Posts Tagged ‘Daytime wetting’

Potty Alarms for Kids

Monday, May 10th, 2010

“I have a son who is 4yrs and 3 mo old and we are not making any headway in toilet training. He seems to be too pre-occupied with playing, occasionally he does tell us when he has to pee. He informs us of stooling after it has occurred. Would the alarm help speed up the toilet training process? Have you used it on any children for toilet training?”

I have used a moisture sensing alarm for children who need some help putting together the feeling that happens before wetting occurs with the actual wetting episode. No matter how often the parent or teacher checks their pull-up, they inevitably wet the minute they pull the pants back up. The type of alarm that I commonly use is the Malem recordable alarm, because the parent can record a message, such as “You need to go to the bathroom now”, which is triggered by the first sign of wetness. (This alarm also makes 8 different pre-recorded sounds that you can choose from). Initially, you can reward cooperation, that is going to the potty when the alarm sounds. Then you can begin using the reward for “beating the alarm”, going potty before the alarm is triggered. If your son isn’t frightened by sounds, you could also use a less expensive Malem auditory alarm, which just makes one loud sound at the onset of wetting. (You would have to role play what the sound means a few times so he could make that association). I recommend that he wear regular underwear when using the alarm. The small sensor is fastened to the outside of his underwear where you expect the first drops of moisture to appear.

Training of stool continence is often a separate experience, especially in boys. If you train him to sit when urinating, letting go of stool might be easier. Sitting long enough, playing a game or looking at books is important for bowel training. If you see him posturing before having a BM, encourage him to sit on the potty.

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Posted in Bedwetting alarms, Daytime wetting, FAQs, Parental assistance, Potty Training

Daytime Wetting Solved

Tuesday, March 30th, 2010

I recently saw an 11 year old girl with a history of wetting daily for most of her life. Any urologic testing that had been done was normal and she had never had a urinary tract infection. She wore an adult woman’s panty liner every day to school and both she and her mother felt this was something she would just have to do the rest of her life. They did not know there were options available to help her.

An important piece that was identified during taking her history was that she had infrequent bowel movements, 2 or 3 times a week. She was reluctant to go at school. Constipation often goes along with daytime wetting so we worked hard on correcting this. A high fiber diet, increased water intake during the day and Miralax every morning quickly made a huge difference in the frequency and consistency of her bowel movements.

Along with this, we instituted a timed voiding program, using the Vibrowatch set to vibrate at convenient intervals, about every two hours.vibrowatch We made sure the right times were set so that she started PE, lunch and the bus ride to after care all with an empty bladder. A 5:30 pm and 7:30 pm time made sure she voided while her mother was busy preparing dinner and doing evening chores.

Although a little skeptical at first, both parents and daughter were willing to cooperate with the instructions. At two weeks, stools were much improved and her panty liner was no longer soaked. When I described our goal of getting rid of the daytime panty liner, she expressed nervousness about doing that. We implemented a plan of going without a panty liner on weekends first so that she could prove to herself that she could stay dry with the timed voiding program in place. During a follow-up call one month later, mom described her success at staying dry during the day, no panty liner and a huge boost to her self-confidence. She can continue this regimen for the next few months, until her body is able to do the alerting.

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Posted in Daytime wetting, FAQs, Parental assistance, Underwear

School Wetting

Tuesday, August 18th, 2009

EP writes about her 7 year old daughter who will be starting 2nd grade soon. In first grade, there were times that she waited until the last minute and didn’t make it to the bathroom in time. This resulted in wet pants, sometimes requiring a complete change of clothes. She has been checked out by her doctor and there does not seem to be any associated problems. Mom wonders what she can do to prevent this from happening this school year.

Urologists around the country agree that this can be a common and frustrating problem that is best handled by frequent urination on a regular basis. Emptying the bladder regularly eliminates the urgent messages that sometimes result in urine leakage. The difficulty arises when children get busy with other activities and lose track of time. Telling a child to go potty every 2 or 3 hours is a hard concept to grasp. Even remembering to go to the bathroom before lunch or recess can be difficult. A discreet vibrating wrist watch is a reliable tool for providing a reminder to go to the bathroom.

We carry several vibrating wrist watches that are perfect for this purpose. Our top selling watch is the Vibrowatch. Up to 12 specific times can be programmed to coordinate with your daughter’s schedule. The watch vibrates for about 20 seconds and is difficult to ignore. It comes in several different colors and has a durable plastic band. Vibrating watches are generally a little larger than time telling watches to accommodate the larger battery.

Starting the new school year off with a reminder watch is likely to eliminate many of the embarrassing accidents she had last year. You can consult her teacher about the best toileting times and make sure she has free access to the bathroom when her watch reminds her to go.

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Posted in Daytime wetting, FAQs, Readiness