Stress of Returning to School Can Worsen Bed-Wetting:
SATURDAY, Sept. 25 (HealthDay News) -- The stress of going back
to school can worsen bed-wetting, but there are some simple things
parents can do to help their children, says a Johns Hopkins
"Back to school is a physically and emotionally stressful time for many children, compounded by the sudden change in sleep patterns and schedules that generally wreak havoc on eating and other routines established over the summer," Dr. Ming-Hsien Wang, a pediatric urologist at Johns Hopkins Children's Center in Baltimore, said in a Hopkins news release.
Children who experience bed-wetting flare-ups when they go back
to school should maintain a regular urination schedule through the
day, Wang advised.
In such cases, she writes a note to teachers explaining the
child's condition and recommending bathroom breaks about every two
Since the brain controls the bladder, establishing a regular
bathroom routine during the day helps improve brain-bladder
communication in general, Wang explained.
Physical and emotional stressors are well-known contributors to
bed-wetting and daytime incontinence in children. The vast majority
of bed-wetting cases are caused by lifestyle issues, such as lack
of regular bathroom breaks, inadequate hydration and poor diet.
"Changes in lifestyle take care of 80 percent of these problems," Wang said. Among other things, she recommends providing emotional support, letting the child know the condition is fixable, providing plenty of water to ease urination, stopping fluids about three hours before bedtime, and having children empty their bladder before going to bed.
However, she added, biological and anatomical causes must be
ruled out before focusing on lifestyle changes.
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