Physicians rule out first medical causes, such as constipation or infection and they look more closely at the causes occurring next to psychological stress or trauma. If no medical or psychological causes for bedwetting can be found, the family can move on to ways to help the child stop bedwetting. Treatments include:
- Bed/Personal Enuresis alarms ‐ These alarms work by waking the child when they start to wet during the night so they can empty their bladder in the toilet, ultimately sensitizing the child to respond quickly and appropriately to a full bladder during sleep. Urinary bed alarms are generally regarded as the most effective bedwetting treatment for the long term.
- Rewards for Dry Nights. This can involve giving the child a small toy after a dry night or rewarding him with a trip to the park or someplace else he wants to go. Don’t punish him and try to understand this is not his fault.
- Lifting. This strategy involves making sure your child goes to the bathroom right before his bedtime, and then waking him up after he has been asleep two or three hours and taking him to the toilet.
- Fluid Restriction. Limiting fluids at night is widely suggested but can be difficult to do.
- Waterproof Sheets Plastic sheets and disposable underwear can save sanity and mattresses. You can also layer a plastic sheet, regular sheet and a blanket; then repeat the process as a double bubble.
- Bladder Retraining and bladder relaxant medication ‐ Treatment to improve bladder overactivity requires bladder retraining in combination with a bladder relaxant medication. Bladder Retraining can involve increased fluid intake and toilet trips. This Helps relax the muscle around the bladder so it doesn’t contract and empty before it’s full.
- Antidiuretic Medication ‐ this is a medication which, when taken at bedtime, results in decreased urine production during the night and reduces the risk of bedwetting.
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