Bedwetting behavior can occur during the day or night, after the age at which we expect children to achieve urinary control (4-5 years of age). This is normal during the toilet training period. It may occur in the form of leakage of all or part of the urine. There are two different classifications of bedwetting. The primary type is a continuous period observed since birth. The type we call secondary type is when children who gain urinary control lose this control again after a while (at least 6 months) due to any disease or psychological factor.
First of all, in this case, consult a doctor to see if there is any biological basis for bedwetting. You must make sure that there is no If there is no biological basis, the child may be wetting the bed for various reasons. If there was toilet training before the time of bedwetting or if there was a lot of pressure, as a result of the pressured toilet training of an overly meticulous and regular mother, the mother's overprotectiveness, not giving any toilet training due to her desire to keep the child dependent on herself for a long time, the child's desire to attract attention again after having a new sibling, and It may result from anxiety and worry caused by stressful life events. Bedwetting can also be seen in wakefulness disorders.
In order to diagnose enuresis, bedwetting behavior must occur twice a week for at least three consecutive months, cause significant distress, and lead to impairments in functionality.
Bedwetting behavior must occur after a psychiatric examination. It can be treated with medication and behavioral therapies after other factors are eliminated. At the same time, defining the problem and providing detailed information to the family as a supporter plays a major role in the treatment. The precautions to be taken and the points to be taken into consideration should be explained to the family in a clear manner. Treatment is not started before the age of five because we expect the child to be able to hold his/her urine after this age.
Most children who are four years old have developed bowel control. Encopresis (subsoiling) is the occurrence of fecal incontinence or inappropriate and repetitive defecation of feces, regardless of any organic disorder, despite reaching this stage. is to be done. This behavior can be voluntary or involuntary. In order to diagnose encopresis, it should be observed regularly at least once a month for three months.
First of all, biological causes that may cause encopresis should be eliminated by consulting a doctor. Encopresis may also occur due to some psychological reasons. Having a new sibling, separation/sudden loss from parents, conflicts within the family, delayed toilet training or a very strict and punitive attitude, obsessive compulsive attitudes and behaviors of overly meticulous and clean mothers/parents, stubborn temperament of the child and refusal of toilet training, reluctance, etc. Bottom contamination behavior may occur for various reasons.
In this regard, psychological reasons are investigated after a physical examination is performed for the treatment process. Again, the process should be progressed in cooperation with the family. At this stage, family therapy can be performed if necessary. Medication and behavioral therapies constitute the majority of the treatment process in this regard. Additionally, methods such as tying a diaper under the child, punishing him or keeping him silent may increase the child's bed soiling problem. Therefore, attention should be paid to such attitudes and this situation should not be underestimated.
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