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Stop Bedwetting In Children Using Several Effective Treatments
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Enuresis is defined as an involuntary urination after the age of 4 - 5 years. This may be either nocturnal, diurnal, or both. An enuretic is a person who persists in daytime or night time wetting. There is a distinction between Primary Enuresis and Secondary Enuresis. Primary Enuresis is a child who has not stopped bedwetting or was dry for only short duration whereas Secondary Enuresis is a child who was dry for minimum 6 months and then relapsed.
Enuresis is the most prevalent and frustrating disorders. The conventional thought among parents and the pediatricians is that bedwetting in children is a medical or psychological dilemma. Over and over again, the patient undergoes an unnecessary and comprehensive medical assessment without any fruitful results. Though, a neurological, medical or urological problem is the main diagnosis among 2% of enuretics. A psychological cause, such as family related problems, social adjustments, or fears is a factor among additional 20-25% of the patients.
For most of the enuretics the primary source is unusually the deep sleep. When the person sleeps, a pressure is built up inside the bladder and this signal is sent to the brain. Among the enuretics this signal is not identified by their sub-conscious reflex system and instead of contracting the sphincter muscle, the child relaxes the muscle and urinates while sleeping.
The Behavioral Treatment is one of the most effective therapies for bedwetting. In this, the child undergoes a learning process that teaches him to activate the continence mechanism. Under this therapy, the child sleeps with an enuresis alarm that begins to ring when the child starts urinating. The reason of ringing the alarm is to activate his reflex system and generate a learning process.
Sadly, most of the parents terminate the treatment after a short duration as they claim that their kid does not wakes up when the alarm goes off. This is the common misconception. The aim of the alarm is not to wake up child while he is sleeping but to teach him to control himself. If the child does not wakes up then the alarm acts on his subconscious reflex mechanism. The alarm is a fundamental component that measures the reflex response and asses the response of the child.
An extension to the behavioral treatment is The Multi-Modality Behavioral Treatment Model that was developed by Dr. Jacob Sagie in the late 1980. It is designed for those who are required to learn extra techniques beyond the enuresis alarm in order to stop bedwetting in children. This treatment method is quite unique and is tailored according to the individuals need. This model also takes into account all of the aspects related to enuresis including frequency of episodes, the patient’s age, dribbling, day control, sleep depth, and personal motivation. In this method a personal relationship between the patient and therapist is made that is vital for the treatment's achievement. Due to large geographical distances the treatment is conducted through video conferencing. This treatment has found to be very effective and has a huge success rate.
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