Age of bed wetting is old enough to end

Oops! The child peed in the bed again. For those who have small children, changing the wet sheets, putting the mattress in the sun and being attentive to the steps of the small are attitudes that are part of the routine during the period of adaptation between the goodies and the use of toilet. problem is that many children when they are already young suffer with nocturnal enuresis, more popularly known as "bed wetting". Sometimes the problem is so striking that the child reaches the age of 10 or 11 with the problem. "The child can not say what he feels, so his body speaks for it. In the case of children who remain with the problem after the age of five, we must investigate whether the causes are emotional or physical," explains psychologist Marina Vasconcellos

Bedwetting

Vasopressin, also known as argipressin or antidiuretic hormone, is responsible for controlling the urge to urinate. In some children, the levels of this hormone, which should increase, decrease, and it can not hold the pee. "This may also be associated with other physical and emotional problems, so it is important to find out the true causes of the problem," explains pediatrician Albert Einstein Hospital, Jorge Huberman.

Maria Jose, 42, reminds us of the times when her daughter, Clara, now 26, would pee in bed, wake up, turn over the mattress and go back to sleep. "She was already about 10 years old and she continued to have the problem. One day we sought psychological help and we discovered that she was afraid of the colleague who died and therefore could not stop," says Maria.

It is normal for the child to pee in bed up to age five, after all, she does not yet have the ability to control urine during the night. However, when the situation continues to occur after this age, the best thing to do is to identify the causes of the problem. "There may be a number of factors." First, we need to investigate whether there are any physical causes, such as urinary incontinence, bladder problems or others, and then start with the possible psychological motivations. " the pediatrician Jorge Huberman, the age of "bed wetting" can vary from 5 to 7 years, depending on how often the child urinates in bed. "Sometimes the child is between 6 and 7 years old and one day or another he releases some urine on the mattress. That does not mean that he has the problem, he just went through a process that is natural in any human being," he continues. the pediatrician.

It may be a sign that something in the body goes wrong

According to pediatrician Jorge Huberman, the following factors must be taken into account:

- Inheritance

: the hereditary factor is a important because children with one of the enuretic parents (who had this problem in childhood) have a 40% chance of being enuretic. "If they are both enuretics, the odds increase to 77 percent." The open nighttime setting is also related to emotional factors linked to stress, such as home moving, separation of parents, birth of sibling, among others, "says the pediatrician.

- Involuntary loss of urine during day

. "Parents should watch out and see if the child unintentionally releases urine and feels pain or bleeds at the time of urination during the day.This may be an indication that the child has or will have nocturnal enuresis or some dysfunction in the body which triggers bed wetting, "explains Jorge. "The child does not do this because of malice or tantrums. It is a problem that may be associated with a more serious clinical picture, such as a urinary tract infection," continues the pediatrician. "One of the suggested treatments for nocturnal enuresis is exactly the use of a hormone called oxybutynin, which relaxes the bladder by increasing its duration, size, "continues.

- Neurological problems . Marina Vasconcellos explains that in the most serious cases, only a visit to the doctor can scale the problem. "

What if it is the emotional side? We must investigate if the causes are emotional or physical. The fact that the child is peeing in bed may signal some situations that she is experiencing. "She may be feeling frightened, sad or even rejected. It's good to talk to find out," explains the psychologist.

Some of the emotional reasons for the problem, she says, are: -

Pressure at school or by the stressful routine for the age. Adults often do not realize that the routine they impose on children is stressful and goes far beyond what the little ones can handle, so children react in a variety of ways and one of them is bed wetting.

-

Fear

of something

. At this stage, it is more than normal for children to be overwhelmed by the stories or actions of their peers. Everything gains a greater dimension than it actually has. So it's good to talk at school and see what's going on. A follow-up with the therapist can help.

-Tristez by parental separation. This is the most common cause. Parents often show marital problems and the child feels guilty or divided, hence the pee to attract attention or as a way to overcome the anguish. - Brother's arrival

. In this case, it is natural for the child to come back to call the attention of the parents, but the picture can not be delayed, otherwise it is no longer natural to be a problem. No constraints The right thing is to prevent the problem transfer to the child's social life. Leaving the little one exposed to the enjoyment of adults and children is a mistake. Marina Vasconcellos explains that it is possible to take some precautions to avoid it. Bladder under control

Pee in bed Marina Vasconcellos explains that it is possible to take care to avoid some embarrassment. or at least lighten the problem:

- Do not drink liquids at least two hours before bedtime - Avoid chocolate and coffee at night, therefore they stimulate bladder contraction, according to pediatrician Jorge Huberman. - Praise when the child can stay a night without peeing. "The stimuli help reinforce the desire to stop in the child, and although it is not premeditated, it can be conditioned to hold the urine," says Marina. "To reprove the child as if she were doing it on purpose only makes her feel even more guilty, aggravating the situation," she continues. "Therapy: The therapy modality is well recommended and has shown great effects. "The child plays with the therapist and during the play, which is planned and analyzed by the professional, tells of their traumas and fears." The drawings may also reveal the causes of the problem, "explains the psychologist. in the functioning of the bladder and urinary tract if necessary. "There are hormone-based treatments that help regulate the bladder, such as oxybutynin and desmopressin, which change the size of the bladder," concludes the pediatrician.

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