4
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Dealing with Daytime Wetting

May 26, 2009
Daytime wetting is quite a common problem among school-age children, who were previously toilet trained but who started wetting their pants during the day. For many parents and their children, daytime wetting can be a stressful experience, leading to low self-esteem and other emotional problems.
Daytime wetting or also called diurnal enuresis is an involuntary wetting in a child who is considered to be old enough to have bladder control. Daytime wetting is considered to be more prevalent among girls than in boys, though the problem of bedwetting is often thought to be widespread among boys.

Causes of daytime wetting


Holding of urine until the last minute


It is quite common for children to have daytime wetting due to holding their urine until the last minute because they are absorbed in some other activity like computer game. Usually, a child feels the urge to urinate and starts fidgeting, trying to suppress the signal. The child may decide to put off his visit to the bathroom and it results in wetting. Some children have occasional daytime wetting due to the fact that they did not manage to reach the bathroom on time.

ADHD


The problem of daytime wetting is widespread among children with attention deficit/hyperactivity disorder (ADHD). Many of these children have an urge syndrome, when a child tries to suppress unstable detrussor contraction, which results in wetting.

Urinary Tract Infection


UTI is also often the cause of daytime wetting for children. Usually, other symptoms of urinary tract infection are present, like painful or burning sensation during urination, irritability, and unexplained fever or other. Many children may also have other disorders like urge syndrome, neurogenic bladder and labial fusion.

Stress Incontinence


Stress incontinence in children is caused by intra-abdominal pressure. Daytime wetting due to stress incontinence often occurs during laughter, coughing, sneezing and physical activity.

Constipation


In some cases, constipation can contribute to daytime wetting for children. The pressure of the stool may cause contraction of detrussor muscle. Often daytime wetting associated with constipation is met among children with an urge syndrome and neurogenic bladder.
Other less common causes of daytime wetting include anatomic abnormalities, emotional stress, daytime frequency, Hinman Syndrome, neurogenic bladder and others.

Tips to Deal with Daytime Wetting


  • One of the most common methods to treat daytime wetting is timed voiding. Encourage your child to visit the bathroom every 2 hours to develop a habit of releasing the bladder to avoid accidental leakage. If your child has to go to a long game or a lunch it would be reasonable to tell your child visit the bathroom before it.

  • You can also time your child visits with a help of a vibrating watch or an invisible clock that can vibrate at set intervals throughout the day. Watch with vibrating function or a invisible clock is more preferable than alarm watch often used for bedwetting problems as it won't attract too much attention to your child.

  • Use protective washable absorbent briefs that absorb liquids to help your child preserve confidence. These pants can be worn during everyday activities so that your child won't be stressed if daytime wetting occurs.


Related:


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Oct 29, 2015 12:37 PM » posted by: Nadia
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Oct 26, 2015 10:07 AM » posted by: Gas
I'm a parent eduoatcr and get questions regarding toilet-ing on a regular basis.There's nothing wrong with pull-ups, just consider what you want from them. if you want convenience right here and now, pull-ups are an answer. If you want your child to have bladder control as soon as possible that convenience tends to prolong the process as Seattle Mama Doc indicates above. So here are a couple of radical ideas for parents who are challenged with toileting and whose children do not have any medical issues contributing to those challenges.As an alternative to pull-ups, consider teaching your child to change their own diaper. I know this sounds crazy, but I'm speaking from personal experience. I waited until I knew my daughter had bladder control (demonstrated by her ability to wet her pants each and every time I left the room when first trying underwear, she was about 2 1/2 and peed her pants 6 times before noon). Who is training who? I got the message, she wasn't ready to give up diapers so I let it go for several months. Just after her 3rd birthday, I realized I was' done' with diapers, so I decided to teach her how to change them herself. it took a lot of patience and she struggled getting that second velcro strap attached imagine her turning around and around in circles chasing it to get it fastened BUT when she did it we did a celebratory dance down the hall together! The next day, it took her less time, but still it took a while. The third day she looked at me and said Mom, this is HARD!' i replied calmly with caring: I know I think underpants are much easier'. she went to her drawer pulled on some undies and never went back. (by the way, if you try this technique, don't laugh as your child is trying their hardest to succeed! encourage them, give them hints, support him/her but don't laugh and don't help by doing it for them)As for night time, consider teaching them to take care of it. You can teach a three year old how to change their sheets and make a dry bed if they wet it. You must teach them how with love and support, but they can do it. In doing so they learn great skills and build confidence (and you might even get to sleep through it!). Kids are capable, we need to take time to train them with love and caring and then give them responsibilities that they can handle. My experience is that this helps parents feel and do better too.

Oct 26, 2015 10:07 AM » posted by: Gas
I'm a parent eduoatcr and get questions regarding toilet-ing on a regular basis.There's nothing wrong with pull-ups, just consider what you want from them. if you want convenience right here and now, pull-ups are an answer. If you want your child to have bladder control as soon as possible that convenience tends to prolong the process as Seattle Mama Doc indicates above. So here are a couple of radical ideas for parents who are challenged with toileting and whose children do not have any medical issues contributing to those challenges.As an alternative to pull-ups, consider teaching your child to change their own diaper. I know this sounds crazy, but I'm speaking from personal experience. I waited until I knew my daughter had bladder control (demonstrated by her ability to wet her pants each and every time I left the room when first trying underwear, she was about 2 1/2 and peed her pants 6 times before noon). Who is training who? I got the message, she wasn't ready to give up diapers so I let it go for several months. Just after her 3rd birthday, I realized I was' done' with diapers, so I decided to teach her how to change them herself. it took a lot of patience and she struggled getting that second velcro strap attached imagine her turning around and around in circles chasing it to get it fastened BUT when she did it we did a celebratory dance down the hall together! The next day, it took her less time, but still it took a while. The third day she looked at me and said Mom, this is HARD!' i replied calmly with caring: I know I think underpants are much easier'. she went to her drawer pulled on some undies and never went back. (by the way, if you try this technique, don't laugh as your child is trying their hardest to succeed! encourage them, give them hints, support him/her but don't laugh and don't help by doing it for them)As for night time, consider teaching them to take care of it. You can teach a three year old how to change their sheets and make a dry bed if they wet it. You must teach them how with love and support, but they can do it. In doing so they learn great skills and build confidence (and you might even get to sleep through it!). Kids are capable, we need to take time to train them with love and caring and then give them responsibilities that they can handle. My experience is that this helps parents feel and do better too.


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