Best in the field of Bed Wetting:
Dr. Max Maizels, Chicago Memorial Hospital developed the Try for Dry program, “More than four million children over the age of five wet the bed. For most, time will solve the problem – eventually. But how long will ‘eventually’ be, and at what cost to parents’ frayed nerves or to the child’s self-esteem? Parents can speed up the clock and children can wake up dry. the Try for Dry program offers proven techniques that bring bed wetting to a happy end. They cover the pros and cons of wetting alarms, drug therapies, biofeedback treatment, and changes in diet and sleeping schedules, and they provide friendly advice on how to replace punishment and shame with awards and praise. With diaries, calendars, and other visual aids that help the child share responsibility for a solution…
Dr. Howard Bennett, Washington D.C.
Author of “Waking up Dry”
“There is nothing quite so rewarding that a parent can do, than help a child to overcome bed wetting”
If your child is still bedwetting beyond the age of six, you may have explored options such as the urine alarm system or medication as a way of helping him stop. However, most literature supports an approach that includes some behaviour modification – either on its own or in conjunction with other methods. Teaching a child new skills and techniques that support his staying dry, along with employing other interventions, often has longer lasting effects than when only one approach is employed at a time….. Read More:
Kimberly Dunn, PNP, Laura Weissman, MD, and Sherry Tsai, CPNP, of BOSTON CHILDREN’S HOSPITAL
Laura Weissman, MD, a specialist in Developmental and Behavioral Pediatrics at Children’s Hospital Boston, says “the cause of the enuresis is generally not pathological and can be treated with behavioral therapy.” Success rates can be as high as 90 percent when alarm training is combined with behavioural modification, elimination diet, and most cases resolve within two months. Read More…
Why drugs are not the answer to nocturnal enuresis (bed wetting)
“As a last resort, your child’s doctor may prescribe medication to stop enuresis. There are no guarantees, however, and medication doesn’t cure the problem. Bed-wetting typically resumes when the medication is stopped.
Slow nighttime urine production. The drug desmopressin acetate (DDAVP) boosts levels of a natural hormone (anti-diuretic hormone, or ADH) that forces the body to make less urine at night. Although DDAVP has few side effects, the most serious is the potential for seizures. This can happen if your child drinks too much when taking the medication. For this reason, don’t use this medication on nights when your child drinks a lot of fluids. Additionally, don’t give your child this medication if he or she has a headache, has vomited or feels nauseous.
Calm the bladder. If your child has a small bladder, an anticholinergic drug such as oxybutynin (Ditropan) or hyoscyamine (Levsin) may help reduce bladder contractions and increase bladder capacity. Side effects may include dry mouth and facial flushing.
Change a child’s sleeping and waking pattern. The antidepressant imipramine (Tofranil) may provide bed-wetting relief by changing a child’s sleeping and waking pattern. The medication may also increase the amount of time a child can hold urine or reduce the amount of urine produced. Imipramine has been associated with mood changes and sleep problems. Caution is essential when using this medication, because an overdose could be fatal. Because of the serious nature of these side effects, this medication is generally recommended only when other treatments have failed..
DryKids enuresis training in Ontario by home visit, across Canada & USA by Skype
Hospital enuresis clinics treat bed wetting by addressing constipation, but ‘enuresis consultants’ treat behavioural issues as well. The DryKids program combines the best of both, without using drugs at all, in a program we call “4 Steps in 4 Weeks to Dry”. We start with a home visit to rule out medical issues and teach a multi-modal approach including alarm therapy, hydration, bowel and bladder exercises, elimination diets, and visualization. Then we follow up with weekly phone calls to monitor and teach as the child goes through the “4 Steps”: regaining bladder and bowel health, hydrating to eliminate constipation and tone the bladder, new bed time habits including visualization, healthy bladder diet, proper bed time, alarm therapy to learn how to trigger the ‘night mode hormone’ vasopressin