All too often, children with enuresis experience discomfort from such necessary things as visits to specialists, painful and unnerving examinations and questions, cystoscopes and catheters and, perhaps, pills, which are not at all harmless. Although most kids don’t need pills or cystoscopes.
If a child over five years old wets the bed, adults tend to find it very painful. Many, unfortunately, believe that the child behaves this way on purpose to upset his parents. They shame him, scream, poke his nose into the wet sheets, in general, do everything to further aggravate the situation.
Other, more conscientious and conscientious fathers and mothers go from one specialist to another, from a neurologist to a psychiatrist, which ultimately can have the same effect. Especially if the child is already old enough and understands where and why they are taking him.
The most Negative consequences There are also conversations between adults that take place behind the child’s back and in which his condition is discussed. It just seems that the baby doesn’t hear anything, doesn’t understand, isn’t interested, doesn’t react.
If we talk about it, then not about him, but with him, and as friendly and calmly as possible. The child needs to be told that this is a fairly common problem. In fact, according to statistics, up to 14% of all children from 5 to 13 years old suffer from enuresis. For most of them, the disease goes away with age without any treatment. Tell your baby about this, even if it seems to you that nothing is bothering him. In fact, it's most likely worrying. Often children portray indifference and disinterest precisely in those cases when the subject worries them too much. This applies even to preschoolers and even more so to schoolchildren.
There are quite mild and harmless methods of combating enuresis. The trick is to be patient and remain absolutely calm while you search for effective tactics that are right for your child.
Homeopathy
In the field of alternative medicine, homeopathy is considered to be the most effective in the treatment of enuresis. In homeopathic medicines, medicinal substances are present in such minute quantities that, in principle, they cannot cause harm. However, as strange as it may seem, they are often very effective.
Patients may be surprised that a homeopathic doctor prescribes completely different medications for children with the same diagnosis, the whole point is that homeopathy does not treat the disease as such, but a specific patient. Therefore, at a doctor’s appointment, parents should be prepared to talk in detail about the child. Does he have nightmares? Attacks of anxiety or fear? Insomnia?
Depending on the combination of symptoms, a homeopath may prescribe causticum for a child with a weakened sphincter Bladder, phosphorus - to a baby who is thirsty and constantly asks cold water, equisetum - for a baby suffering from nightmares, pulsatilla - shy child, who clings to his mother, constantly needs the attention and encouragement of adults, sepia - the one who urinates immediately after falling asleep, as soon as he can no longer control himself...
As a rule, homeopathic medicines are taken for a long time, but any undesirable reactions to them are extremely rare and practically never occur.
Diet
Enuresis may be a “side effect” of intolerance to a certain product. If you suspect food allergies usually from children's diet First of all, exclude the most common allergens: cow's milk, wheat, eggs, chocolate. You should also exclude foods that irritate the bladder and have a diuretic effect. Some doctors start by eliminating "colored" carbonated waters, questionable confectionery, cheap chewing gum of unknown origin. If these measures do not produce any results within a month, you should look for another reason.
Mode Changes
One of the simplest and in many cases effective ways is a change in the child's routine. You should not give your baby liquid to drink two hours before bedtime; be sure to make sure that he goes to the toilet just before going to bed. At the same time, the child should not watch TV at night, play noisy games or listen to scary fairy tales.
In the evening, only quiet activities and good books are preferable.
Protection from fears
A child with persistent night terrors may benefit from a conversation with a psychologist. So one seven-year-old girl complained that every night when she falls asleep, terrible monster crawls out from under the bed and pounces on her. The doctor asked who could cope with this monster. “If there was an angel nearby, he would drive him away,” the little girl answered. “Can you close your eyes and imagine an angel?” The girl promised to try. Psychological reception worked. Enuresis has receded.
Adult consultation
Often the cause of bedwetting is the child's difficult relationship with his parents - both or one. In this case, mom and dad need the help of a psychologist; they just need to change their attitude towards the child and his problem, which will improve the psychological climate in the house. You should not think that a bad relationship necessarily means shouting and assault. Criticism, irritation, hostility, disappointment can be expressed in a quiet voice, and even in a polite form. This does not make them any less destructive, especially if we're talking about about a teenager.
A home should be a safe haven for a child, a safe place where he can relax, feel calm, where he is loved no matter what, where he will always find protection. If this is not the case, then problems, alas, are inevitable.
Acupressure
Gently massaging specific points on the hands and feet can have a soothing effect on the kidneys and bladder. On your hands, massage the “webbing” between ring finger and the little finger (this should not be painful or unpleasant). On your legs, you should massage the middle of your foot.
For fathers and mothers who do not believe in acupressure, doctors recommend doing any other soothing massage to the child at night. It has long been proven that this improves the relationship between parents and children, promotes rapprochement and trust.
Hypnosis
It's soft and effective remedy helps many children with enuresis learn to wake up at night and use the toilet on time. Usually the doctor uses some kind of formula or “picture” - say, he tells the child that from his bladder there is a telephone line through the whole body and, when the bladder is full, a bell rings in his head and wakes him up.
Which of the following approaches will help your child? It depends on the child, on the causes of enuresis, on the characteristics of his character, on his attitude to certain types of treatment. Some children are excited by the prospect of hypnosis treatment, while others flatly refuse to even try. You will have to use all your parental intuition, and if the baby has his own opinion on this matter, you should listen to him.
How to treat is only half the battle. Who to treat is no less important. It's best to get recommendations from people you trust. Academic degrees and membership in international academies do not play a big role in this matter. Feedback from grateful patients is more significant if it real people with whom you can meet and talk.
If friends and acquaintances have not advised anything and you are asking for help through an advertisement, you should not immediately take your child to an appointment. First, go and meet yourself with the person you intend to entrust treatment to. Listen to yourself: if something doesn’t suit you or worries you, don’t rush to drown out this feeling, it’s better to analyze it.
Don't start with expensive doctors right away, especially if you're on a budget. First, explore all the possibilities of free medicine. Only when they have been exhausted and the result has not been achieved, or what free medicine offers does not suit you at all, does it make sense to consider other options.
Motivation techniques: be careful!
Your doctor may suggest that you make your child pick up and soak his own sheets and pajamas to give him a sense of responsibility. This is normal if your baby is already doing other similar things: clearing the table after himself, washing the dishes. But if the “responsibility” only applies to wet sheets, it will be perceived differently. The child will feel that you want to punish and shame him.
There are also ways of so-called “positive motivation”: calendars with stars marking “dry” nights, small gifts, or simply the opportunity to be alone with mom in the morning if you wake up dry.
The truth is that children do not need motivation - neither positive nor negative - when it comes to bedwetting. No child wants to wet the bed. And any reward or punishment for something that is not in his power evokes complex feelings.
Some doctors recommend getting your baby up at night to avoid trouble. This good way for those parents who sleep lightly enough to hear when the baby stirs. If adults have to set an alarm clock to wake up, and wake up a child at any time, in the middle of deep sleep, then the game is not worth the candle. It’s easier to wash a sheet in the morning than to make such a commotion at night.
Other common methods include Keighil gymnastics and “bladder training” by volitional retention of urination. Doctors do not advise teaching a child to “endure longer”; this can have negative consequences for health. Concerning special exercises, then they help well with daytime urinary incontinence, but are ineffective with nighttime incontinence.
Age factor
Most experts have come to the conclusion that before the age of six, enuresis cannot be considered either a medical or psychological problem. A child over 6 years old should, in principle, already be able to sleep through the night without getting the sheets wet.
Because boys mature more slowly, they are on average 3 times more likely to have enuresis than girls. Therefore, some doctors suggest that bedwetting in boys under 8 years of age be considered normal, that is, not requiring treatment.
In reality, many children wet their bed from time to time for many years. 3% of teenagers 13-14 years old do this on average once a month or more often. Some of these teenagers never wake up dry at all.
Parents must take into account the characteristics of their child, even if it causes them inconvenience. Often, adults spend a lot of time and money figuring out who is to blame and what to do, and as a result they receive the answer that no one is to blame and there is nothing to do either: the disease will go away on its own.
If your child urinates constantly and you can't afford diapers, try using waterproof panties with gauze pads inside. Some parents lay out two sheets for the child with oilcloth between them, so that at night they can quickly roll up the wet one and sleep on the dry one.
No one can say in advance how long it will take for a particular child to “outgrow” his problem. However, sooner or later this will happen - after all, adults do not wet the bed. Therefore, more and more parents prefer not to treat their children for something that goes away on its own anyway, so as not to create in their children the feeling that they are sick.
Take care of yourself
Parents are often cruel and unfair to children who wet the bed. As a rule, behind their anger lies a fear that something is wrong with the child, or self-doubt, fears that they are doing wrong.
The first thing adults should do is calm down and not take everything so personally.
Of course, you should check whether the child has inflammatory diseases genitourinary system or diabetes. But if the doctor says that the baby is healthy, then the first task of the parents is to change their attitude to what is happening. Millions of people face the same thing and don't make a problem out of it.
After all, today most families have washing machines, so washing itself does not require much labor or time. It all comes down to emotions. Relax. Give yourself a reward for having an extra laundered bedding set. All this is nonsense, an everyday matter. This is how they should be treated.
Why do children wet the bed?
The most common reasons:
* diabetes;
* urinary tract infection (symptoms: painful urination, strong urine odor, daytime incontinence or leakage);
* delay physical development or urological abnormalities;
deep sleep (inability to wake up when the bladder is full);
* allergy to some food products(milk, wheat, eggs, chocolate, artificial colors, citrus fruits) or medications;
* weak bladder sphincter, which involuntarily relaxes during sleep;
* constipation;
* psychological problems (stress due to bad relationships or divorce of parents, the appearance of a baby in the family, serious illness or death of someone close);
* heredity (if both parents suffered from enuresis in childhood, 80% of their offspring - 4 out of 5 - will inherit this property. From one of the parents this property is transmitted to half of the children)
In children under two years of age, involuntary urinary incontinence, or enuresis, especially during sleep, is very common. At this age, the only regulator of the urination process is the spinal reflex, which is closed in the area of the sacral segments.
If a child is raised properly and his nervous system develops normally, then voluntary cortical regulation of this reflex spinal arc is gradually developed, which leads to the appearance in the child, usually at the age of 2-3 years, of conscious control over the process of defecation and urination. If for some reason the formation of control was disrupted, this leads to enuresis, especially at night.
The causes and mechanisms of the appearance of enuresis are heterogeneous and complex, as a result of which the treatment of involuntary urination with the help of homeopathy is a complex task and requires an individual approach for each case, the choice of a constitutional remedy, taking into account all the features of the child’s mental and physical development, the pace of this development, family history, nature of the disease.
Benefits of homeopathic treatment for enuresis
- The absence of any contraindications for the use of the homeopathic method, that is, the absence of allergic reactions and side effects;
- If the drug was selected correctly, in accordance with individual characteristics condition of the child, the effect manifests itself very quickly - to completely cure chronic enuresis it takes from one to three months;
- The positive results obtained are highly stable and durable;
- Along with the treatment of involuntary urination, all diseases accompanying enuresis are treated, such as neuroses, various mental disorders, childhood restlessness, low immunity - that is, in other words, the whole body of a small patient is being treated;
- The homeopathic method is very affordable compared to other methods of treating the disease, that is, there is no need for long-term treatment with expensive drugs.
Drugs used
First of all, you should not try to treat enuresis with homeopathy on your own. As you may know, experts pay great importance symptoms and in some cases you may simply not pay attention to this or that symptom without attaching importance to it, while in fact the choice of the right remedy may depend on this. For example, it matters whether the child is withdrawn or, on the contrary, hyperactive, at what time intervals enuresis appears, whether it appears in daytime etc.
Examples of homeopathic remedies that are used to treat involuntary urination include the following:
- Pulsatila - used for enuresis that occurs due to frequent punishment of a child, if the child has a whiny character, if he requires a lot of attention;
- Gelsemium - involuntary urination due to various worries and stress;
- Causticum - if the child is disobedient in character and it seems to him that he is not recognized enough;
- Capsicum - if enuresis occurs away from home due to nostalgia;
- Argentum Nitricum - if the problem manifests itself against the background of fear of any upcoming events, such as exams;
- Ignacy - involuntary urination against the background of romantic disappointments and experiences;
- Staphysagria - the occurrence of enuresis against the background of strong resentment;
- Natrum Muriaticum - if enuresis appears due to problems with parents, in single-parent families.
Most important factor When selecting a homeopathic remedy, it is necessary to evaluate the patient and his characteristic symptoms in complex. Treatment of involuntary urination using homeopathy requires a lot of patience and attention on the part of parents, and the right drug will help to complete the treatment process faster.
It is legal to diagnose a child as bedwetting (enuresis) if he is already five years old. Involuntary urination in more early age is explained by physiological reasons - the emerging mechanisms of transmission of nerve impulses between the brain and innervated organs have not yet taken hold. By the age of five, this should normally have happened.
The causes of enuresis may be different character. The most common are hereditary predisposition, underdeveloped nervous system, severe stress, birth trauma, as well as insufficient amounts of the hormone vasopressin, which reduces urine production at night.
Treatment of childhood enuresis should begin with a visit to a specialist early stage diseases. It is necessary to take tests, undergo hardware diagnostics, and then follow the prescribed treatment. It is usually prescribed in a comprehensive manner by a pediatric urologist and a neurologist.
Parents often underestimate the seriousness of the disease and prefer to deal self-treatment, wait until the child “outgrows” the disease or choose another unconventional method - homeopathy.
All these methods have one thing in common - they are questionable from the point of view of effectiveness. Treatment of enuresis with homeopathy is not recognized by modern official medicine.
The reasons for seeking such treatment are clear. Parents of patients are promised absence side effects, allergic reactions, the low cost of the drug and the speed of cure. However, such neutrality and safety of homeopathic medicines is explained by their uselessness - the amount of the active “healing” substance in the proposed solutions is negligible, and the results achieved are explained by the placebo effect.
Homeopathy and bedwetting in children
Many people often confuse homeopathy with herbal medicine, although herbal treatment is fundamentally different and can be effective. However, it is best if the intake of decoctions and extracts from medicinal plants is agreed with a specialist who uses it in addition to drug treatment enuresis.
Among the most effective, decoctions of dill and St. John's wort are often noted:
Pour a tablespoon of dill seeds into a glass of boiling water and let it brew for 2-3 hours, then consume the prepared infusion internally. The reception lasts a week, and a new decoction is prepared each time, since when stored for a long time it loses its healing properties.
Pour the herb and flowers of St. John's wort (about 40 grams) with a liter of boiling water, wrap the container with a towel and leave for about 2.5 hours. Take orally instead of tea.
Supervision by a specialist for urinary incontinence in a child is also important because treatment of enuresis is not always based on taking the necessary substances - in some cases, urinary incontinence is explained by anatomy internal organs and only intervention in their structure (massages or, in more severe cases, surgery) will help solve the problem.
Herbal medicine can become an additional means of treatment if the causes of enuresis are of a psycho-emotional nature - then relaxing and soothing herbal preparations can be used.
At complex treatment enuresis, which includes herbal medicine, it is especially important to monitor the child’s daily routine and diet. It is advisable to bring behavioral habits before bedtime to automaticity - the child should go to bed and get up at the same time, take a walk every day. fresh air. You should also take care of the bedroom - it should be ventilated, comfortable, and the mattress should not be too soft.
Most of the daily drinking rate should be given in the first half of the day, in the evening it should be reduced, and a couple of hours before bedtime it should be stopped completely. This way the child will not be thirsty and the bladder will not be overloaded before bedtime.
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Enuresis is the inability to control urination during sleep. Involuntary urination into clothing and bed in young children under 4 years of age is considered normal stage in developing control over bladder. Since every child is different, the rhythm of establishing control over urination is also different. Enuresis affects 15-20% of children aged 5 years, 7% of children aged 7 years and 1-2% of adolescents and adults. Boys are affected twice as often as girls. Involuntary urination at night, 1-2 times a […]
The inability to control the process of starting to urinate with complete release of the contents of the bladder or part of it is called enuresis. There are several methods for getting rid of pathology. For successful treatment of the disease, the main thing is to consult a doctor in time for advice.
Photo 1. Enuresis can be a cause or a consequence psychological problems. Source: Flickr (Jejen Abidin)
What is enuresis
Enuresis is uncontrolled urination. In younger children preschool age This phenomenon is not considered a disease and, as a rule, goes away on its own by the age of 6. In adults, the inability to control the process of excretion of urine from the body is associated with the development of pathologies in the genitourinary system. In this case, professional help and adequate treatment are necessary.
Types of enuresis
Traditionally, experts distinguish several types of enuresis:
- Primary. It is observed in children who cannot control the process of urination during sleep. The lightest form;
- Secondary. A similar diagnosis is given to children who have learned to control the process, but after a long period of time (at least six months) the problem returned. Additionally divided into uncomplicated (otherwise the child is absolutely healthy), and complicated ( developing pathology accompanied by other diseases);
- Stressful(nervous). Arises against the background of experienced shocks; Organopathic. Caused by impaired functionality of the kidneys and bladder;
- Endocrinopathic. Observed in patients with disorders of the endocrine system;
- Epileptic. Develops as a result of epilepsy;
- Urgentny. Characterized by an irresistible desire to immediately empty the bladder. Patients complain that they simply do not have time to get to the toilet;
- Mixed. Can be caused by several reasons at the same time. Characteristic of older people (women in the post-menopausal period and men with urological diseases).
Causes of enuresis
Patients are unable to control the process of starting to urinate for various reasons. This may include damage to the genitourinary system by infection, congenital and acquired defects, stress and other mental disorders.
Causes in adults
In older patients, “childhood” disease can be caused by:
- Infection and bacterial damage to the genitourinary system;
- Age-related changes with weakening of the bladder muscles;
- Adenoma prostate gland in men;
- Hormonal changes with increased production of vasopressin (the hormone responsible for the density and volume of urine);
- Lack of hygiene;
- The formation of oncological tumors;
- Stressful situations and mental disorders.
In children
In children of primary preschool age, the process of urinary control is just being developed. That's why Until the age of five there is no need to sound the alarm. But if involuntary urination at night is observed in older children and is regular, then you should see a doctor to determine the cause and prescribe therapy.
Note! Boys suffer from nocturnal enuresis 2 times more often than girls.
The main prerequisites for the development of the disease include:
- Dysplasia of the genitourinary system (underdevelopment);
- Disturbances in brain activity, as a result of which the interaction between the spinal and cerebral centers is not established;
- Decreased bladder tone;
- Genetic predisposition;
- Infectious diseases of the internal organs of the pelvis;
- Psychical deviations;
- Psychological trauma.
Photo 2. Voluntary urination in children under five years of age is considered normal. Source: Flickr (Nancy Ripton) Symptoms and signs of enuresis
The main symptom manifests itself in the form of nocturnal incontinence of the contents of the bladder and presence of a wet spot upon waking up. In rare cases, portions of urine may be released during the daytime.
Diagnosis of enuresis
A disappointing diagnosis is made after comprehensive examination, and only to persons over 6 years of age. Initially, you should visit a pediatrician or therapist, who will assess the patient’s condition and prescribe additional tests, if necessary:
- General blood analysis;
- General urine analysis;
- Sowing on flora;
- Ultrasound of the pelvic organs;
- Electroencephalogram;
- Echoencephalogram;
- Rheoencephalography;
- Cardiointervalography;
- Uroflowmetry.
Other examinations are possible if the specialist needs to clarify the clinical picture.
Treatment of enuresis
Enuresis is an atypical illness, so it is Treatment can be carried out by several highly specialized doctors at the same time. Therapy is prescribed depending on the cause of urinary incontinence by urologists, neurologists, nephrologists, endocrinologists, psychologists and homeopaths.
In the presence of infectious diseases a course of antibiotics is prescribed. For pathologies of the pelvic organs, therapy consists of taking medicines, decoctions, tinctures or wearing insulating belts. In all other cases, treatment is prescribed by a highly specialized specialist.
Treatment of the disease is divided into several groups:
- Medication;
- Physiotherapy;
- Psychocorrection;
- Regular method (putting children on the potty);
- Homeopathy.
Note! When treating children, it is imperative to provide them with psychological support, under no circumstances yell at the kids and motivate them to overcome the problem. Make sure your child does not drink a lot of fluids before bed.
Physiotherapy
The health status of a patient with enuresis is influenced by beneficial influence physiotherapeutic methods of correction, including heating by electrophoresis, therapeutic exercises and massage. All methods are aimed at stabilization nervous system and improving the functioning of the internal organs of the small pelvis.
Psychotherapy
Special treatment for pathology in children is usually not required, since in most cases urinary control is developed independently. But sometimes you may need help qualified specialist. Psychologist helps baby form a habit and stabilize the emotional background.
Adult patients may also require the help of a specialist to adjust their consciousness and regain control of their body.
Homeopathic treatment of enuresis
Treatment with homeopathy is a lengthy process, but often much more effective than drug therapy in the treatment of many problems that are difficult to correct with traditional medicine.
Homeopathic remedies in the treatment of enuresis have a long-term beneficial effect on the body and have virtually no side effects.
The treatment regimen is developed exclusively by a homeopathic physician. To eliminate symptoms, the following are often prescribed:
- For psychological discomfort Arnica(Arnica Montana). Tender and vulnerable natures may be prescribed Pulsatilla(Pulsatilla pratensis);
- As a result of strong feelings, fear of voluntary urination - Aconite(Aconitum), Opium(Opium) or Stramonium(Stramonium);
- For kids - Sepia(Sepia) Causticum(Causticum) and Creosotum(Kreosotum).
- To stabilize sleep - Belladonna(Belladonna).
Photo 3. A homeopathic doctor will help you understand the variety of remedies.
