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Bed-wetting in .NET framework
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Most children are dry at night at around the age of seven, and both children and their parents get distressed when bed-wetting (also known as nocturnal enuresis) persists into school-age A number of reasons may be responsible, some of which you may be able to address and influence yourself
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Part IV: Dealing with Health Problems in Specific Groups
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Contrary to common belief, physical conditions only rarely cause bed-wetting, and emotional or so-called functional reasons those without an underlying disease are much more common Here s a quick guide to help you spot some of the causes of bed-wetting, starting with the common ones: Constipation: If your child is complaining about having hard stools and has infrequent bowel movements, constipation may be the underlying problem hard stool in the back passage may be putting pressure on the bladder (called faecal impaction) Turn to 11 for more information on constipation and bowel problems Emotional factors: Some children start wetting their bed again in times of emotional distress, for example, when their parents go through a divorce, someone close to them or their pet dies, or they are being bullied at school Where emotional factors are the cause of the problem, the bed-wetting usually improves after a week or two Urinary tract infection: A urine infection is a common cause of bedwetting in a child who has been dry at night before See the preceding Common urinary problems section Lack of arousal from sleep: Your child may just not wake up when her bladder gets full she may sleep through even if the bed is wet In this case your child may benefit from what s called an enuresis alarm (for further information check out the ERIC (Education and Resources for Improving Childhood Continence) website, wwwericorguk Increased urine production at night: When increased urine production at night is the cause, your child usually doesn t show any urinary symptoms during the day, but may wet the bed early in the night with large wet patches Excess drinking in the evening can bring this problem on, and so try restricting your child s fluid intake before bedtime If this tactic fails, your child may respond to treatment with a drug called desmopressin or other medication Overactive bladder: Children with an overactive or small bladder often also show urinary symptoms during the day Physical causes: On rare occasions, an obstruction in the plumbing or other rarer medical conditions can cause bed-wetting Try to speak openly with your child about the problem and find out what she thinks about it And don t worry most children grow out of wetting their beds and become dry Their bladders grow bigger and can hold more urine, and the muscles that seal the bladder get stronger with age Children s sleep also becomes lighter as they get older, and they become more sensitive to the urge to go to the toilet at night or in the early hours of the morning
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16: Identifying Health Problems in Your School-Age Children
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If your own attempts to fix the problem fail and you re still concerned, consult your school nurse or GP for further assessment and to talk about the management options, of which many are available Seeing a health professional with your child is especially important if: You suspect a physical underlying cause Your child (or you!) suffers severe emotional distress Your child still wets the bed as an adolescent Your child wets herself during the daytime Many parents worry about the negative social and emotional effects of bedwetting on their child Nocturnal enuresis can affect whole families due to feelings of shame and embarrassment, which may become apparent when your child goes on a school trip or gets invited to a sleepover You and your child may find that building up the courage to consult a health professional is difficult, or you may never have thought of speaking to someone before For your and your child s sake, don t be afraid to seek advice if you re worried A number of strategies and treatments are available, including timing your child s fluid intake, periodically waking your child at night, moisture alarms, hypnosis, star charts, and retention and control training For more information on treatment options and how to introduce them, take a look at Children s Health For Dummies by Nicci Talbot, Katy Holland and Dr Sarah Jarvis (Wiley), which contains a lot of practical advice Also check out the ERIC website (wwwericorguk) which has lots of additional information
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