Yeditepe University Hospital Department of Pediatric Surgery Assoc. Selami Sözübir, children under the age of 5 often seen in the bottom wetting problem is often genetic reasons, stating that the real cause of the right tests to reveal, the active participation of the family and the use of alarm alone or in combination with the use of medication, we achieve up to 85 percent success in treatment, "he says. .
What kind of disease is wetting at night?
Children over the age of 5 at least twice a week during the night's sleep during the night to unwitting urine we call the bottom wet. Healthy children may also lose urine at night if they take excessive fluids before sleep. However, this event should be considered more than 2 times a week in 3 months in order to be considered as a condition and to decide to treat it. There are two kinds of night wetting. If it has been present from the beginning, it is called primary (primary) soaking.
How often is it seen?
Under-night soaking is often the result of a delay in the development of the bladder. Therefore, the frequency decreases with age and occurs more frequently in boys than in girls. 40 percent of 3-year-olds wet their diapers, while this rate drops to 20% at age 5 and to 10% at age 6.
What are the reasons for wet nighttime?
Night wetting is largely based on genetic predisposition. If one of the parents has a history of wetting, 44% of the children and 77% of them have 77%. The fact that psychological phenomena in general do not lead to the common primary nightly wetting problem reveals that the majority of these children do not need to look for a mental problem.
Around 3% of children who have wetted in the night are diagnosed with congenital disorders of the kidneys and urinary tract, kidney diseases, occult waist bones (spina bifida), diabetes, epilepsy, parasites, food allergies.
At which stage should children consult a physician for children wetting under the night?
Children who have wetted at night should consult a specialist physician for further examination and examination as soon as possible if they have the following characteristics. These features include:
• If the wetting of the night started suddenly after a period of never wetting,
• Wet diapers during the day,
• If there is contamination of gold with constipation or poop,
• Pain when urinating,
• If more than 7 urines per day
• Running to the toilet or at the last minute,
• If the number of voiding is more than 2 per week and more than 1 per night,
• If the amount of urination during the night is small but large
Is it correct to attach a diaper to the child wetting?
Tying a diaper to a child who wets the diaper eliminates the uncomfortable situation of the child and never eliminates the bottom wetting diaper.
What is being done about treatment?
Some of the children who get wet during the night will recover spontaneously, but treatment is recommended because of the inconvenience to the child and the family, the child's self-confidence, and other behavioral and affective problems together. Before starting the treatment, a detailed physical examination of the child should be carried out by a physician who is experienced in wetting the diaper and all other reasons that may cause urinary incontinence should be reviewed.
The first condition for successful treatment is full co-operation between family, child and physician. The main principle is to reassure the child by eliminating the feeling of guilt and, if possible, to ensure the child's ownership. First of all, the programs that need to be tried are for the child to wake himself or his family at night. First, children are tried to wake up spontaneously. If the motivation and drug treatment are applied together with the support of the family, the success rate in these children is 70-80%. The most important disadvantage of drug treatment is the high risk of discomfort after discontinuation of treatment. Therefore, it is recommended to use alarm and drug treatment together in recent years. Alarm devices are tools that help the child to control their bladder by waking the child as soon as the child starts to miss urine. Alarm therapy should be continued for at least 3 months and this treatment can provide up to 85% improvement in children. The risk of recurrence at the end of alarm therapy is very low.