A Practical Guide for Parents, Teachers, and Caregivers
E-Book, Englisch, 96 Seiten
ISBN: 978-1-61676-488-3
Verlag: Hogrefe Publishing
Format: PDF
Kopierschutz: 1 - PDF Watermark
Wetting is a distressing problem that is common in children and can
also affect adolescents. This clearly written book shows parents and
carers how to assess and treat wetting problems effectively.
Whether the problem is daytime wetting, bedwetting, or wetting
with soiling, the chapters provide step-by-step instructions and
concrete ideas to help children and adolescents achieve dryness. All
recommendations are based on the latest scientific studies and
guidelines such as those of the International Children’s Continence
Society (ICCS). Useful charts and questionnaires help identify the
exact problem, track progress on a daily basis, and increase
motivation.
This practical guide is ideal for parents as well as for teachers,
educators, and caregivers.
Zielgruppe
For parents as well as for teachers, educators, and caregivers.
Autoren/Hrsg.
Fachgebiete
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizin, Gesundheit: Sachbuch, Ratgeber
- Sozialwissenschaften Psychologie Psychologie / Allgemeines & Theorie Psychologie: Sachbuch, Ratgeber
- Sozialwissenschaften Psychologie Allgemeine Psychologie Entwicklungspsychologie Kinder- und Jugendpsychologie
- Sozialwissenschaften Psychologie Psychotherapie / Klinische Psychologie Kinder- und Jugendlichenpsychotherapie
- Sozialwissenschaften Pädagogik Pädagogik Pädagogik: Sachbuch, Ratgeber
- Sozialwissenschaften Psychologie Allgemeine Psychologie Kognitionspsychologie Emotion, Motivation, Handlung
Weitere Infos & Material
1;Wetting in Children and Adolescents;1
1.1;Table of Contents;6
1.2;Aims of this guide;10
1.3;How should I use this guide?;12
1.4;1 General Information on Wetting;14
1.5;2 Soiling;30
1.6;3 Daytime Wetting;41
1.7;4 Bedwetting;58
1.8;5 Wetting and Psychological Problems;83
1.9;6 Concluding Remarks;88
1.10;Further Reading;89
1.11;Appendices;92
3 Daytime Wetting (p. 32-33)
If your answer to the question “Does my child wet during the day?” is yes, this chapter is the right one for you. If your child is also constipated or soils, then please go back to Chapter 2. If your child only wets at night, you can go to Chapter 4.
As mentioned before, medical causes and complications are much more common in children who wet during the day – compared to children with bedwetting. Urinary tract infections are especially problematic because they are part of a vicious circle and can lead to daytime wetting. At the same time, daytime wetting increases the risk of a new infection. Each individual urinary tract infection has to be treated with antibiotics. Your doctor will tell you when that is necessary and which antibiotic to use. If your child has recurrent urinary tract infections, long-term treatment with an antibiotic may be necessary. Therefore, it is absolutely necessary that your child is seen by a doctor who will treat any urinary tract infections. If medical complications and causes are ruled out, your child has a so-called functional type of wetting. This means that the wetting is not caused by a medical disease but by a dysfunction of the bladder. The good news is that a functional disorder is reversible and can be treated effectively in most cases.
In this chapter we will present only the three most common functional types of daytime wetting. However, there are a few less common types:
• Some children wet only when they laugh. This is called giggle incontinence and is caused by an uninhibited emptying reflex of the brain which leads to the complete emptying of the bladder. Therefore, the clothes are usually not just damp but completely wet. Children are often highly distressed and are thankful for help.
• Other children wet their clothes as soon as the pressure increases inside the abdomen, for example, when they sneeze, cough, strain, or lift something. The scientific term is stress incontinence. It is very common in adult women but very rare in children. It has recently been described among female adolescent athletes. • Other children are not able to empty their bladder completely either because the bladder is enlarged or too weak to empty. This condition used to be called lazy bladder syndrome but has been renamed with the more neutral term underactive bladder.
• Some girls report that they have damp clothes after going to the toilet. In rare cases, urine flows into the vagina during urination and back into the pants afterwards. This is called vaginal influx or reflux.
If you do suspect that your child has one of these rare forms, please consult your doctor or therapist. In view of these rare forms of daytime wetting, we’d like to mention again that it is of utmost importance that your child is examined by a doctor. Only your doctor can identify the type of wetting and tell you how to best deal with it.