“I wet until I was 17, and I thought my daughter was destined to do the same thing”, reported a mom during a recent office visit. She brought her 8 year old daughter, who had nightly wetting, to see me. She shared during the first office visit that she had wet until she was a teen and would patiently wait for her daughter to “grow out of it”. She had little hope of changing that pattern but thought she might get my input.
Her daughter listened attentively as I explained how bedwetting alarms work and was excited to try the Malem Ultimate bedwetting alarm. I described how getting to dryness is a process and many kids do not respond all by themselves in the beginning. Her mom was concerned that she would not hear the alarm so she decided to use a baby monitor in her room to see if she would need to provide assistance to her daughter. We decided to stop the pull-ups and use a waterproof pad on top of her sheet to make it easier to clean up in the nighttime.
At the 2 week phone follow-up, mom excitedly reported that her daughter had heard the alarm from the third night on and was getting up by herself. She had also begun having smaller wet spots in bed. This was progress!
At the 6 week follow-up visit, mom and daughter were all smiles. DD had already had 5 dry nights in a row and was having only tiny spots of wetness on the other nights. Mom was incredulous at how fast this change had taken place. She told me “I wish I could have used one of these alarms when I was young. It would have saved me 10 years of worry and embarrassment. You can’t believe how many things I missed out on because of my bedwetting. I’m so glad we found you and thank you for offering us hope and a solution for bedwetting.”
DD will continue her alarm use until she has 14 consecutive dry nights, then every other night for 14 more. The best part is that this is a permanent fix and DD does not have to follow in her mother’s footsteps!
Posted in About Bedwetting, Bed wetting Girl, Bedwetting alarms, Parental assistance, Teen bedwetting
Tagged alarm use, bed wetting cure, bedwetting alarms for teens, causes of bedwetting, girls, parents, Teens and bedwetting
Nothing is more frustrating for parents that having a 3 or 4 year old who is having success using the potty for stools, then suddenly stops. Barbara Howard, MD, Behavioral Pediatrician, just published an excellent article in Pediatric News, titled “He just won’t poop”. She suggests that the key to resolution is to find out what’s at the root of this new behavior.
Some factors behind stool refusal may be:
• Having a painful poop, whether due to constipation, diarrhea or a diaper rash
• Having a scary slip inside an adult toilet seat or have the toilet automatically flush at a public restroom
• Having ideas about not wanting to grow up, maybe the child doesn’t want to leave mommy and go to pre-school or be a BIG girl
• Learning that things that are flushed down the toilet never come back
• Power struggles
Some solutions: (may require several simultaneous steps)
• Use laxative (such as Miralax) to ensure that the stools are soft, frequent and not painful
• Use a seat reducer at home and get a travel one for public bathrooms
• Place a sticky note over the flushing “eye” in unfamiliar bathrooms
• Institute “Special Time”, infantilizing and reassuring your child that they will “always be my baby”
• Put back in diapers if power struggles are a problem, (cloth diapers are less comfortable), show no emotion when cleaning up. Typically, the child will want to use the potty in 2-3 weeks. Act indifferent to the request to use the potty, “okay, if you want to”.
When they finally do poop, there should not be prizes or celebrations. Act indifferent-but inside, you may be screaming for joy. You can just act like this is normal and expected.
While parents can begin with simple strategies such as fluid restriction and rewards for dry nights, bedwetting alarms and some medications are more effective, a new study finds. The 2013 Cochrane review on “Simple behavioural interventions for nocturnal enuresis in children” came out last month.
This review found 16 trials which involved 1643 children. The authors independently studied the quality and results of these trials before publishing their results. They compared simple strategies with known effective strategies such as bedwetting alarms and medication.
Simple strategies included:
Star charts and reward systems for dry nights
Bladder training (holding more during the day)
Lifting or wakening during the night
No one simple strategy worked better than another, and none were as effective as enuresis alarms. However, they concluded that parents could try simple strategies for 6 months as first line therapy, without any professional involvement. If no response, then move to alarm training or medication.
Bedwetting alarms sense the first drops of urine and sound to alert the child and parents that wetting is happening. Alarm training is more demanding than medication and does require parent involvement, but there are no side effects and there are lower relapse rates. (Parent involvement is required for all the simple strategies listed and parents may be relieved when their involvement actually results in progress toward dry nights.)
The authors noted that the effect of medication was not sustained at follow-up after completion of treatment with the drug therapies. They also mentioned the concern of safety and possible adverse effects. Some medications can be used on an as-needed basis.