by Healthy MOM™ Dr. Ilana Dickson, Samaritan Pediatrics
For many children, bedwetting is not uncommon. Although most
children are potty trained overnight by 5 years of age, 15% of them
will still have trouble keeping their bed dry and rates among
children 15 years and older can be as high as 1 to 2%. And this
problem is exhibited more in boys than in girls.
Most reasons for bedwetting are benign and will resolve with
time. However, waiting for this to happen can be challenging. Both
parents and children can be filled with anxiety as they wonder if
something is seriously wrong. It can be socially embarrassing as it
may keep children from going on sleepovers and families from going
on vacations. And let's face it, who wants to be washing sheets on
a regular basis? On the more practical side, it is a major
inconvenience and nuisance.
The majority of bedwetting can be attributed to one or more of
Less commonly, bedwetting can be associated with medical or
emotional problems. Medical problems can include, but are not
limited to: diabetes, constipation, urinary tract infection, pin
worms or kidney disease. Emotional problems are usually due to
psycho-social stress factors in the home or at school. Medical and
emotional problems can be diagnosed by a physician, however these
serious conditions are by far the minority of the root cause of
The following points are things you may try at home:
Other modes of treatment may be tried in conjunction with your
physician and include bedwetting alarms, medications, talk therapy
as well as number of alternative therapies.
If you are the parent of a bed-wetter, remember that this
problem is one that in most cases will resolve over time and
require minimal to no intervention. It is also important that you
remember how common this problem is -- this may be especially
difficult when you observe that your 3- or 4-year-old is dry at
night but your 5- or 6-year-old is not.
For more information please go to the American Academy of
Pediatrics at www.aap.org/healthtopics/toilettraining.cfm.
*Information in this article obtained from an "UpToDate" review
article called: Bedwetting in Children, May 2009.
Healthy MOM™ is brought to you courtesty of
Samaritan Health Services.
MOM Magazine indavertently omitted the source from Dr. Dickson's
Apr/May Healthy MOM article "What to do when a stomach virus
strikes." The source, Caring for Your Baby and Young Child: Birth
to Age 5 (Copyright © 2009 American Academy of Pediatrics), has
been included in the revised article found here.
Our good friend and Mid-Valley Healthy MOM Dr. Ilana Dickson
just reminded us that the Expectant Parent Class is coming up on
Wednesday. Check out this link for more info!
From the Desk of MID-VALLEY Healthy MOM Dr. Illana
Reach Out and
A program that promotes early
literacy at pediatric offices nationwide by giving new books to
children and advice to parents about the importance of reading
Program launch at
Samaritan Pediatrics, the only
participating program in Benton County, on Friday November
5th, 4-6 pm, in the Samaritan Pediatrics
waiting room (Samaritan Professional Center, 3517 NW Samaritan
Drive, Suite C).
Cake and punch will be provided;
Tips on reading aloud will be
demonstrated by volunteer readers,
Beaver will be present from 4-5 pm.
A few facts from Reach Out and
Read program website:
There is a crisis in the public
education system in our country. More than one-third of
American children enter kindergarten without the basic language
skills they will need to learn to read. Those critical
early literacy skills include recognizing the letters of the
alphabet, understanding that books move from left to right, and
being able to understand and tell stories.
Despite the billions of dollars Americans have invested in
remedial reading programs, those millions of children who enter
school unprepared are highly likely to never catch up. In
fact, 88% of first graders who are below grade level in reading
will continue to read below grade level in fourth grade.
(Juel, 1988) And reading difficulty contributes to school failure,
which increases the risk of absenteeism, dropping out, juvenile
delinquency, substance abuse, and teenage pregnancy - all of which
perpetuate the cycles of poverty and dependency.
The answer is to "immunize" children against illiteracy in the
critical years before they enter school, when interventions can
have the most dramatic impact. In fact, Nobel Prize-winning
economist James J. Heckman found that economic returns on
dollars invested in early education are as high as 15-17% per
year - higher than other traditional economic development
Reach Out and Read promotes early literacy and school
readiness with a research-tested, evidence-based model that's
proven to help children develop the language skills they will need
to learn to read and succeed in school.
There are currently 4,654 Reach Out and Read Programs in
U.S.* and so far 6.4 million books have been distributed
to 3.9 million children
For more info on Reach Out and Read
go to their website at www.reachoutandread.org
Healthy MOM is brought to you by Samaritan Health Services.
Dr. Dickson wrote a very insightful article on postpartum
depression in the June/July issue of the magazine. As a follow up
to that article, she has provided the following questions to elicit
information about postpartum depression:
If you wouldl like to talk to someone about how you are feeling
postpartum, here is a list of local resources:
Babies First and CaCoon, here via Benton County Health
Department, (541)967-3888 x6910
Oregon WIC Program (Women-Infants-Children) (541)766-6835
WellMama Pregnancy & Postpartum Support Services, 24hr
message line (800) 896-0410, info@WellMama.org - www.WellMama.org@
Clinical psychology resident, Debra Carriere, Ph.D. (541)
Your obstetrician or midwife should also be able to give some
advise as to how to seek help as well as offer antidepressants if
See the June/July 2010 Healthy MOM article here, or in
your local MOM Magazine.
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