why does my 9 year old wet the bed
Yet genetics only tells part of the story. Researchers have identified a number of factors that likely contribute to bedwetting. "All of these are debated, but each probably plays a role in some children," says Bennett, including:
Delayed bladder maturation. "Simply put, the and bladder gradually learn to communicate with each other during, and this takes longer to happen in some kids," Bennett tells WebMD. Low anti-diuretic hormone (ADH). This hormone tells the to make less urine. Studies show that some kids who wet the bed release less of this hormone while asleep. More urine can mean more bedwetting. Deep sleepers. "Families have been telling us for years that their children who wet the bed more deeply than their kids that don't," says Bennett. Research confirms the link. "Some of these so deeply, their doesn't get the signal that their bladder is full. " Smaller "functional" bladder. Although a child's true bladder size may be normal, "during, it sends the signal earlier that it's full," says Bennett. Full bowels press on the bladder, and can cause uncontrolled bladder, during waking or sleep. "This is the one that's hiding in the background," says Bennett. "Once kids are toilet trained, parents often don't know how often a child is going. [they're] out of the 'poop loop. '" Bedwetting: When Is It Worth Worrying?
Bedwetting that's caused by medical problems is genuinely rare -- 3% of cases or less, according to Bennett. , spinal cord problems, and deformities of the bladder or urinary tract -- all are worth mentioning, but probably not over. Medical causes of bedwetting are nearly always uncovered by simply talking to a child and her parents, performing an exam, and testing the urine, says Bennett. "The vast majority of kids who are wet at night have nothing medically wrong with them," he emphasizes. Children who have gained nighttime bladder control, then "relapsed" into bedwetting, are slightly more likely to have medical causes. Psychological stress (such as divorce or the birth of a new sibling) is an even more common cause, though. Pediatricians don't diagnose primary nocturnal enuresis (the medical term for bedwetting) until age 6. It's an arbitrary cutoff -- after all, 12% of children wet the bed at that age. "It's really only a problem when either the child or the parents start to think so," says Bennett.
What can I do for my 9 year old's bed-wetting problem? My 9 year old daughter is still wetting the bed at least 3 times or more a week. I have limited the amount of fluids she can have after 6 pm. She has to go to the bathroom every hour once she gets home from daycare. My 6 year old daughter has a similar problem, but she takes medication and doesn't have nearly as many accidents. What can I do for my 9 year old that isn't embarrassing for her? Most children who wet the bed have inherited small bladders, which cannot hold all the urine produced in a night. In addition, they are deep sleepers who don't awaken to the signal of a full bladder. Physical causes are very rare, and your healthcare provider can easily detect them. Emotional problems do not cause enuresis, but they can occur if it is mishandled. Never become angry if your child can't stay dry during the night. Never punish or tease your child for bed-wetting. Support and patience are the key in helping your child. Most children who are bed-wetting overcome the problem between ages 6 and 12. Even without treatment, all children eventually get over it.
Therefore, treatments that might have harmful complications should not be used. Pull-ups are appropriate for use at home on a regular basis, however, if your child is uncomfortable using these at sleepovers, medication is appropriate for intermittent use. A bed-wetting alarm is also an option. Please discuss these with your physician. Remind them to get up Encourage your child to get up to urinate during the night. This advice is more important than any other. Tell your child at bedtime, Try to get up when you have to pee. Encourage daytime fluids. Encourage your child to drink a lot during the morning and early afternoon. The more your child drinks, the more urine your child will produce, and more urine leads to larger bladders. Discourage evening fluids. Discourage your child from drinking a lot during the 2 hours before bedtime. Give gentle reminders about this, but don't worry about normal amounts of drinking. Avoid any drinks containing caffeine. Empty the bladder at bedtime. Sometimes the parent needs to remind the child. Older children may respond better to a sign at their bedside or on the bathroom mirror.
Include your child in morning clean-up. Including your child as a helper in stripping the bedclothes and putting them into the washing machine provides a natural disincentive for being wet. Older children can perform this task independently. Also, make sure that your child takes a shower each morning so that he or she does not smell of urine in school. Respond positively to dry nights. Praise your child on mornings when he wakes up dry. A calendar with gold stars or happy faces for dry nights may also help. Respond gently to wet nights. Your child does not like being wet. Most bed-wetters feel quite guilty and embarrassed about this problem. They need support and encouragement, not blame or punishment. Siblings should not be allowed to tease bed-wetters. Your home needs to be a safe haven for your child. Punishment or pressure will delay a cure and cause secondary emotional problems. Urination causes pain or burning. The stream of urine is weak or dribbly. Your child also wets during the daytime. Your child also drinks excessive fluids. Bedwetting is a new problem (your child used to stay dry). Your child is over 12 years old.
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