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The child is peeing. Treatment of urinary incontinence in children
It is believed that urinary disturbance in children over 4 years of age is a problem associated with the psychosomatic conditions of the child. Often, pediatricians refer patients to neurologists. But this is not always correct. What if the child is peeing and there is no single approach to the treatment of bedwetting in children?
The child is peeing. How to treat bedwetting in children
Children under 6 months of age show an “immature type of urination”, babies can empty up to 20 times a day, as urine accumulates in the bladder.
From the age of 6 months, the child tries to show desire, this can be:
- cry
- tightness
- full focus on the process
It is then that parents should begin to teach their baby to “toilet” skills.
Formation of the functions of the bladder ends at about the age of 3-4 years.
After 5 years, involuntary urination is considered a disease
Types of urination disorders
- Stress incontinence. Incontinence occurs directly during physical exertion (lifting weights, laughing, coughing, sneezing)
- Imperative incontinence (imperative). Emptying of the bladder occurs only at the height of the acute urgency, more common in boys
- Overflow incontinence. Urine is excreted literally drop by drop when the bladder overflows
- Reflex incontinence. This type is most often triggered by spinal cord injuries, tumors, or transverse myelitis. In this case, incontinence can be intertwined with acute urinary retention.
Also distinguish between primary and secondary urinary disorders in children. If incontinence is observed constantly from birth, then this factor is primary. In the case when the child has already controlled his emptying of the bladder and suddenly incontinence reappeared, these are secondary signs.
Diagnostic and treatment methods
With pathological urinary incontinence in children, an examination is carried out to identify inflammatory diseases, congenital malformations and neurogenic dysfunction of the bladder. Diagnostics should include both neuropsychiatric and uronephrological examination methods and an assessment of the child’s somatic status. Also, it is imperative to do a general analysis of urine and blood, ultrasound of the kidneys and bladder, EU, UFM, MCUG.
Violation of urination at 10 years old is certainly an alarming symptom, but do not rush to transfer the child to drug treatment, often it is enough to form a regimen
If any diseases are identified, it is necessary to treat them first. Then, perhaps, the functions of the bladder will recover on their own. If no diseases and pathologies have been identified, and urinary incontinence occurs only during a night’s sleep, then all treatment methods are reduced to strict adherence to the daily regimen.
Talk to your child. Explain that you need to follow a special regime in which you are not allowed to drink after 17:00 pm and play active games in the afternoon. For the first two months, set the alarm clock every 3 hours, teach your child to empty himself regularly, regardless of the urge. After 6 months, with positive dynamics, begin to increase the time between forced urination. Make it a rule to wake up and carry out the obligatory descent of the child at night at the same time, around 00:00. Limit your salt intake. Try to include steamed food in your diet.
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