Day time wetting is a common problem in both boys and girls. Until the age of five the problem is often minimal and not of medical significance. However, in addition to symproms and signs suggesting infection, there are two worry circumstances that can occur, one in boys and the other in girls.
Wetting in Boys
In young boys, usually between the age of 18 months and 3 years, they can be troubled by the need to pass urine several, even dozens of time during the day. The boys are usually fine at night, and have not other symptoms of infection. The solution is to distract them from their irritable bladder, which usually settles spontaneously. If symptoms resist, ultrasound and antibladder spasm medication may be necessary.
Wetting in Girls
More to follow.
The most common night wetting problems are in association with daytime incontinence. However, primary nocturnal enuresis as it called, is also common, which means that there is wetting at night with no daytime bladder control problems. The wetting occurs because of a combination of factors, including being a deep sleeper, making too much urine over night and bladder capacity being poor. Once other illness, particularly renal disease is excluded, the therapy should focus on all components of the possible cause of the wetting, and should include a range of strategies concurrently. Alarms and antidiuretic hormone have their place, but motivational training and simple, rational steps are usually the most productive. Theses include:
1. High day time fluid intake.
2. Assigning night time drinks to earlier in the day.
3. Toiletting before bed.
4. Waking the child to void at the parents' bedtime.
5. Noting dreams about water and indicating these are wetting episodes.
6. Promote child's ability to self wake - Christmas, birthday's etc.
5. Promote responsibility - the child should participate in the cleaning.
Obviously, each child and family have different needs and, in fact, a different problem.