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Role of parents and doctors in childhood enuresis

Role of parents and doctors in childhood enuresis


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The behavior of the parents, as well as the position of the doctors regarding infantile enuresis, is of fundamental importance for the safety and confidence of the child with enuresis. Without this support and trust, it will be very difficult for you to overcome this problem. Parents, on the one hand, must arm themselves with patience and understanding. Doctors, on the other hand, must convey safety to children. And both should work side by side until the child is able to control his urination or urination.

Urologist Juan Carlos Ruiz de la Roja, in an exclusive interview on our site, reveals some tips.

1-What physical and psychological consequences can derive from a childhood enuresis?

The consequences are tremendous and above all they come from a psychological point of view. Obviously they are children who socialize much worse because they usually do not go to camps, they do not go to friends' houses to sleep. In addition, they are children who sleep poorly because they think they are going to urinate, they wake up in a milder way and that causes their school performance to be much lower.

2-Should the boy or girl be punished for wetting the bed?

You should never punish a child who urinates in bed at night, because if we are saying that 90 percent of the time it comes from a physical cause, and that the child is not guilty of urinating, if we punish him, This will unfortunately suppose a double suffering, since the child cannot control himself, it is a physical cause. If we punish him, what we are causing is that the child has a psychological disorder and in the end ends up with fears and many times with problems that may have repercussions as an adult, from the psychological point of view.

3-Should parents reward children when they make progress in treating enuresis?

Children who have enuresis should never be punished, but on the other hand, they must be rewarded. If our child begins to advance and we can begin to remove the diaper because he does not urinate, these children must be rewarded and given a positive encouragement. Within enuresis we must always talk about positive and never negative stimuli, or punishments, or repressing the child. That should never be done.

4-What would you say to parents who are ashamed to admit that their children wet the bed?

There are many parents who feel ashamed to admit that their children wet the bed, but if we look back many times that shame happens because the parents themselves, the grandparents themselves, also suffered the same when they were children. It is usually a very shameful subject and is usually experienced as a family. It is known that the problem disappears over time and that, being a family theme, many people are ashamed to admit it, since at a certain moment, even an adult can get the colors out because they are asked if he himself has also urinated and evidently answered that just like his son, when he was a child.

This situation means that we live within a taboo subject that is not discussed, which can cause children not to go, unfortunately, to the doctor, because as the parents themselves suffered the problem and know that over the years and with the maturation of the bladder, the enuresis disappears, that often makes them not consult, they are ashamed to recognize the issue. Unfortunately we know that less than 20 percent of children who are over five years old and wet the bed are seen by a specialist.

5- Could you be more specific regarding the treatment of enuresis and the medical part of the problem?

Within enuresis, the medical part represents 90 percent of the cases. You can see cases, for example, in which it has been discovered that children who are diabetic and who did not know it have a problem of enuresis. In these situations, diabetes must be treated, which is why it is very important to do medical tests to reach a diagnosis. If the problem is that the child has an overproduction of nocturnal urine, usually the treatment is with a pill that is put under the tongue and that causes a reduction in the amount of nocturnal urine to prevent leakage. In the event that the child has a smaller bladder, it will also be necessary to do certain exercises and even the possibility of some medical treatment depending on the reason why the growth of the bladder is not adequate in that child.

6- What type of medical tests are done on children with enuresis?

The medical tests we do in these consultations are very simple. They basically consist of a urinalysis, to find out if there may be a problem within it that is justifying this child to wet the bed. Then another very simple test, an ultrasound, very important, not only to see the capacity of that bladder, but also if that child empties that bladder or if there is any alteration or malformation of the urinary system. That is why it is essential to do some small basic tests to know exactly the cause of why our child urinates.

You can read more articles similar to Role of parents and physicians in childhood enuresis, in the category of Urine - Urination on site.


Video: How common is bed wetting enuresis in children? (May 2022).