Bedwetting

Almost all mothers encounter bedwetting—nocturnal enuresis. Most kids become fully toilet trained between ages 2 and 4 — but there's no target date for developing complete bladder control. Girls get toilet trained faster than boys.
Causes
• Kids, who wet the bed are not able to feel that their bladders are full and don't wake up to use the toilet.
• During childhood, some kids don't produce enough anti-diuretic hormone, or ADH, to slow nighttime urine production.
• A urinary tract infection can make it difficult for child to control urination.
• Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep — often because of inflamed or enlarged tonsils or adenoids.
• For a child who's usually dry at night, bed-wetting may be the first sign of type 1 diabetes, if it is accompanied with passing large amounts of urine at once, unusual thirst, fatigue and weight loss in spite of a good appetite.
• Sometimes children who don't have regular bowel movements retain urine as well. This can lead to bed-wetting at night.
• Sometimes a kid who wets the bed will have a realistic dream that he or she is using the bathroom.
• Many kids who wet the bed are very deep sleepers.
• Bedwetting may also be the result of the child's tensions and emotions that require attention. Enuresis runs in families too.

When a young child begins bedwetting after several months or years of dryness during the night, this may reflect new fears or insecurities. These include losing a family member or a loved one, arrival of a new baby, change of home. What your child needs is increased attention and assurance from you for these abrupt episodes of bedwetting to go away.

What can you do at home to prevent bedwetting

Children rarely wet on purpose, and usually feel ashamed about the incident. Hence, do not discuss bedwetting with anyone when the child is present. A pediatrician's advice is often very helpful in treating bedwetting. Do not give the child liquid to drink just before he goes to bed. Most importantly, do not fret about bedwetting because kids outgrow it.

Is Your Child Sleep Deprived

Are you one of those parents who are apprehensive of your child’s sleeping pattern? Then, this is the wakeup call for you. Just like adults, children need to sleep well to replenish their energy reserve and get ready for another day. Study says that sleep deprivation in children has been linked to lowered immunity, diabetes, depression, obesity, hindered physical development, stress and anxiety. When children don’t get enough sleep, it can have a negative effect on their overall health.

Why sleepless?

What causes turmoil in bed for young children? In young children, however, failure to establish a regular routine is frequently to blame. Physical factors such as bedwetting, general illness and developmental delay can cause sleep problems.
Psychological factors that can cause sleep problems include anxiety about separation from parents, fears (for example, of the dark), depression, drug abuse (in older children) and sexual abuse. A bedroom that is cold, noisy or damp may deter child from sleeping.
Dr. K. Ramalingam, pediatrician informs, “ Children who are experiencing exam fever, are couch potatoes and watch too much TV or are on the internet can suffer from sleep deprivation.”

Loss of sleep in your child can manifest in following behavioural changes–• Aggressive behaviour• Temper tantrums• Decreased patience• Hyperactivity• Crying and fussiness• A feeling of continuous lethargy• Poor concentration• Poor school performance

Dr Ramalingam points out the health hazards of sleep deprivation in children. “Poor food habits, unseemly growth and development, stomach upsets like constipation or irritable bowel syndrome and even depression can hit a sleep deprived child.”

How can you make your child sleep well?

• Create a simple and familiar routine for bedtime. For example: feed, bathe, and put to bed

•Allow toddlers time to settle down. If they make a fuss, don’t give in immediately.

• Keep things quiet, this helps toddlers to settle and teaches them that the night is different from the day.

• Alternatively, keep natural house noises going.

• Make sure your child unwinds before the bedtime. This will make the transition from lively toddler to a sleeping child easier.

Waking up too early:

• Use thick curtains to make children’s rooms darker so the morning light doesn’t wake them.

• Provide safe toys for him to play with in the mornings, so he can play quietly until he hears that the rest of the family is awake.

• If your child’s a natural early riser, you may just have to be patient. Usually, once children start nursery or school, they tend to sleep in for longer.

Waking in the night:• Be realistic and remember that everyone’s sleep requirements and patterns vary. Some people need eight hours or more, others can manage on five or six.

Many toddlers continue to wake during the night for feeds. If you’d like to stop this, cut down night feeds by gradually replacing milk with water. When you go in to comfort him, keep the lights low and use a soft voice. Don’t encourage any kind of activity. You’ll probably need to do this several times.