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Tuesday, February 5, 2008

Time to Deal with Bedwetting

Bedwetting is a problem nobody want to talk about and nobody wants to deal with. It's a problem in many houses. I found out in one week two close friends had bedwetters (never told me before). Ironically we had two sleepovers with our friends at a time we moved and I found out then that both families had bedwetters. In my years in urgent care, families didn't include this in the medical charts. After this I started asking at every school physical. I am really shocked at how many wetters there are.

Sooner or later, I am going to have to start a treatment plan for enuresis (bedwetting). My four year old is a bedwetter. He stopped wearing diapers during the daytime before he was three. Maybe he was a little younger, I don't remember exactly. But he continued to saturate his night diapers. I recognized this as bedwetting because of his resistance to put diapers on at night and him pulling them off when he woke. If he didn't mind the diapers and didn't comprehend, I'd say he just wasn't trained.

I am familiar with Dr. Collins' encopresis program because on of my older sons suffered with soiling.

Dr. Collins' behavioral treatment is recommended for 4 years and older. It involves a parent sleeping in close proximity to the child and the use of an alarm with vibration and noise. The parent is to respond to the alarm and take the child to the bathroom no matter what. It involves charting to measure progress. It takes a committment. It is not a program that relies on medication or only on alarms.

David sleeps right next to me. We are in close proximity. That part is easy. I put off treatment before he was four. But I find myself continuing to put off treatment. Why? For a few weeks he was actually dry. We went out of town for the first time without diapers. Then it started again! I also thought he might cut back on his night nursing and the need to wet might be gone, but he hasn't cut back on his nursing. Seeing that the nursing or wetting is not going away. I need to make a plan. I have Dr. Collins' books, I need to re-read them. I need to get the alarm and get my charts ready. I've even talked to David about the alarm and suggested that it would be his "beeper" like Dad's that goes off all night.

I keep procrastinating starting this treatment. Hopefully posting about it is a way to get me organized and start treatment. I will post on more specific treatments and theories soon and I will also add encopresis to my list to write about.


crispy said...

We had a bed wetter too. I never even thought that we would. Neither my husband or myself were bed-wetters. But once you start asking around, there are a lot of them.

What worked for us was creating a new habit. We set an alarm every hour in the night and took her to the bathroom. Then stretched it to every 1.5 hours then every get the idea. It took some time but worked for us. (about 3 months)

We never punished her or scolded. We also never took drinks away. We tried to just create responsibility in herself. (This was also done without a pull up.)

We didn't start this until she showed the determination (age 7) and believed in herself. It took both my husband and I to work as a team. He took the early shifts in the night and I took the later ones, to make this work.

pearly1979 said...
This comment has been removed by the author.
Permission to Mother said...

Its more common in boys.

Anonymous said...

I had a bed wetter. A girl. We did not treat it in anyway and we did not make her feel bad in anyway. Still she was a little self conscience about it. I just encouraged her that it would eventaully go away. I had a little brother who was a bed wetter and my husband was a bed wetter, so I wasn't concerned. We just explained that this was a variation of normal. It went away on it it's own with no treatment at all around age six or seven. I don't know of any adult bed wetters, so a conclude that it does eventually go away.

Now we have a "toe walker". The reading I have done on toe walking states that it goes away on it's own. I would think the same for bed wetting.

Just my thoughts.

permission to mother said...

Crispy and Anonymous,
Did you wash sheets every morning? Its hard to ignore wet sheets and blankets for that long.


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