Bedwetting means involuntary, recurrent, daytime or nocturnal urinary incontinence in children after at least 5 years of age. Although it is common in childhood, it is a social and medical problem that affects the child and his family in different ways. Bedwetting problem; It is seen as bedwetting at night, bedwetting during the day, constant bedwetting and occasional bedwetting. Enuresis, according to the International Diagnostic and Statistical Manual of Mental Disorders (DSM-IV):
-Recurrent leakage of urine (involuntary or purposeful) into the bed or clothing.
-It occurs at a frequency of twice a week for at least three consecutive months or does not cause clinically significant distress or causes impairment in social, occupational or other important areas of functionality
-The calendar age is at least 5 years old
-It is defined as this behavior not being due to the direct physiological effects of a drug or a general medical condition.
According to studies, the incidence of bedwetting in children is between 5% and 15%. It is more common in boys than girls.
Bedwetting; It is caused by physical or psychological reasons. Physical causes; Genetic predisposition, delayed neuromuscular control, urinary tract infections, extreme fatigue, consuming too salty and watery foods and drinks, cold feet and lower back, and getting up and drinking water during sleep. Psychological reasons are; Early and stressful toilet training, birth of a new sibling and jealousy, starting school, changing schools, fear of school, loss of a loved one, frightening events experienced during the day, separation of parents, disorders in family relations, overprotective and tolerant attitude of the family towards the child. It is the tendency of the child to remain babyish, to attract attention and to create an environment of constant stubbornness.
Some symptoms may be observed in children with psychological bedwetting problems. These are:
-Thumb sucking, nail biting
-Escaping responsibility
-Self-confidence
-Behaving aggressively
-Anger and crying spells
-Lying
-Not showing age-appropriate behavior
-Introversion, desire to be alone
In case of bedwetting in children, the child should first undergo a medical examination, it should be determined whether the problem is caused by an organic disorder, and if necessary, medication should be applied. The attitude of parents regarding bedwetting is very important. The family should primarily support the child. There should be no scolding, shaming or punishment. Since muscle control does not develop before the age of two, toilet training should not be given before this period. Very watery and salty foods and drinks should be given to the child in as controlled manner as possible. Care should be taken not to give such foods and drinks, especially before bedtime and between sleep. A clock should be set at certain intervals at night to ensure that the child goes to the toilet. The child must be fully awake at this time. Rewarding the child when he/she does not wet the bed can also be used.
Good communication should be established with the child and it should be explained that this situation is temporary and that the child can overcome this situation if he/she wishes.
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