Your child suffers from bedwetting? You should know that around 20% of the 5-year old children, boys mainly, wet at night. Every year after, there is a drop of 15% until the age of 11 at which most children stop wetting completely. After 12, the rate of bedwetting among the general population stands at 2%. Statistics put aside, you’ll want your child to wake up in a dry bed. Here are the top 5 brands of bedwetting underwear that will help him do that.
Pampers UnderJams – They are soft, comfortable and stealthy. These qualities makes them ideal for children who may get embarrassed wearing them. They can absorb quite a lot of urine, and so can function as a regular diaper for toddlers who need larger sizes. There are special shapes for boys and girls based on their different physique. Their main disadvantage lies in their softness. You don’t need much strength to rip them.
GoodNites – If you’re looking for highly absorbent bedwetting underwear, GoodNites should be one of your choices. This underwear comes in all sizes, including older children who weigh up to 120 pounds. You’ll have to make sure you choose the right size for your child so as to prevent leakage at night. GoodNites have special designs that fit boys and girls.
Prevail – This bedwetting underwear is meant for older children and even adults thanks to its special absorbent materials. Side by side with being super-absorbent, it’s quite comfortable to wear giving you a sense of breathability.
Tranquility – This underwear comes in all sizes including XXL for adults. It can absorb quite well promising your child a dry night. On the flip side, it may be a little difficult to wear it as a result of not having a side-entry, so younger children may require the assistance of an adult.
Super Undies – Parents who care about the environment will probably opt for this cloth bedwetting underwear. Like all cloth diapers, it can be easily washed and used again. Super Undies come with inserts added to them for greater absorbability. In fact when it comes to children older than 5, the inserts are a must to prevent leakage. Some children may find these inserts to be a little uncomfortable.
What Is Bedwetting
Medically speaking, if a child is older than 5 and he wets the bad at least 2 nights a week for a period longer than 3 weeks, he suffers from night bedwetting, also known as nocturnal enuresis.
There are two types of night bedwetting. The first is primary enuresis and it consists of children who wet the bed on a regular basis as defined above. The second is referred to as secondary enuresis in which the child starts wetting the bed again after a dry period of more than 6 months. Secondary enuresis usually occurs as a result of mental stress of trauma.
How Severe Can Bedwetting Be?
Bedwetting is divided into infrequent and frequent. In the former case the child wets the bed around twice a week. In the latter case, bedwetting happens 3 or more times a week.
What Causes Bedwetting?
Children wake up in a wet bed for several reasons
1) Heredity Factors
Research has shown that genetics plays a major role in bedwetting. Around 40% of the children who wet their bed have one parent who used to suffer from nocturnal enuresis. If both parents suffer from nocturnal enuresis, their children have a 70% chance of following their footsteps.
2) Physiological Factors
Low levels of the ADH hormone (vasopressin) at night can cause bedwetting. This hormone is produced in the hypothalamic region of the brain and is stored in the pituitary gland. It regulates the amount of water in the body. ADH deficiency often results in increased urine production.
Some children also suffer from reduced bladder capacity in relation to the amount of urine in their body. When combined with low levels ADH, the result is severe nocturnal enuresis.
3) Behavioral Factors
Too much drinking and consumption of foods and beverages rich in caffeine like chocolate, tea and coke, before bedtime increase the production of urine in the body and may exacerbate bedwetting.
4) Psychological factors
Around 20% of the children who wet their bed at night suffer from psychological problems in varying degrees of severity, like stress, anxiety, trauma or physical or mental abuse. In other words, bedwetting, especially if it appears out of the blue, should raise a red flag. The first thing you should do is check whether everything is alright at school or in the kindergarten.
How to Treat Bedwetting
The first thing you should do is take your child to a pediatrician to rule out any physiological disorder that may necessitate medical intervention.
Behavioral treatment – For this treatment to succeed, the child has to adopt a new bedtime routine which consists of minimizing drinking and going to the toilet before going to bed. Some parents wake their child in the middle of the night to pee. Equally important is avoiding substances that cause excessive urination like caffeine.
The Bell Therapy – This treatment method is based on the understanding that bedwetting children are not aware that their bladder is full due to an underdeveloped urinary reflex. What you need to do is attach a buzzer to tyour child’s underwear or sheet. As soon as he wets the bed, the buzzer beeps.
In many cases the parents wake up instead of the child. They should wake the child and take him to the toilet even if he has already wetted his bed. Over time the child learns to wake up when he has to pee.
This method has 70% success rate. Its main disadvantages is that it takes around 2 months to get results. It addition, it requires active parental involvement and quite a lot of effort.
Medications for Nocturnal Enuresis
There are some effective drugs your doctor may prescribe your child. They include the following:
Desmopressin replaces the hormone ADH, which is naturally secreted in the brain and reduces the amount of urine produced during sleep.
In 70-80 percent of the children, improvement is seen almost immediately. However nocturnal enuresis may reappear after treatment is ceased. Side effects are quite rare.
Oxybutynin Hydrochloride relaxes the bladder muscle and thereby increases its capacity. It is usually given to children with a small bladder or children who haven’t responded to Desmopressin
The drug has several side effects that may include dry mouth and eyes, dizziness, drowsiness, constipation, flushed skin, nausea, vomiting and stomach pain. These side effects are usually temporary and after ending treatment they pass. If you spot any worsening in your child mental or physical condition as a result of taking this drug, stop giving it and immediately consult your doctor.
Article contributed by Neva Dubrern, a pediatric nurse from Oshawa, Ontario, Canada.