Enuresis, known as bedwetting and urinary incontinence in children, is a very common disorder today. Although toilet habits vary from child to child, they usually begin to learn to hold their pee towards the end of 3 years of age, but incontinence may continue until the age of 4-5. Sometimes it can be seen during the day, but sometimes, most of the time, incontinence can be seen at night. However, persistent incontinence after this age may have physiological or psychological reasons. While incontinence may be observed in a child affected by emotional problems, this problem may also occur because the muscles that need to develop in order for the child to acquire toilet habits are not mature enough. The first thing to do is to find out whether the problem is caused by a medical reason and to consult a specialist.
We can list the physiological causes as follows:
- It may be due to hereditary reasons. In this case, the family's toilet habit history should be taken into consideration. If the parents had such a problem, it may have been hereditarily passed on to the child.
- It may also be caused by the immaturity or underdevelopment of the muscles (sphincters) that need to develop to ensure toilet habit.
- Even if children consume too much liquid before going to bed and do not go to the toilet before going to bed, they may leak.
- Kidney and urinary tract disorders, Bedwetting is also seen in spinal and central nervous system disorders.
When we look at psychological causes, the most common cause is stress. Bedwetting can occur in stressful situations such as changing schools, losing someone close to you, moving, or sibling jealousy. It is especially encountered in children with sibling jealousy. As the interest in the newborn baby increases, jealousy may occur in the older child. In such cases, focus the attention on yourself. The older child who wants to attract attention usually starts to act like his younger sibling. Some of these behaviors include talking like a baby even though he can talk according to his age, not wanting to eat his own food, and wanting to use a bottle.
- It may also appear on an emotional basis. For example, accidents, traumas, lack of love and indifference are among the causes of bedwetting.
- It is seen in children of families that exhibit oppressive attitudes towards toilet training.
Ways to prevent:
- It is primarily caused by medical reasons. A physician should be consulted to find out whether it is caused by
- Knowing that children do not do this on purpose, you should stay away from punitive, oppressive and meticulous behavior and attitudes.
- If the reason for bedwetting is sibling jealousy, you need to show equal amounts of behavior, care, concern and love towards your children. It is important for the child to be appreciated for what he or she can do, as it will provide emotional relief.
- Trying to cover up some things by thinking that children do not understand will not be of any use.
- When the child goes to the toilet, he should be encouraged, should be supported.
- Toilet habit should not be started prematurely.
- It should be checked that he goes to the toilet at regular intervals, and especially before going to sleep, make sure that he goes to the toilet. At first, the child should go to the toilet with the help of the parents and then be encouraged to go to the toilet on his own.
- Child's The causes of stress and anxiety he/she experiences should be recognized and efforts should be made to make him/her less stressed and anxiety-free. If you think it cannot be done, a psychologist should be consulted.
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