Posts Tagged ‘timed voiding’Daytime Wetting SolvedTuesday, 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. 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. Tags: Daytime wetting, Disposables, girls, timed voiding, vibratory watchesPosted in Daytime wetting, FAQs, Parental assistance, Underwear Bed Wetting ProblemTuesday, February 23rd, 2010 RA writes, I hope you can help with my son’s bedwetting problem. My almost 10 year old boy is a major bedwetter and I mean he wets 3-4 times per night. He has been seeing a urologist and the biofeedback determines he is not an efficient voider during the day- he does not empty his bladder completely. So all this urine builds up all day long and he wets at night. He is supposed to be doing kegel type exercises. We have tried the alarm for six months and it does not help. He was on medication for nighttime but it made no difference. He is a heavy sleeper and we end up getting up. He double voids before bed and we limit liquids. What else can we do? I am at my wits end! I feel he will be 16 before this ends! Bedwetting can be so frustrating at times. It sounds like you have explored many avenues to get your son to dryness. Since it sounds like his daytime voiding is inefficient, working on that a little more may help. Did the urologist recommend a timed voiding program in the daytime? The kids wear a vibratory wristwatch that discreetly reminds them to go to the bathroom about every 2 hours, even if they don’t feel like it. If he hasn’t tried this yet, it may help to empty his bladder more efficiently during the day. I use the Vibrowatch for my patients because it can be set to precise times. I like to set times that do not require the kids to leave the middle of class, and allow them to start the bus ride home at the end of the day with an empty bladder. Taking a water bottle to school helps to assure that they are adequately hydrated during the day and not thirsty late in the day. Once he’s done this for a few months, he could restart the alarm at night. Tags: About Bedwetting, older kids and bedwetting, Readiness, timed voiding, toiletingPosted in About Bedwetting, Bedwetting alarms, Medications, Parental assistance School WettingTuesday, 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.
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. Tags: Daytime wetting, girls, timed voiding, timing, toileting, treatment, vibratory watches, young girlPosted in Daytime wetting, FAQs, Readiness |
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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.
