In this episode of Mano Charchae, RJ Padma Priya is in conversation with Dr. Pavana about bedwetting habits among children. They specifically talk about the mental health aspect of this concern, which is medically referred to as Enuresis, the repeated inability to control urination.
Urination happens at the end of this bodily sequence – when the bladder fills up, the nerves in the bladder send sensory information to the brain that it is full, indicating that it must be emptied soon. This is when a person feels the need to urinate. Till about the age of five, bedwetting is common among humans; in some cases, this habit could be viewed until seven years of age. “If at all bedwetting continues after seven years of age, parents should keep a note of the habit and intervene.”
There are two types of bedwetting – primary Enuresisand secondary Enuresis. Primary Enuresis refers to bedwetting that has been ongoing since early childhood without a break – this means that in these cases, bladder control has not formed at all. Secondary Enuresis refers to the situation when the urinary bladder has, in fact, developed control but has lost it after the fact, due to some reason. These reasons can include stress, general neglect that a child may be experiencing, fear, bullying, fearful punishments the child may be experiencing, stress brought on by the child witnessing their parents arguing or fighting, and many more such distressing emotions. There are also a few medical reasons to be considered here, like Urinary Tract Infections (UTIs), FIDS disease, and certain neurological problems.
“If a child is wetting the bed only occasionally, then there is no need to worry. It is important, however, that children not be punished in these cases. Instead, parents should sit down with them and talk to them kindly about what the problem is and help them to overcome the habit. This can be done variously, through careful training, setting alarms for midnight or other hours when the child can wake up from sleep and relieve themselves again, by making sure that they consume fewer liquids before sleep, by making them pee before getting into bed, and more. Medication for the condition is also available easily.”
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