Bottom Wetting (enuresis)
Bedwetting can be nocturnal (nocturnal) or daytime (diurnal). If this situation still cannot be achieved after the age of five, if it happens at least twice a week and for at least three consecutive months, we can talk about the problem of bedwetting. Bedwetting can be primary or secondary. In the case of primary bedwetting, the child has never been able to control the toilet, and more so, physical and genetic factors are at the forefront. In other words, this situation can be found in the parents of children who wet the bed until a certain age. In the case of secondary wetting; Although the child provides toilet control for a certain period, it is characterized later that this control is lost. More psychological factors are effective. (DSM-IV TR)
Bedwetting is treated with appropriate therapies, then drug treatments, after a psychiatric examination and other factors are eliminated. Improper toilet training or untimely toilet training are also factors in this regard.
Subcontamination (encopresis)
Involuntary or purposeful repetitive defecation in inappropriate places. This is the occurrence of such an event at least once a month for at least 3 months. The calendar age is at least 4 years old. In general, digestive system disorders can be located primary and secondary. After psychiatric examination, if there are accompanying conditions, they should be intervened.
Treatment
-This problem can be solved with the appropriate therapy method and drug treatment.
– Tieing a diaper under the child, staying silent in the face of behavior that is not suitable for the child’s age, being excessively punishing cause the problem to increase. Problems of soiling and wetting should be solved by considering psychiatric problems. This problem may be a sign of another problem. Therefore, families should not underestimate this situation.
What should families do?
-You can explain that this problem is not caused by his personality and is not his fault.
-You can keep this issue away from being the primary problem in the child’s life.
-You can guide our child about fluid consumption and toilet visits (such as not consuming liquid for 2 hours before going to bed and visiting the toilet)
-You can plan behavior charts such as going to the toilet, getting up at night, getting up dry.
-The child can be included in the cleaning process in bedwetting, you should never tie a bottom to keep it dry.
– You can apply to a specialist for ongoing situations.
