Treatment of enuresis can be lengthy and frustrating.
Treating bedwetting isn't an exact science. These alarms are connected to a pad on the child’s trousers or bedding. The small units are self-contained and the child wears it on the shoulder or the wrist. It is recommended to administer the drug just before going to bed. Acupressure is finger pressure applied to precise acupoints.
Such devices may take 2-12 weeks to provide positive results. The intermittent use of DDAVP along with a conditioning retraining is often effective in increasing self-confidence while working toward a cure that isn't drug-dependent.Reviewed by health care specialists at UCSF Benioff Children's Hospital.© 2002 - 2019 The Regents of The University of California If your child remains wet, increase the dose to two 0.2 mg tablets for one week. However, it is expensive and is not a cure.Although many approaches to treating enuresis have included behavioral modification, by far the most effective have been "conditioning" alarm units. It is also known to reduce the amount of urine produced. The alarm unit is designed to awaken the child when he or she begins to wet. Two commonly used drugs are Tofranil (imipramine) and DDAVP (desmopressin acetate).Tofranil (imipramine) was the first drug introduced to treat bedwetting but we don't know exactly how it works.
Since it's very common until 6 years of age, we generally don't try to treat it earlier. If your child becomes dry, continue at this dose. Dosage for kids age 9 years and older is 50 mg to 75 mg, given one hour before bedtime.Because taking too much could cause cardiac irregularities and convulsions, an adult should administer the imipramine to the child personally and keep the drug out of children's reach. The optimal duration of treatment is unknown.The dosage is one 0.2 mg tablet at bedtime for one week. Traditional Chinese medicine has treated this condition for thousands of years with acupuncture, acupressure, moxibustion, and herbs.
Given the severe side effects of this medicine, it should be used only when all other medicines have failed to yield the desired results.Parents must know that most children eventually outgrow their bedwetting problem. A child with primary bedwetting has never been dry at night for any significant length of time. The pad, being moisture sensitive, will trigger an alarm, if there is any incidence of bedwetting. Behavioural interventions are further divided into:(a) simple behavioural interventions - behaviours or actions that can be achieved by the child without great effort; and(b) complex behavioural interventions - multiple behavioural interventions which require greater effort by the child and parents to achieve, including enuresis alarm Simple behavioural interventions are often used as a first attempt to improve nocturnal enuresis and include reward systems such as star charts given for dry nights, lifting or waking the children at night to urinate, To determine the effects of simple behavioural interventions in children with nocturnal enuresis.We searched the Cochrane Incontinence Group Specialised Trials Register, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), All randomised or quasi-randomised trials of simple behavioural interventions for treating nocturnal enuresis in children up to the age of 16. It is also used as a stopgap measure to help children attend camps or sleepovers without embarrassment. At present, there are three kinds of alarm units on the market: One emits sound when it senses that the child has urinated, one vibrates, and one can do both. The side effects include mood changes, and sleep problems. The two drugs approved by the FDA specifically for bed-wetting are Drug therapy does not work for everyone, and these medications can have significant side effects. Do not use waking the child as a long term strategy to overcome bedwetting; instead get help from a doctor.
This drug works by imitating ADH in the body, … This gives the child a treatment option that ensures dryness during times when bedwetting would be particularly inconvenient or traumatic.
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