5 effective treatments for bedwetting
Nocturnal urinary incontinence can be caused by a combination of several factors - deep sleep, hereditary characteristics, and pathology of the genitourinary system. Therapy for nocturnal enuresis is aimed at eliminating the causes that caused it. In modern urology, both traditional and unusual, but effective methods of treatment are used.
Content:
- Effective treatment of bedwetting with a urinary (bedwetting) alarm
- Treatment of bedwetting with a conventional alarm clock
- Treatment of bedwetting with plowed clover
- Treating enuresis with honey water
- Special exercises for enuresis
- Tablets for enuresis
- conclusions
Effective treatment of bedwetting with a urinary (bedwetting) alarm
A bedwetting, or urinary, alarm clock is a device based on the following principle: the first drop of urine falls on a miniature sensor attached to underwear. It is transmitted to an alarm clock or to a bracelet attached to the child's arm, including a light, vibration or sound signal. To turn it off, you need to wake up, get out of bed, and urinate.
Thus, children develop a reflex that links the urge to urinate with the need to wake up. Important conditions:
- the child must be over 7 years old;
- he understands and understands the need for a bedwetting alarm clock.
The mechanism of action of the device is not fully understood, but the proven effectiveness of the method ranges from 91 to 99%. The course of treatment takes several weeks, another 2-3 weeks are required to consolidate the skill, after which the pathology does not return.
Video about the principle of the bedwetting alarm clock:
Treatment of bedwetting with a conventional alarm clock
Approximately 50-80% of the effectiveness has a method using a conventional alarm clock, when the child is forced to wake up a little earlier than he usually wet the bed. Here, just as in the previous method, a conditioned reflex is developed, which links urination with the alarm clock. The application of this method is impossible without the participation of the child's family members and without his conscious attitude.
The necessary conditions:
- The begun course of therapy cannot be interrupted, it is carried out under the supervision of a doctor;
- A parent who helps to wake up should sleep with the child in the same room, help him wake up at the alarm clock;
- A pronounced effect occurs after 6-8 weeks, after which the course is continued until the child wakes up in a dry bed for 2 weeks in a row.
Every 3-5 days, the alarm is started 15-20 minutes in advance until the wake-up time of about 7 am is reached. If the time shift leads to failure, you should return to the previous boundaries.
Video about the method of waking up using a regular alarm clock:
Treatment of bedwetting with plowed clover
The use of herbal remedies helps to gently and gently get rid of the problem of nocturnal enuresis. It is important to remember that before treatment, you should check the child's reaction to the drug collection, so as not to cause an allergy attack. To do this, apply a minimum amount of herbal infusion on the wrist, behind the ear, on the elbow. Redness of the skin indicates that the drug should not be used.
Plow clover is a common plant, its other names are: cat, hare clover, porridge, cat ears.
It is appreciated for its rich composition, which includes:
- Essential oils;
- Tanning compounds;
- Mineral salts;
- Quercetin;
- Organic acids;
- Vitamins C, E.
You can collect the clover yourself, or you can purchase a ready-made pharmacy collection. The preparation Trifolium arvense was created on the basis of cultivated clover. For enuresis use tea from this plant - 1 tbsp. l. clover herbs are poured with a glass of boiling water, drunk with sugar, like ordinary tea. The infusion is very effective, it helps quickly.
Treating enuresis with honey water
Honey is a versatile remedy used to treat bedwetting. In this case, the property of honey is used to retain fluid in the body. To prevent nocturnal enuresis, the child should drink honey water before falling asleep. It is prepared very simply - add a teaspoon of honey to 1/2 cup of water. The course of treatment is short - only 3 days. You can divide 100 ml into 3 doses, taking 30 ml three times a day.
A longer course of treatment with honey is 3 months. Honey is added to the infusion of a mixture of medicinal herbs (chamomile, centaury, mint, knotweed, St. John's wort, birch leaf). To prepare a medicinal drink, 15 g of a mixture of herbs is poured with boiling water, insisted for 10-12 hours, filtered. In 1/2 cup of broth, honey should be put, repeat taking the product 3-4 times a day.
Special exercises for enuresis
There are simple and effective exercises to get rid of bedwetting. They are applied on a gender basis: for women, Kegel exercises are used to stimulate the muscles of the pelvic floor and the sphincter of the bladder, and men train the muscles of the perineum.
The sequence of Kegel exercises:
- Squeeze the pelvic muscles, which are responsible for delaying the urine stream, and stay in this position for 5 seconds.
- Relax for 10 seconds.
- Repeat 3-4 times.
- Contract muscles for 10 seconds.
- Relax for 10 seconds, repeat 3-4 times.
- Contract your pelvic floor muscles for 30 seconds.
- Repeat 2 times.
- Repeat the entire cycle 2 times a day.
Men are advised to interrupt urination 3-4 times during urination. With each "workout", the urinary retention time increases. A pronounced result appears after a month of regular exercise.
Tablets for enuresis
Drug therapy for bedwetting includes many effective drugs:
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Minirin. The main active ingredient of the drug is desmopressin, a synthetic analogue of the hormone vasopressin, which is normally produced by the pituitary gland. The effect of taking Minirin tablets is felt after 15 minutes, lasts 10 hours.
Contraindications to use - psychogenic and congenital polydipsia, angina pectoris, a tendency to thrombosis, pathology of the respiratory system, impaired consciousness.
The effectiveness of the remedy is so great that it is able to eliminate bedwetting in one course, judging by the reviews of patients and their parents. Minirin is available as a tablet to dissolve under the tongue and as a nasal spray.
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Driptan. The drug reduces the frequency of involuntary urge to urinate, is an antispasmodic. The main active ingredient oxybutin regulates the contraction and relaxation of the bladder sphincter. It is used for the neurogenic form of nocturnal enuresis in patients over 5 years of age.
Contraindicated in diseases of the gastrointestinal tract, bleeding tendency, myasthenia gravis. Usually, 2 tablets per day are enough to treat nocturnal enuresis, one of which is taken just before bedtime. Although the urge to urinate becomes less frequent, the risk of side effects (headache, weakness, nausea) forces one to look for analogues of the drug.
- Picamilon. The drug belongs to the group of nootropics that normalize blood circulation in the brain, acts as a psychostimulant and tranquilizer. Contraindications are minimal - these are children under 3 years of age, severe renal failure. It is used as part of the complex therapy of urological diseases in adults and children.
- Melipramine. The drug belongs to the group of antidepressants, sedatives, is used to treat mental disorders, urinary incontinence, nocturnal enuresis. Melipramine has serious contraindications for use: cardiovascular pathology, tuberculosis, diabetes mellitus, hypothyroidism, tendency to seizures. For the treatment of bedwetting in children, take 2 tablets, one of them - an hour before bedtime. Users note the positive effect of using Melipramine. Occasionally, children experienced side effects such as nausea and drowsiness, but these manifestations were not significant.
- Pantocalcin. The drug belongs to the group of nootropics, it is used to treat a wide range of mental disorders and mental retardation and mental development. Contraindications are minimal - pregnancy and individual intolerance. Pantocalcinum treatment of nocturnal enuresis takes from 2 weeks to several months. The medication is given by prescription and taken under medical supervision.
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Pantogam Pantogam. The drug belongs to the group of nootropics, is used in children from 3 years of age to treat disorders of intellectual and psycho-emotional activity, developmental delay, neurotic disorders, and disorders of the urination process.
The medicine is safe, has a minimum of contraindications, positive reviews from the parents of the patients. The action of Pantogam is cumulative, manifests itself after 1.5 months of regular intake. Side effects are minimal, most often it is increased drowsiness, sleep disturbances. Therefore, it is not recommended to take Pantogam after 16 hours.
Points to consider when using medication:
- Often the effect of medication is insignificant;
- After the drug is discontinued, its effect ends, it is not cumulative;
- Side effects are always present;
- The course of treatment requires considerable material costs;
- Treatment requires careful attention to dosage, diet, regular intake;
- The patient must have a clear motivation;
- Drug therapy is used only in combination with other, non-drug methods, selected on an individual basis;
- The course of treatment is prescribed and supervised by a physician during therapy.
Video about the features of the treatment of enuresis:
conclusions
Nocturnal enuresis can heal spontaneously until the child is 7 years old, there is no need to take serious steps.
Since the pathogenesis of enuresis is a multifactorial phenomenon, various methods are used for its therapy, none of which is ineffective if used in isolation. Bedwetting is not an intentional or involuntary process. Treatment requires a conscious attitude of the patient to the therapy process. The harm from the side effects of different treatments should not exceed the benefits.
Behavioral therapy is first used (bladder training, motivation method).
If the patient suffers from the pressure of the family, society, more serious methods are used:
- "Urinary alarm";
- Drug therapy;
- Control of fluid intake.
The drugs are used most often when the patient visits public institutions, camps, sanatoriums, overnight stays at a party.
In children under 7 years of age, simple methods of treatment of enuresis are used, but first they are tried to convince them that, most likely, the cure will come spontaneously. In this age group, monitoring of "dry" nights, control of the volume of fluid consumed, and training of the bladder are used.
If within 3-6 months simple methods do not lead to the desired effect, drug therapy is used, the "urinary signaling" method, which has a minimum of side reactions.
If urinary signaling is not effective, oral desmopressin can be used for a short-term stay outside the home. The peculiarity of using the drug is the refusal of any liquid 1 hour before and 8 hours after its use.
Tricyclic antidepressants work in a similar way. These drugs have significant side effects and relapses are frequent after their use.
Treatment of bedwetting in children is carried out by a pediatrician, in difficult cases, a nephrologist, a pediatric urologist.
The author of the article: Sokolova Nina Vladimirovna | Phytotherapist
Education: Diploma in "General Medicine" and "Therapy" received at the Pirogov University (2005 and 2006). Advanced training at the Department of Phytotherapy at the Peoples' Friendship University of Moscow (2008).
