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Tips for parents about night urination in children

When the body cannot control the process of urination during sleep, involuntary urination occurs, or in other words, "nocturnal urination".

This phenomenon is a common problem that causes parents to turn to doctors for treatment. This phenomenon casts a shadow on the child's self-confidence, fear of sleeping in places other than his home, embarrassment and guilt, as well as the child's feeling of discomfort, of course.

Urination in children:

Nocturnal urination until the age of 3 years is a common phenomenon, even natural. If this phenomenon persists after the age of 5 years, you should go to a doctor for examination and treatment.

Recent research has shown that 15% of children aged 6 years suffer from this phenomenon to varying degrees, and that 1% of people over the age of 18 years suffer from night urination.

Cases where there is a problem with urination during daylight hours are also more complex and require in-depth examination and may not be related to sleep. It is important that a pediatrician or a doctor specializing in this problem diagnoses and treats them.
Causes of involuntary urination:

There are many reasons for the phenomenon of involuntary urination, so it is preferable to be examined every child suffering from this phenomenon thoroughly and thoroughly in a clinic specialized in the night urination. During the examination, the doctor excludes and denies the presence of physical diseases, such as infection, disruption of the function of the urinary bladder, various neurological problems and others. In addition, a urination diary, in which urine is measured during the day and during the night, is regularly recorded.

The main causes of nocturnal urination in children are: sleep problems in children (sometimes sleepy children with nocturnal urination are very deep), disturbance and imbalance in the level of the hormone vasopressin that the pituitary secretes and reduces the amount of urine produced at night Disorders of the urinary bladder are reflected by the small size of the bladder, relative to the amount of urine produced at night.

Treatment of bedwetting:

The causes of nighttime urination may vary from child to child, so each should receive treatment individually. There are several important recommendations that can be followed:

1. It is best to avoid drinking caffeinated liquids such as tea and soft drinks.

2. Of course, you should also refrain from eating foods that contain caffeine: chocolate and sugar-rich pastries. In addition to causing thirst and a desire to drink, it is known that caffeine is a diuretic.

3. It is advised not to drink plenty of fluids before bedtime.

4. It is important to urinate voluntarily just before bedtime. Even if the child does not feel that he needs to urinate, it is advisable to urinate in order to get rid of residual urine.

5. In cases where there is a problem of urination during the hours of the day as well, it requires a comprehensive examination by the specialist doctor.

6. It is important to ask if the child has problems with concentration and attention. These disorders increase the phenomenon of night urination.

7. In the event of an imbalance in the level of vasopressin, it can be treated by Minirin, which contains a synthetic substance similar in composition to the diuretic hormone.

8. Constipation has been shown to be linked to nocturia, so it is important to treat constipation in children with chronic constipation and nocturia.

9. The child should be encouraged to drink water during the day and should be asked to urinate every two hours. As mentioned earlier, you should not drink large amounts of fluids before bedtime.

10. Be patient with this problem, and in no case may resort to punishment. Do not make hurtful comments, as this will further reduce the child's self-confidence, which may aggravate the problem.

11. Parents should be patient, as night urination may last for a long time, so parents should control themselves and try to understand the problem, so that the problem of night urination is addressed.

12. Positive reinforcement may be effective in treating nocturnal urination. The method of rewarding the child or positive reinforcement after she has passed a night without urinating involuntarily may increase the child's self-confidence, determination and desire to stop urinating at night.

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