Dec
19
2010

MANAGEMENT OF BED-WETTING: BEHAVIORAL TECHNIQUES

MANAGEMENT OF BED-WETTING: BEHAVIORAL TECHNIQUES
Behavioral techniques often prove effective. The child may be given bladder-stretching exercises, thus learning to become more aware of bodily signals. The technique of drinking large amounts of fluid and then refraining from urination for as long as possible helps improve functional bladder capacity, enabling the child to go for longer periods between voidings. Also, stream interruption exercises—stopping and starting the flow of urine— serve to improve the tone of the muscles that control the urinary sphincter and help make the child aware of the techniques necessary to control the voiding process. Studies show that stream interruption exercises alone can produce remission of enuresis in as many as 35 percent of cases. The process of visual sequencing—training the child to mentally envision and rehearse the process of waking and going to the toilet—can also help. Some experts suggest keeping a bedpan nearby to make voiding easier. Even reducing the amount of spicy or salty foods in the diet produces some results.
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Behavioral techniques often prove effective. The child may be given bladder-stretching exercises, thus learning to become more aware of bodily signals. The technique of drinking large amounts of fluid and then refraining from urination for as long as possible helps improve functional bladder capacity, enabling the child to go for longer periods between voidings. Also, stream interruption exercises—stopping and starting the flow of urine— serve to improve the tone of the muscles that control the urinary sphincter and help make the child aware of the techniques necessary to control the voiding process. Studies show that stream interruption exercises alone can produce remission of enuresis in as many as 35 percent of cases. The process of visual sequencing—training the child to mentally envision and rehearse the process of waking and going to the toilet—can also help. Some experts suggest keeping a bedpan nearby to make voiding easier. Even reducing the amount of spicy or salty foods in the diet produces some results.
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