Ontario Coaching Network |
"He's so happy and we're so appreciative of your help... we doctors are trained in "traditional medicine" and .. this is NOT a problem that can be solved by traditional medicine .." Dr. S.... Toronto |
Links to the Experts
Emedicine.com: Click here for emedicine's paper on enuresis
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Podcast: The DryKids program for bed wetting is based on research by the Try For Dry clinic at Children's Memorial Hospital in Chicago. Dr. Max Maizels, co-founder of the Try For Dry clinic, on development of the program:
Click to Dowload Podcast____________________
Sara Dimerman, Toronto Author and Therapist
Sara's site features articles, workshops, and counselling on parenting. In some cases, especially with bedwetting girls, emotional issues can be a contributing factor.
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Metro area DryKids Coach
"Are you Supernanny's brother?"... Jason age 5
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Should you visit your doctor again?
Medical causes of bed wetting are rare, but potentially serious
While most kids don’t have an organic condition that underlies the sleepwetting, it’s important to exclude the possibility of diabetes, infection etc. Tests might indicate a "small bladder" or "nervous bladder", but these conditions are no reason to delay treatment; these kids also respond very well to the Try for Dry method. The simplest way to determine if your child has a medical problem underlying the bed wetting is simply to ask yourself...
Does he/she wet during the day? If not, then it's very likely just a matter of not waking to the bladder signal. But before you try any treatment ask yourself:
Does your child.....
- sleep wet now, after being dry for 6 months. or longer? ____
- ever had significant ear infections?_____
- ever have or had bladder or kidney infections?_____
- get pain or burning when urinating?_____
- have daytime wetting incidents, even damp underwear?_____
- urinate more than 6 times daily?_____
- hold back urination for long periods (8 hr +)?_____
- dribble, have to push hard, or have a weak stream?_____
- wake up more than once a night to go to the bathroom?____
- get thirsty at night?_____
- have a recent weight loss?_____
- have a problem with bowel movements such as diarrhea, holding, constipation, or soiling of underwear?_____
- have a recent history of stress, mood swings, or emotional trauma?_____
- exhibit sleepwalking, night terrors, nightmares every week?____
If your answer was “YES” to any of the above, the problem is “complicated” enuresis and
it indicates that you might need a doctor's advice.
___________________Do you need a Coach to help? Consider these questions to determine how complicated your child's problem is:
How many nights a week is this a problem?_____
How many times a night does your child wet?_____
Was either parent a bedwetter? To what age?_____
Does either parent snore? ________ Sleepwalk?_______ Have sleep apnea?______
What have you tried to fix the bedwetting..
Getting him/her up at night to go? _____
Scolding or punishing for wetting? _____
Restricting water after dinner?____
Have you praised or rewarded for being dry? _____
Has your child ever hid pj’s or bedding from you?_____
Have you made him/her clean up, wash sheets etc?_____
Have you tried an alarm clock to wake the child?_____
Have you tried a bedwet alarm?_____
How many hours of sleep does the child get on weeknights?____
Would your child wake to a smoke alarm?____
Does your child wear pullups?____ Is he/she older than 7 years?____
How much do you spend per month on pullups?_____
Has your child ever avoided social situations - sleepovers, camp, school trips?_____
Has your child been teased, bullied or embarrassed about this? ______
Has your child ever talked about this and said he/she wants to be dry?_______
Why does he/she want to be dry? ______
Why do you as parents want him/her to be dry?_______