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Learn about managing bedwetting in children

Bedwetting, or nocturnal enuresis, is a common issue that many children experience. It can be frustrating and embarrassing for both children and their parents. However, it’s important to remember that bedwetting is a normal part of a child’s development, and there are effective strategies to help manage and overcome it. This post aims to provide a brief overview of bedwetting in children and offer some helpful tips for parents. Normal Development: Bedwetting is considered normal in young children, particularly those under the age of five. As a child grows, their bladder capacity increases, and they develop better control over their urinary system. Most children outgrow bedwetting on their own, but for some, it may persist beyond the age of five. Causes of Bedwetting: There can be several underlying causes of bedwetting, including: a) Delayed bladder maturation: Some children may have a bladder that takes longer to mature, leading to difficulties in holding urine overnight. b) Hormonal factors: Antidiuretic hormone (ADH) plays a crucial role in regulating urine production at night. In some children, the production of ADH may be insufficient, leading to increased urine production and bedwetting. c) Deep sleep patterns: Children who have deep sleep patterns may not respond to the body’s signals of a full bladder, resulting in bedwetting. d) Emotional or psychological factors: Stress, anxiety, or major life changes can contribute to bedwetting in some cases. Strategies for Managing Bedwetting: Here are some practical tips to help manage bedwetting: a) Encourage regular bathroom breaks: Encourage your child to empty their bladder before bedtime and ensure they use the bathroom regularly during the day. b) Limit fluid intake: Reduce the amount of fluid your child drinks in the evening, particularly before bedtime. However, make sure they stay adequately hydrated throughout the day. c) Use protective measures: Place a waterproof mattress cover or disposable absorbent underpads on the bed to protect it from moisture. This helps reduce the stress and mess associated with bedwetting incidents. d) Bedtime routines: Establish a consistent bedtime routine that includes using the bathroom before sleep. This helps train the bladder and sets a pattern for your child’s body. e) Positive reinforcement: Avoid punishment or shaming your child for bedwetting. Instead, offer praise and rewards for dry nights to encourage positive behavior. f) Seek medical advice if necessary: If bedwetting persists or becomes a cause of distress for your child, consult with Pediatric Urologist- Dr Paritosha Dalal who can provide further guidance and explore potential underlying causes. Bedwetting is a common issue that many children experience during their development. Remember that patience, understanding, and support are crucial when helping your child manage bedwetting. By implementing these strategies and maintaining a positive approach, you can support your child on their journey towards dry nights and help them overcome bedwetting with confidence.

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Tips for Preventing Playground Injuries

Playground injuries are accidents that occur while children are playing on playground equipment. They can range from minor cuts and bruises to more severe injuries like fractures and concussions. Common causes include falls from equipment, collisions with other children, and entrapment. Preventing playground injuries requires adequate supervision, proper equipment maintenance, and adherence to safety guidelines. Impact-absorbing surfaces, promoting safe play habits, and educating children and parents about risks are important preventive measures. Creating a safe playground environment ensures children can engage in physical activity and play without unnecessary harm. To help prevent playground injuries in children, here are some tips: By implementing these safety measures, you can create a safer environment for children to enjoy their time on the playground while minimizing the risk of injuries. It is important to consult a Children Specialist immediately in case of any accident or mishappening.

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Things to carry when going for your child’s surgery

Undergoing any surgery for your child is always a stressful situation for the entire family. Here are certain tips and guidelines to make the process easy and least stressful. As always said – fore warned is fore armed. What you need to pack for your child’s surgery depends on whether it is a day-care procedure, or one where you will be staying overnight or may be for a few days. Here are few basic things that you need to carry with you while coming to the hospital for surgery. General items : If your child is an infant or toddler: If your child is of school going age or a teenager DO NOT bring the following items General tips while being in hospital Make sure you have help to at hand to share the responsibility of caring for your child while in the hospital. Adequate rest for the caretaker is equally important to ensure effective care of a sick child.

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Anaesthesia in children

Conventionally there are three types of anaesthesia – general, regional and local. Children mostly need to have general anaesthesia even if it is a minor procedure with or without an addition from the remaining two. General anaesthesia is a state where the child is maintained in carefully controlled sleep or unconsciousness. It uses a mixture of certain medicines to achieve this. Attention is given to keep the child pain free. The procedure is such that there is no memory of the event.  Anaesthetist is a competent person who will be handling all the anaesthesia needs of your child. He/ she will have some questions for you regarding your child’s health. Do share with them any known or suspected allergies, any medications that your child is taking or any relevant thing that you feel should be known. The anaesthetist will assess the child and discuss about the type of anaesthesia that will be used. Make sure you have all previous medical reports while meeting the anaesthetist. Discuss all your concerns about anaesthesia with him/her. Advances in anaesthesia medicines and procedures in the last few decades have made it very safe to use in all children including premature babies. Fasting before any surgery is mandatory. The duration of fasting is generally 6 hours for solids and any formula feed. Breastfeeds need to be stooped 4 hours before the procedure. Your child can have a few sips of clear water up to 2 hours before surgery. Make sure you are aware of the exact time that you need to stop the feeds before surgery.

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Preparing your child for a hospital visit: words to choose with your child

If your child is having a surgery, learn all you can about the procedure. Speaking with your child frankly and in simple terms will help to allay any fears that he/she has. Assure your child that you will always be around with him/her while in the hospital. For pre-schoolers keep this discussion as near to your time of hospital visit as they have a short memory span. Role play with a doll or toy at home will help them grab the concept. For older children make the discussion few days in advance. This gives them time to assimilate the facts and come up with their fears and insecurities. You and your child are always welcome to discuss the procedure and revisit the plan with your treating pediatric surgeon. Having a basic understanding of what to expect makes the child come to the hospital with a positive mind set. Few general tips: Most of the procedures in children need to be carried out under general anaesthesia. For more tips and information please go through the ‘ Anaesthesia in children’ section. Fasting before any surgery is mandatory. The duration of fasting is generally 6 hours for solids and any kind of formula feed. Breast feeds need to be stooped 4 hours before the procedure. Your child can have few sips of clear water up to 2 hours before surgery. Expect some fasting time after completion as well, for the effect of all anaesthesia medications to wear off. Your child will be receiving a drip (intravenous fluid) during this duration of fasting. All necessary medications will also continue by drip and later changed to oral.

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What Training does a Paediatric Surgeon Have?

Paediatric Surgeons are medical professionals who have undergone 5 years of basic Medical Training. Following this they need to complete Master in General Surgery for 3 years after which they begin their Super Speciality training to become pediatric Surgeons. This is another 3 years of extensive residency training, where they become adept at managing surgical conditions seen in children. Paediatric medical and surgical care remains at the core of this training so that the unique nature of advanced medical and surgical care is learnt and implemented during their expansive training. If your child has an illness, injury or disease that requires surgery, a Paediatric Surgeon has the requisite qualifications and experience to treat him/her. He/She is the best person to handle all the medical needs of your child.

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