of mind. There is no child who understands everything the first time. If you scold him or punish him, this will only cause stress, because the baby does not understand what is wrong in his act.

Do I need to wear a diaper at night

There is no single recommendation on this. Some parents do not use diapers at all from birth. If adults do not see anything bad in these hygiene products, and they are perfect for the baby, then you can practice a diaper at night until 2-3 years of age.

If, for some reason, you no longer want to use a diaper, you can start weaning from it. Some children over the age of 1.5 stop writing at night. Others may walk small 3-4 times. In any case, you will need to take care of the safety of bed linen and mattress and lay a special medical oilcloth. From time to time, excesses happen to every baby.

Wake up at night on the potty or not

At first, parents will have to get up at night. There are only a few children who immediately endure until the morning. Especially often babies who drink a lot of fluids before bed can be written. In this case, it is worth waking up the child an hour after falling asleep, and then again after 3-4 hours (the time of the second pee is individual). Or you can not wake the baby for a potty, but then you have to get up already in order to change the wet bed and clothes.

How to understand that enuresis has developed

Enuresis is a disease characterized by urinary incontinence, and children are its main carriers (95%). In most cases, it occurs during sleep (more than 75% of carriers), less common during wakefulness. The cause of incontinence in each case is determined individually.

The diagnosis of enuresis can be made no earlier than 5 years.

The development of enuresis is also indicated by the sudden onset of urinary incontinence, for example, when the child began to write at 4 years old, although before that long time successfully went to the toilet.

What to do if a child of 5-6 years old pees at night

In case of urinary incontinence in a child older than 5 years, you should contact your local pediatrician. Then the pediatrician refers to narrow specialists - a urologist, a neurologist, a psychologist. After all consultations and a comprehensive examination, the reason why the child is writing will be identified, and appropriate treatment will be prescribed. Therapy for enuresis may include medication, physical therapy, and diet. Particular attention is paid to the enuresis alarm clock, which involves coping at regular intervals.

Nocturnal enuresis is the most common among children. To cope with it, doctors advise parents to listen to the following recommendations:

At the same time, it is very important not to shame the baby for missteps, but, on the contrary, to inspire self-confidence. Praise him for "dry" nights, and gradually they will become a pattern.

Treatment with folk remedies at home

Alternative methods of treating childhood enuresis are diverse, and judging by the reviews, they are effective in some cases. So, a child can be given a piece of salted herring before going to bed, suggest that he will fall asleep soundly, but exactly until the moment when he wants to go to the toilet. It is also proposed to apply ginger compresses to the lower abdomen (juice with water 1: 3), prepare various herbal decoctions.

Herbs to use if your child is urinating

For the treatment of childhood enuresis, hawthorn, plantain, St. John's wort, centaury are used. We offer you to get acquainted with the most popular recipes:

1. Pour a tablespoon of plantain leaves with a glass of boiling water, strain after 20 minutes. Take a tablespoon before each meal.
2. Mix a teaspoon of centaury and St. John's wort, brew 200 ml of boiling water. Drink instead of tea.
3. Dry lingonberry leaves in the amount of 4 tablespoons pour 0.5 liters of water, boil over low heat for 7 minutes, insist for another 40 minutes. Strain and take 200 ml before meals three times a day.

It should be remembered that the course of herbal treatment is long, from 2 weeks to several months. At the same time, it is important to exclude all diuretic foods and drinks from the diet: green tea, rosehip broth, watermelons, celery, asparagus, etc.

Prevention of enuresis in children

To avoid the development of enuresis in a child, parents are advised to wean the baby from diapers in a timely manner. As a rule, this time comes about two years. Teaching basic hygiene rules should take place calmly. It is very important to protect the child from stress. If a brother and sister appear in the family, the older baby must be prepared in advance. Preventive measures of enuresis also include timely treatment of diseases of the urinary system. If the child often pees, complains of pain when urinating, he should be shown to the doctor.

Absolutely all children pee before a certain age, this is natural. Also natural is the desire of parents to quickly get rid of excess washing and unpleasantly smelling carpets. But one should not rush things in such a sensitive moment. If mom and dad freak out, scream, this will only cause stress in the child, which, by the way, is often the cause of real enuresis in older children. Therefore, only attention, caress and gentle direction, and the child will soon learn to control his body.

Natalia, Stavropol

The problem of wet sheets has to be faced by all parents without exception. Therefore, the question of how to wean a child to write to bed at night is relevant for every family.

If the night "accidents" of a baby at the age of 1-2 years are perceived by most parents quite adequately, then the inability to control nighttime urination at the age of 5 causes natural anxiety.

Sometimes the problem of wet sheets is explained by the fact that the child is unwell. For example, bladder diseases and, oddly enough, the presence of adenoids can lead to such results. Therefore, in some cases, it will be possible to get rid of wet panties with the help of a doctor. When should you start worrying?

• if a child at 4 years old regularly urinates in his pants during the day while awake;

• if the child does not control urination during sleep after reaching the age of 7 years;

• if a child who has already mastered the potty well and woke up dry for a long time suddenly began to urinate again in the bed.

In these cases, it is necessary to visit a pediatrician and, possibly, undergo an examination prescribed by a doctor.

Sometimes a visit to a child psychologist is necessary. Usually about psychological problems says the fact when the child, who had long ago abandoned diapers, again began to pee in his pants.

Such a regression in development may be evidence of the stress that the child has endured. Therefore, in no case should you scold him, on the contrary, you need to show maximum love and patience. However, even the most careful loving mother It is not always possible to figure out what exactly scares and worries the baby. In this case, you will need the help of a psychologist.

How to teach a child to wake up dry?

Many pediatricians, including Evgeny Komarovsky, urge not to force things. If a child at 3 years old regularly wets the bed, there is no need to worry, let him continue to sleep in a diaper until he wakes up dry every morning.

Read also: How to teach a child to eat with a spoon? Tips experienced mothers and dads

If parents still decide to start accustoming to sleep without a diaper, then the following tips will help them:

• it is necessary to purchase a waterproof cover for the mattress, since at first night accidents are inevitable, and they will be repeated quite often;

• it is necessary to keep a supply of clean linen and spare pajamas for the child on hand. If the child wets himself, he can be quickly changed. If the child is already old enough, then it is worth involving him in this matter. For example, he himself can take off the soiled sheet and change into pajamas while his mother covers the bed with clean linen;

• night accidents must be treated philosophically. How older child, the more he experiences his failures, and if his mother is also clearly annoyed by the need to change wet sheets, then the feeling of guilt will intensify. All this can contribute to the development of various psychological complexes, which will further aggravate the problem of bedwetting;

• It is important to teach your child to go to the toilet before going to bed. If he refuses, mom needs to gently but firmly insist. If a child pees before going to bed, then the likelihood that his bladder will fill up during the night will decrease;

• you need to wean the child to drink a lot of fluids in the evenings. During the day, the child can drink as much as he wants, but after dinner, you need to exclude the flow of fluid into the body;

• You should also watch what your child eats. For example, foods that are spicy and sour taste irritate the walls of the bladder, so the likelihood of an “accident” increases. In addition, nighttime incontinence can contribute to the lack of intake of micronutrients such as magnesium and potassium. Therefore, if a child regularly wakes up wet, bananas, apricots, broccoli, fish should be included in his diet;

• mom should remember what time the child wakes up wet at night, and try to wake him up a little earlier than this time in order to put him on the potty;

• sometimes children pee in bed because they are afraid to get up in the dark and go to the toilet. To exclude this option, you need to place a night light by the crib, giving a soft, dim light. And also put a potty, even if during the day the child goes to the toilet. It is better to buy a pot made of plastic, since it is cold to sit on a metal rim, and this may cause a child to be unwilling to get up;

• it is worth making sure that the child does not freeze at night, as the frequency of urination increases in the cold. For example, sometimes through a thin sheet, a child can feel the cold of an oilcloth laid on a mattress. Therefore, it can freeze even if the room is warm enough.

Many babies continue to urinate at night in the crib for a long time, even after they have learned to stay dry during the day. Until the age of six, in fact, most experts characterize bedwetting (so-called nocturnal enuresis) as normal and acceptable, even after six years, more than ten percent of children continue to struggle with the problem. Fortunately, there are ways to help your child learn to stay dry.

Steps

Part 1

Wait until your child is ready. Your child has learned to stay dry during the day, but that doesn't mean he'll be ready to stay dry at night. For most babies, it's fine to lay them in a diaper (or wrapping disposable underwear) until they start to wake up dry in the morning.

• Remember that every child develops individually and in different ways. Some children may remain dry at night at an early age; others still suffer from night crashes at the age of six and older. Try not to compare your son or daughter with other children.

1. Buy a waterproof mattress cover. Once you decide to forego diapers at night, you will need to prepare for the inevitable nighttime accidents. Get a waterproof cover and place it under the sheet on top of the mattress to protect it from damage.

   Keep extra bedding and pajamas ready. When your child has an accident in the middle of the night, it's helpful to have a clean bed and pajamas handy. So you can simply remove the soiled sheet, wipe off the waterproof cover, make the bed with a clean sheet, and help your child change into fresh pajamas.

   • As your child gets older, you may want to see them help with this process as well. Most preschoolers can clean soiled sheets, put on clean pajamas, and help you make clean bedding.

2. Maintain a casual approach. Accidents are inevitable and can happen very often at first - it is very important that you support your child and take it for granted. Explain to your child that learning to stay dry at night is a process and it's okay if it takes some time.

Part 2

Limit fluid intake before bed. Let your child drink plenty of fluids throughout the day, and make sure he drinks a glass of water with dinner, but try to avoid drinking after that.

• Take Special attention to avoid caffeinated drinks (like soft drinks). These drinks can be diuretic.

1. Go to the bathroom right before bed. Teach your child to empty his bladder just before bed. This will reduce the chance of a full bladder at night.

   Stick to regular activities before bed. Overcoming bedwetting is often a matter of agreement between the bladder and the brain; this is made possible by following a routine so that your child's body is "accustomed" to retaining urine for a specified amount of time.

   Pay attention to what your child eats. Some products may cause allergic reactions even if they don't cause a rash or other external signs, may irritate the bladder or otherwise increase the chances of an accident. If your child struggles to stay dry at night, review your child's daytime diet accordingly and look for relationships between certain foods and nighttime events.

   • Specific culprits include spicy and acidic foods, which can irritate the bladder, and milk and other dairy products, which can make you sleepy and make it difficult to wake up when your bladder is full.

2. Make sure your child is getting enough calcium and magnesium. Some experts believe that low levels of calcium and magnesium may contribute to bedwetting. In addition to dairy products, calcium and magnesium are found in bananas, sesame seeds, seeds, beans, fish, nuts, and broccoli.

   Try waking your child up during the night. Until he learns to get up and go to the bathroom on his own when his bladder is full, you can set an alarm and purposefully interrupt your baby's sleep. You can start by waking your child every two or three hours and gradually extend this period until your child can sleep through the night and wake up dry.

   Avoid cold. Feeling cold can increase the need to urinate, so make sure your child is warm enough while sleeping.

   Keep a diary. If your child continues to struggle with bedwetting, keep a detailed log of his or her accidents, including their dates. You may notice patterns that will make it easier to identify causes and incentives for your child at the appropriate time to prevent accidents.

   Apply positive support. Never punish a child for bedwetting, which may well be completely out of his control. Instead of a whip, praise and positively support your baby for a dry night.

Part 3

Take warm sea baths. Prepare a bath for the baby with 500 grams of salt dissolved in water before bedtime. Minerals from sea water can reduce the chance of infections, strengthen immune system and detoxify the body. This step may be helpful if your child has a tendency to develop bladder infections.

• Ideally, the water temperature should be around body temperature: 37 degrees Celsius.

1. Offer your child tea with parsley. Add fresh or dried parsley to boiling water; let it stand for five to ten minutes, then strain, add a few drops of lemon and mix with a teaspoon of honey. Parsley tea protects urinary tract from infections and restores calcium and magnesium reserves. Only tea should be drunk in the morning, otherwise it can increase urination and lead to even more accidents at night.

   Try giving consilk tea. Let the consilk dry for a few days, then make a tea by pouring boiling water over it and letting it steep for ten minutes. Consilk tea can strengthen the muscles of the bladder and remove toxins from it. Again, the child should only drink tea in the morning, as drinking it at night can lead to even more accidents.

   Try giving oatmeal tea. Bring the oil to a boil in a liter of cold water, then let the tea settle for an hour before drinking. Oats are rich in calcium and magnesium and can help calm the nervous system, which can help prevent stress-related accidents. Like other teas, it should only be given to a child in the morning.

2. Go to the doctor promptly. Urinary incontinence is normal phenomenon which generally should not be addressed by a doctor. Nonetheless:

   • Go see your pediatrician if your child is over seven years old and still wets the bed. Your pediatrician can help rule out other causes (including urinary tract and bladder problems) and give you tips to help your child stay dry.
   • Go see your pediatrician if your child is over five years old and still has accidents day and night. By age five, most children should be able to control urination. If you still can't, see your pediatrician to rule out physical causes and get treatment tips, but keep in mind that this problem could be genetic: in that case, you just need to wait it out.
   • See your pediatrician and/or child psychologist if your child starts wetting the bed again after a long period of dry nights. Under such circumstances, bedwetting may be related to trauma or stress: the death of a loved one, the divorce of parents, the arrival of a new child, or anything else that is frightening or disruptive to normal life.

A child of 6 years old pees in a dream - is this considered the norm or not. Young children are very often wet - both during the day and at night. When should a child stop writing at night in their sleep?

Toddlers stop wetting the bed at night by the age of five. If such actions are observed in older children, this is an occasion to contact a pediatrician, as a result of which enuresis will be diagnosed. Nowadays, such occurrences have become quite frequent. Perhaps the reason for this is the use of diapers by parents. What leads to the fact that a 5-year-old child pees during sleep?

Enuresis can be of three types: daytime, nocturnal and mixed. The first type is rare in everyday life and necessarily requires contacting doctors for help. But bedwetting for babies is a fairly common situation. Deep sleepers can't always control the gray matter urge to overflow our "urine storage tank."

Psychological reasons

The child writes in a dream, what are the psychological reasons for such a deviation. Does he have psychological trauma or similar problems?

What is meant by the psychological causes of childhood urinary incontinence:

• uncomfortable home atmosphere;
• frequent quarrels and scandals in the family;
• the child has totalitarian parents;
• lack of parental attention;
• too busy day
• not passing stress;
• jealousy of younger or older brothers and sisters.

The above items negatively affect the fragile psyche of the child, which is fraught with constipation and the inability to urinate during the day. And as a result, during nighttime relaxation, the baby pees on the bed.

Physiological causes

The physiology of the fact that the child began to write in a dream is as follows:

• kidney problems;
• ailments in the urinary tract;
• diabetes;
• psychical deviations;
• neurotic disorders;
• taking auretics, (enuresis - as a side effect)

According to statistical data, 2-3-year-old children are most often written, followed by “five-year-olds”, the third position is occupied by “seven-year-olds”.

Urgent treatment is required when mixed type enuresis: unconscious urination occurs day and night.

When does a child stop peeing at night?

When the baby reaches a certain age, such a problem becomes obsolete. What age limits are noted by a pediatrician for urinary incontinence:

• Version 1 - the problem disappears by the age of nine.
• Version 2 - in a five-year-old child, the urinary function is fully formed, which means that the appearance of wet sheets is a deviation from the norm.

In any case, a 5-year-old child pees in his sleep - a mandatory visit to the doctor!

Is a diaper needed?

Many pediatricians are inclined to believe that the underlying reason for the so common cases of enuresis comes from the constant use of children's diapers. While wearing diapers, the learning manifestation of important instincts is smeared, because the baby is always dry. And there is nothing surprising in the fact that a child of 3 years old pees in a dream. Although a six-month-old toddler already manages to restrain the urge to urinate, and he does this consciously, not wanting to lie on soaked diapers. On the other hand, a child dressed in a diaper is not familiar with such a state - he relieves a small need when a need arises.

Based on the above, parents can be advised to:

1. put the child on the pot early, but without fanaticism and aggression, otherwise you will develop in him an aversion to this hygiene item;
2. put on instead of disposable - reusable diapers;
3. take air baths with your baby more often (completely naked);
4. from the age of one and a half years, do not use diapers at night, since from 1.5 to 2 years is the time to teach the child to the potty.

As a result of the formed three years old urinary function, a significant part of children stop urinating on the bed, and occasionally slipping episodes that a 2-year-old child pees in a dream are not considered a deviation from the norm.

Treatment of childhood enuresis

In the process of treating children's urinary incontinence, several specialists from different areas take part at once: pediatric, neuropsychiatric, endocrinological and others, taking into account the accompanying indications.

Most importantly, parents who are faced with childhood enuresis should understand that the manifestation of participation, benevolence, warmth and patience is the most important point in the treatment of such an unpleasant problem.

The psychological health of the child should be above all - less aggressiveness, more participation and kindness. Do not get hung up on a fallen pile of soaked laundry, without which there is already enough work. Psycho-emotional health of the crumbs above all!

Therapeutic measures are as follows:

• to exclude swearing and undeserved accusations against the baby who has described himself, not to make a huge problem out of the incident - he is already very worried about what happened;
• protect the mattress with a waterproof sheet;
• try to nullify the mental tension of the child: more affection, attention, warmth;
• do not deprive the child of the joy of communication because of the trouble that has happened and try to diversify joint leisure time with interesting trips: to picnics, to visit, to exhibitions;
• strictly adhere to the daily routine;
• do not give the child water before bedtime, but if he is tormented by thirst, do not refuse him this;
• in the evening do not give diuretic drinks and dishes that are too salty or spicy, or contain a lot of liquid, also exclude fruit in the evening;
• two hours before falling asleep, give up noisy and energetic games;
• buy a hard mattress;
• Be sure to take your child to the bathroom before bed.

These actions will help reduce the number of soiled sheets, but will not permanently improve the situation.

For the treatment of childhood enuresis, physicians use four methods of therapy:

• medication;
• physiotherapy;
• psychotherapeutic;
• folk.

In severe cases of the disease, it is possible to prescribe all methods of treatment at once.

Drug treatment of childhood enuresis

Based on the name of the method, it is easy to imagine what it means - the use of pharmaceuticals: tablets, suppositories, potions, etc. Narrow specialist may prescribe antibiotics, antidepressants, drugs that improve bladder tone. Do not focus on the names of the medicines needed for treatment.

I would like to note that it is possible to choose an alternative method of treatment, for example, physiotherapy or psychotherapy.

Physiotherapeutic method of treatment of childhood enuresis

With this type of therapy, the following types of healing are used:

• acupuncture;
• massage;
• magnetic, laser, music therapy.

To conduct the necessary treatment sessions for a four-year-old child who pees in a dream during the day, it is necessary to select competent specialists.

Good results in the fight against bedwetting gives homeopathy.

Psychotherapeutic method of treatment of children's enuresis

Sometimes the reason that the child began to write in a dream, both during the day and at night, is a psycho-emotional experience or trauma. Given the underlying reason for the appearance of enuresis, visits child psychologist in this case inevitably. A 4-year-old child who urinates while sleeping will have to undergo the following procedures:

• self-hypnosis (suggestion to oneself);
• personal training;
• drawing;
• hypnotizing influences (although many doctors are reluctant to prescribe this type of procedure);
• dolphin therapy.

Not everyone can use the last two methods, but the first three are also very effective.

Parents can independently carry out treatment based on psychotherapeutic methods at home.

• Let's wake up the child!

Wake your child up every hour at night. Despite the fact that it sounds cruel, but this method does not allow the child to wet the bed. Over the next week, sleep periods increase.

You can watch the baby at night, if he began to toss and turn, and some kind of anxiety appeared in his behavior, perhaps he wants to go to the toilet. Carefully wake him up and send him to the potty.

• Autotraining

With six-seven-year-old children, you can conduct a kind of auto-training: “ When I want to go to the toilet, I will wake up and pee in the potty.“. Words can be chosen differently, but the meaning should remain the same.

Get a special journal where marks on “dry” and “wet” nights will be entered. Let the child receive a reward, let's say for 5 (10) “dry” nights.

• Psychological games

There are a lot of games to stabilize the behavior of the kids. They can be found in books or on the Internet. You can also remotely communicate with a psychologist, in a conversation with whom you can find out a lot of useful information for yourself.

Folk recipes for childhood enuresis

Traditional medicine has in its arsenal a sufficient number of recipes to solve the problem: why the child began to write in his sleep. But in the presence of psychological or hereditary factors, inflammatory diseases of the urinary system, tumor formations, additional appropriate treatment is necessarily implied.

List of several effective herbal remedies for enuresis in children:

• 3-5 gr roots parsley pour 200 ml of boiling liquid and leave for half an hour. For a day, the baby should drink no more than a glass of the resulting infusion. The last appointment is no later than 5 pm.
• big spoon dill seeds brew a mug of boiling water and let it steam for 2 hours. Take in the second half on an empty stomach for babies ½ cup, for children after 10 years - 200 ml.
• for half a liter of pitch, take 2 tbsp. l. birch buds, after 10-15 minutes, drain the drink and give children water during the day.
• you can make herbal tea from the fruits of hawthorn, peppermint and field horsetail in the following ratio 2:1:1. Pour a spoonful of the dry mixture into a half-liter thermos and pour boiling water over it. Forget about the elixir for 5-6 hours. Drink the child 1/4 cup 20 minutes before meals.

You can also try making warm lotions with ginger water on the lower abdomen. Squeeze juice from finely grated ginger, combine with a glass of hot water (60-70⁰). Apply a soft cotton cloth moistened with this mixture several times from the lower abdomen until the skin in the bladder area turns red. This remedy perfectly relaxes overly tense muscles and strengthens overly relaxed ones.

Attention! Based mixtures medicinal herbs the baby of the second year of life should not be given.

Before you start applying the methods of folk medicine, do not forget to get expert advice.

Conclusion

The appearance of isolated cases of urinary incontinence at night in two-three-year-old children is the norm. Frequent episodes of pissing at night is already a deviation from the norm, you need to consult a doctor, especially for older children.

To avoid / get rid of the manifestation of childhood enuresis in babies who have stepped over the age of five, try to adhere to these points:

• do not scold the baby;
• provide a favorable psycho-emotional environment in the house;
• stick to the diet and sleep;
• visit a child psychologist;
• do not limit the baby in children's fun and communication to which he is accustomed.

Only tenderness and patience will help to cope with the unpleasant pathology that has appeared. Observing these simple wishes, parents will never face the question: the child pees in a dream, why?

List of used literature:

• Glazener C. M., Evans J. H., Peto R. E. (2005), “Alarm interventions for nocturnal enuresis in children”, The Cochrane database of systematic reviews (Chichester, UK: John Wiley & Sons, Ltd) (no. 2)
• Hjalmas K., Arnold T., Bower W., Caione P., Chiozza L. M., von Gontard A., Han S. W., Husman D. A., Kawauchi A., Lackgren G., Lottmann H., Mark S., Rittig S., Robson L., Walle J. V., Yeung C. K. (2004). “Nocturnal enuresis: an international evidence based management strategy”. The Journal of Urology. 171 (6 Pt 2): 2545-2561
• Glazener C. M., Evans J. H. (2002), “Desmopressin for nocturnal enuresis in children”, The Cochrane database of systematic reviews (Chichester, UK: John Wiley & Sons, Ltd) (no. 3)