Bed wetting is a major issue among children. Normally parents used to think that the child due to his laziness used to urinate in his bed ormay be embarrassing for the child & frustration to parents. Due to social stigma prevailing the children are emotionally abused by the family i.e mother,father or siblings. the situation is used to threaten or take advantage of the child. literally they compare the child with their siblings or the child in their neighborhood.
Bed wetting or Sleep wetting or Nocturnal enuresis– mean involuntary urination in bed during asleep at night .
no proper control over bladder & passing of urine in bed or clothes.
As per DSM IV -it means repeated urination into bed ,clothes occurring twice a week for at least after 5 years of the age.
Mostly bed wetting is an developmental delay and not an physical or emotionalof all ages are more likely to wet bed than females and the ratio is 5:3 %. only 5% to 10% will be of medical cause .
90% of them wet the bed almost in night .
constipation, ADHD, infections, ADH, physical abuse, emotional abuse,stress,heavy sleep.
precautions to be taken :
parents should never punish the child for wetting the bed,it may lessen his self image or confidence.
parents should be encouraging the child to have control over the bladder other wise he will develop social stigma.
whenever child doesn’t wet bed he should be praised & said that you can control .keep it up.
never force child to have less water or fluids during evening or bed time & force him to go for urination before bed but give him plenty of fluids but not tea,chocolate,coffee & coke, Pepsi, sprite,thumps drinks.
don’t em brass the child but encourage the child to take responsibility changing or cleaning his own clothes or bed sheets.
even constipation some times causes bed wetting be sure to give plenty of vegetables,fruits, cereal food & plenty of fluids & regular exercise .