Just like adults, even kids experience tension. A child, boy or girl, is admitted to play group once it is above two years of age. It is a drastic change in their life. A child over a year learns to convey when he wants to relieve himself. In case of a few children, even if they can control their bladder in the day, it is not possible at night. In rare cases, this phenomenon continues right into adolescence which is when one repents for not having treated in time. The urinary system is under the control of the autonomic nervous system. In infants, when the bladder is full, it gets the signal to empty it and this is done automatically. However, from the age of five, it becomes possible to control the functions of the bladder with the help of voluntary muscles. There are two types in bedwetting, one where the child is unable to control his bladder and the second where he loses control even after learning it for a few years. Some kids also unknowingly urinate even during the day.
1. Natural: Stunted physical and mental growth, lack of guidance from parents, over consumption of water, size of bladder being small or heredity.
2. Disease-borne: Being born with diabetes, diabetes insipidus, urinary tract disorder, urinary tract infection, lack of nervous control, underdeveloped or fused urethra, urinary opening being small, epilepsy, spinal deformity, etc.
Mental: Fear, insecurity, sibling differentiation by parents, lack of love and affection from parents, over indulgence, seeking attention, depression, despair, domestic fights, parental discord can all lead to bedwetting.
Uncontrolled urinating finds its roots on a mental state. Of late, such cases are frequent owing to the stressful lives one leads. How can one find the right balance of the suppression and neglect of a joint family and the loneliness of a nuclear family?
Treatment: Both parents and children need counseling before the course of treatment begins.
Training: The child needs to be reminded to urinate before going to bed. He may be awakened at night at a fixed time and taken to urinate. Teach him to control urination for longer time in the day. This helps in strengthening of the urinary bladder. This training must be imparted by the parents to the child.
Treating diseases: One must identify the base cause of such disorder and treat the disease first. Ex: if the urinary opening is small, it needs to be enlarged with a surgery.
Psychiatric treatment: One can find special diapers for such children abroad. The child wears this diaper which vibrates even with a single drop of urine falling on it. This awakens the child and trains him to be awake when he urinates and gain control over this function. Counseling, hypnosis and training also helps a great deal.
Homeopathy: It enables complete cure of this disorder. Many children have benefited from homeopathic medicines, even adolescents who face huge embarrassment due to this. Parents shy from getting treatment which is wrong since it demoralizes the child. Sepia, costicum, acid benz, creosote, equisetum psorinum, lac can, licopodium and such excellent medicines can be used. Amongst biochemic medicines, one can use Calceria Fos 6x, califos 6x, Natrum Fos 6x which are very beneficial.
by-Dr Sonali Sarnobat
English Version credit: Mrs. Swati Jog