A fairly common problem for many parents is enuresis in children. The treatment in this case, oddly enough, requires a professional, that is, built on the advice of a neurologist. This therapy, of course, is quite long and involves the implementation of certain actions. However, treatment, as a rule, gives a positive result.
First of all, you need to try to influence the child’s sleep, making it less deep. Here you can use long-tried methods: before going to bed, take not a warm relaxing bath, but rather a cool shower. You can also use tonic drugs in small doses taken at night. Such are atropine, ephedrine, belladonna, etc. In severe cases, when tonic drugs do not help cure enuresis in children, treatment is based on taking antidepressants prescribed by a neuropathologist.
Mobilization psychotherapy should not be underestimated. You need to try to explain to the child that there is a problem (urinary incontinence), and to resolve it requires his own desire. Simply put, you need to convince the child that if he himself does not want to recover, then no one can help him in this. To help the baby, he needs to develop a reflex to urination: wake up every night at a strictly defined time and lead to the toilet 100% awake so that the child does everything consciously.
Mandatory procedures are also reflexology and physiotherapy. The last type of procedure to improve trophism involves the application of paraffin baths and electrophoresis to the bladder. To strengthen the muscles of the pelvic floor, physiotherapy exercises (LFK) are prescribed. Well, the consultation of a therapist is not ruled out.
Now about how you can medically affect children's enuresis. The treatment in this case is based on the intake of vitamins B2, B6 and B12, which improve microcirculation, enuresol powder (before bedtime), which contains ephedrine, belladonna extract, B vitamins, etc., as well as adiurecrin. This drug helps to increase reabsorption in the tubules of sodium and water, as a result of which less urine is formed, and the child also urinates less. Of course, vasopressin-based preparations are not intended for long-term use, but in complex therapy the effect gives a very good one.
"Spinal bladders" is another type of pathology, more severe and less amenable to correction, as there is damage to the spinal cord. In this case, enuresis in children, the treatment of which can continue for many months, provides for mandatory consultation and compliance with the instructions of a neurologist and urologist. Similar disorders of the urinary system can occur, for example, with transverse myelitis or severe spinal hernias.
Enuresis in children: treatment in stages
In order for the treatment of enuresis in children to be the least prolonged and most effective it is necessary:
1. Find out the obstetric history in detail. This will help determine the nature of enuresis: a neurosis-like state or neurosis.
2. Conduct a series of laboratory tests:
- urine analysis according to Zimnitsky and Nechiporenko;
- 3-5 general urine tests;
- analysis of the rhythm of urination and the amount of urine excreted on Saturday and Sunday;
- ultrasound of the urinary system to detect gross urological malformations.
3. If there are any deviations from the norm in the obtained analyzes, an X-ray urological study is performed to identify urological and neurological pathology. In the absence of such deviations, EEG and EchoEG are prescribed, myography followed by a consultation by a neurologist or psychiatrist (depending on the nature of enuresis). If the therapeutic effect is not observed over the next 6-12 months, a second x-ray examination is prescribed.
In most cases, in the absence of injuries to the brain or spinal cord and congenital malformations that impede the proper development of the child, children’s enuresis ceases by the age of 9–11, as the necessary reflexes are formed. If timely treatment of the disease has not been made, the likelihood of developing more serious diseases, such as pyelonephritis or mental disorder, is high.