Crawl again woke up in the morning in wet panties? Do not hurry to scold him, because he himself is not sweet! As a rule, children in such situations experience the strongest embarrassment and shame. Scolding them in this situation is the worst thing that can be done. Most likely, you and your child have experienced an enuresis. And enuresis is nothing more than a real disease. Therefore, the child should not be scolded, but treated! Under the word enuresis, doctors mean the inability of a child to hold urine. In children, doctors distinguish two main varieties of enuresis: day and night. In no case should one confuse enuresis with persistent urinary incontinence, which is a completely different neurological disease. Night enuresis refers to involuntary urination at night in those children who have already reached the age of five. At the age of one to three years, the formation of control over the process of urination begins. This formation ends in the norm approximately to four years. The norm of the number of urination in a child varies in the region of 10, depending on the age and amount of water consumed by the baby. The main amount of urination normally falls on daytime, when the baby is awake. At night, urination stops. However, approximately in 20% of children, aged from five to twelve years, this process is broken. And as a result, the child wakes up almost every morning in a wet bed, as he suffers from a night enuresis. The older children become, the lesser percentage of them suffer from nocturnal enuresis. However, approximately 2% of children do not part with this disease and in adulthood. By the way, boys suffer from enuresis twice as often as girls. And nocturnal enuresis in male children persists throughout life much more often.
Causes of development of enuresis in a child
There is a fairly large number ofvarious causes leading to the development of enuresis in the child. But doctors - neurologists the most important provoking factor are various damages to the brain of the child, which occurred either during a pathological pregnancy or as a result of birth trauma. As a rule, all these injuries are due to fetal hypoxia. As a result of these disorders, the normal rate of maturation of the central nervous system slows down considerably, and the hormonal background of the child does not correspond to the age norm. The combination of all of the above factors and leads to the development of the child enuresis. In addition, additional prerequisites for the development of nocturnal enuresis are the following factors:
- The presence of the child various acute and chronic infections of the urinary tract.
- Violation of normal nervous regulation of the bladder.
- Various anomalies in the development of the organs of the urinary system.
In addition, exacerbation of already existing enuresiscan cause hypothermia, a cold or acute respiratory illness. It is very important to consult with a pediatrician as soon as possible. The most common mistake of parents is not to show the child to the doctor, believing that the problem will disappear with time. And they continue to put on baby diapers first in two years, then at three, four, five years ... However, very often doctors when examining children with enuresis, they reveal various pathologies not only of the urinary tract, but also of the kidneys. And not always these pathologies are harmless. Very often timely diagnosis of them allows the child to maintain health and ensure a full life in the future. To diagnose possible diseases, doctors prescribe a number of examinations, which include:
- A general blood test that will determine the child's health and the presence of inflammatory processes in his body.
- Ultrasound examination of the entire urinary system, including kidneys.
- Electroencephalography.
In some cases, the doctor may consider it necessaryconduct a number of additional studies, which include: intravenous urography, cystoscopy, urofluometry. In the event that a urologist finds out that the child has pathologies or diseases of the kidneys and urinary system, the child will receive the necessary treatment. All further treatment and supervision of the child will occur with a urologist. In the same case, if from the side of the genitourinary system no violations were detected to the doctor, the child will be sent for an additional examination, either to the doctor neurologist or to a psychologist. And in the event that there is any neurologic or psychological disorder, the doctor will prescribe the necessary treatment for the child. A lot depends on the parents in the process of treatment of enuresis. It is parents who must teach the child to use the pot, and also at first carefully monitor that the child regularly empties the bladder. It is very important to control the drinking regime of the child, not letting this matter drift. The child should drink most of the liquid in the first half of the day, and it is absolutely unacceptable to drink a lot of liquid before going to bed. Also, one should not wake the child to the toilet at night - this can cause an even more upset of the central nervous system and, as a consequence, a significant deterioration of the situation. Nocturnal enuresis in children will not pass away - treatment is required. As the treatment progresses, the child will be written at night more and more rarely. Of course, the drug treatment course is important. In the event that the doctor has appointed the child treatment of pharmacological drugs, the parents must observe it very strictly. However, in the treatment of enuresis, the approach to the problem from the point of view of psychology is very important. Parents should be extremely tactful, attentive and correct in relation to their child, suffering from enuresis. 
The effect of the disease on the development of the character of the child
Needless to say, the disease is not enuresiscan pass for the child's psyche without a trace. Even if the child does not show his mind, he is very worried because of his ailment, he develops a complex of his own inferiority. And this phenomenon is noted not only in adult children, but even in three-year-olds. Children begin to be embarrassed by their healthy peers, as a result of which they begin to avoid contact with them, locking themselves in. Especially often this problem dates to know about yourself when the child starts going to the kindergarten, where he sees healthy children. Especially strongly the inferiority complex makes itself felt in the event that children begin to laugh at the child, or the teacher or nurse begins to shame him. All this has a very negative effect on the character of the child as a whole. Some children can become very aggressive, while others, on the contrary, are indecisive, timid, self-contained. And even if the parents do not notice any changes in the nature of their child, there is no guarantee that these changes will not be felt when the child enters the so-called "dangerous" transition age. And parents will not know that all these problems with the nature of the child stretch from childhood, as a consequence of the fact that the baby suffered from enuresis. That's why parents should be extremely friendly to their child. In no case can you be ashamed of it, and even less to blame - by this you will only aggravate the situation. Very often the next course of events occurs: the child has the first signs of development of enuresis, which are not particularly intense. Parents begin to show their discontent to the child, the child begins to worry. And, as a consequence, the development of various neurotic states is very great. Enuresis begins to make itself felt even more. Parents are nervous, the child too, the disease intensifies - a kind of vicious circle turns out. In addition, often enough neurotic conditions that promote the development of enuresis, can be provoked by various additional external factors, such as:
- Birth in the family of the second child.
- Severe illness or death of close relatives.
- Unfavorable emotional situation in the family.
- Moving the family to a new place of residence, changing kindergarten and school.
- Divorce of parents.
- Death of a pet.
Neurotic conditions in a child needtreatment of neurologists and psychologists. In addition, parents should remember that neurotic states have one interesting feature. They can almost completely disappear and fully return back, depending on the psychoemotional state of the child. And this means that the enuresis can also manifest itself exactly - then fading, then reappearing when, it would seem, the disease has completely receded. In no case should you despair and drop your hands, as a break in the treatment of enuresis nullifies all your previous efforts.
How can you help your child?
Once again it is necessary to remind - parentsplay a huge role in the treatment of enuresis in a child. In the event that the enuresis in a child has developed very dramatically, without any prerequisites, parents need to analyze the situation and try to understand what could be caused by the development of the disease. Perhaps in the life of the child there have been any radical changes? Try to help the child adapt to new conditions. Do not forget also about the microclimate in the family - calmness, friendly atmosphere, absence of conflicts - all these are important conditions for the recovery of your child. Do not forget also that almost all children are very hard to tolerate absence and even just a lack of parental attention. Try to give the child as much attention as possible - read to him, play various games, walk with him. All these measures will not only help to cope with the disease, but also help strengthen your relationship. Also, parents should pay attention to how their child spends free time. It is not necessary to allow the child to spend a long time watching TV, and even more so for a long time to play computer games - this has an extremely negative effect on the state of the nervous system of the child, unnecessarily exciting it. Replace computer games with a walk, and watching TV - reading a book. Separately it is necessary to talk about such a question as a day sleep of a child. In no case is it forcibly, with a scandal to put the child to sleep in case he does not want to. Excessive stress to the child is completely useless. You can just draw the curtains and read the book to the kid. Most likely, the child will fall asleep independently. And even if they do not fall asleep, such a rest is much more useful than a dream preceded by the crying of a child. We should also mention the preparation for a night's sleep. First, the strict regime is very important - the child must go to bed at the same time. Secondly, children's psychologists recommend developing a kind of ritual - for example, cleaning toys in places, hygienic procedures, reading a book and sleeping. Those parents, whose children are faced with such a problem, must remember, enuresis in children treatment implies a fairly long. Therefore, patience and endurance must remain faithful allies in the fight against the disease. We advise you to read:
