Urinary incontinence in children: causes and treatment, symptoms
Many parents are faced with this problem, like urinary incontinence in children, appearing in the daytime or night time. Despite the fact that the disease can affect people of any age, most cases are diagnosed from children 3 years and older. At this age baby learns to hold the urine while urination, and if not, a little patient needs treatment. What is bedwetting in a child, what are its causes? What is better suited for treatment: folk remedies or medical therapy?
Overview of pathology
Urinary incontinence in girls and boys secondary disease, often caused by mental problems, especially trauma. Normally, the enuresis disappears in babies 6 months and have an eight month old child incontinence manifests itself in rare occasions, and sometimes even disappears. But some young patients involuntary leakage of urine is observed then, and not always the reason for this is psychogenic factor.
The disease can develop in 3 years and 7 years and older. Parents make a mistake when they used physical means of punishment, and do not understand that the baby needs treatment. According to statistics, the manifestation of daytime incontinence occurs 10 times less frequently than of nocturnal enuresis. One patient can suffer from 2 forms of the disease, and in any case the person needs a comprehensive examination.
Classification of the disease
There are several classifications of enuresis in boys and girls. Depending on how often manifested the disease in the patient, there are primary form (the patients did not show prolonged periods between exacerbations of the disease) and secondary (for 6 or more months, the baby peed, and then came the period when the variance was not shown). Also enuresis may accompany other symptoms, so the disease is divided into monosemeiotic type (painless urination, no urgency) and polysiphonia (the patient developed complications: pain, often toilet visits and the urge to urinate impossible to resist). Depending on the time of the manifestation, shares the day and night types of the disease.
Night type of disease
During the night enuresis the patient has no ability to control themselves during sleep, and upon awakening, you discover that the kid peed his pants. Nocturnal enuresis is diagnosed in boys more often than girls have enuresis. While incontinence is manifested as constantly, and through certain time intervals. Bedwetting may occur after psychological trauma produced during the day (quarrel of the parents, punishment) or because of congestion (active pastime).
The daily form of the disease
Daytime urinary incontinence in children is manifested due to the inhibition of the cerebral cortex throughout the day. According to statistics, daytime enuresis in girls is as common as the boy. This type of urinary incontinence in children appears cases, the emotional exhaustion of the person, or in the presence of urologic disease. Thus, there is neurological or anatomical deviation.
The reasons for the development of the disease
There are different causes of enuresis in children. The disease in most cases, is diagnosed in thin patients, those who are timid and prone to severe care from parents who grow up in low-income, large families or dysfunctional family. The cause of enuresis in children is in utero, and appeared during childbirth, resulting in the person affected the brain or leading the way from the cortex, passing through the spinal cord to the bladder. This is due to factors such as preeclampsia, intrauterine infection, suffocation by an umbilical cord, diabetes in the mother, etc. But the disease may develop for such common reasons as:
- disease that appear after birth, causing oxygen starvation of the brain (heart disease, tuberculosis, etc.);
- any infection in the CNS (meningitis, encephalitis);
- the presence of noninfectious CNS diseases (epilepsy, abnormal development lumbar spine);
- the development of psychiatric disorders (mental retardation, intoxication with narcotic substances or alcohol);
- the advent of failures in work of endocrine system;
- a stressful situation and getting psychological trauma;
- diseases of the urinary system (cystitis, adhesions, education, etc.).
What are the symptoms?
Urinary incontinence in a child is accompanied by release of certain amount of liquid, and it is observed in the form of attacks that the patient cannot control. If the disease develops on the background of other diseases, the patient manifested corresponding symptoms. Children’s bedwetting can be accompanied by anxiety and irritability, tearfulness, weakness, loss of consciousness, dizziness. Also, there is an imperative urinary incontinence in child, when the urge he does not have time to reach the toilet.
Diagnosis of urinary incontinence in children
To determine the cause of enuresis in girls or boys and selection of treatment method for young patients should be examined. To do this, refer to the pediatrician, urologist, neurologist, psychiatrist and endocrinologist to conduct a comprehensive study. To start interviewing the kid and his parents to determine the present type of the disease. To establish more accurate diagnosis of the patient sent to the General analysis of blood and urine, biochemical blood analysis, after which you can determine whether or not a disease due to inflammatory processes of the urinary tract. Incontinence is an ultrasound of the urinary system, and as additional methods of research prescribed cystography, urography, cystoscopy. During examination of the patient need to check the status of the Central nervous system, which conduct electroencephalography, computed tomography and x-ray.
How to treat the disease?
There are different methods of treatment of enuresis, but the basis of therapy of the disease is behavioral therapy. First of all, watch the little patient eats before bedtime, and limit the amount of water before bedtime. Before you go to bed, the child needs to go to the toilet. Several hours later, after lights out, the baby was awake and lead to the toilet. Another way is to use pads that respond to humidity levels. In addition to behavioral therapy, doctors prescribe a folk remedy for enuresis or drug therapy.
Drug therapy is prescribed in cases when non-pharmacological treatment does not give results, and the symptoms do not go away. The drug selects only the attending physician depending on the reasons for the development of the disease and individual characteristics of the child. To get rid of the disease, the doctor prescribes pills «Westar», «Spasmex» or «Orotol». If enuresis in children, there is a sense of fear, deterioration of brain activity, then the normalization of the drugs «Phenibut», «Pantogram» or «Pikamilon». Any medication has side effects, so taking it should be only on prescription.
Treatment of folk remedies at home
To normalize the emotional state of the patient is necessary to create a positive environment in which he lives. In order to cure bedwetting in the home, prescribed herbal teas cranberry, St. John’s wort, sage or yarrow. But the herbs used for the treatment of enuresis in children in the home, choose with caution in order not to provoke the development of Allergy. In addition, to combat enuresis folk remedies follow the diet, which reduce the amount of products that have diuretic effect (e.g., watermelon, cantaloupe, parsley, cucumbers, etc.).
To save a young patient from incontinence of urine is possible when using physiotherapeutic methods of treatment. People treated with heat treatments, laser therapy, circular shower, electrostimulation of the pelvic muscles, magnetic therapy. Moreover, the patient helps massage enuresis, electrophoresis and iglorefleksoterapevta method.
To normalize the condition for children prescribed physical therapy, which includes Kegel exercises, which improves the connection between the urinary system and the brain. For this, the patient relaxes and tightens the muscles of the perineum. The child found the right muscles and exercises led to the improvement of the condition, during urination it needs to abruptly stop the process.
For children older than 10 years is prescribed psychotherapeutic treatment of enuresis (e.g., autogenic therapy or motivational). If the above methods do not give any results or a disease caused by abnormal structure of the urinary tract, the patient is prescribed surgery. But for kids not prescribe sling or open surgery as it is dangerous.
The prevention of disease
What to do to the child was healthy and the urinary incontinence had not had? After all, a problem that begins in childhood, can cause low self-esteem and development of diseases in the future. To avoid this, parents should abandon the use of diapers and gradually accustom your baby to potty. Is normal for 2 people to go to the bathroom in the potty without adult assistance. To prevent hypothermia are watching to see whether the child is dressed for the weather, because if there is a disease of the urinary tract, there is the risk of enuresis. To prevent every season kid show the pediatrician. This will help to detect infectious diseases, so time to start treatment.