Categories
Elimination Disorders

Bed Wetting/Enuresis

Enuresis refers to repeated involuntary urination in inappropriate places (clothing, flor, etc.) that occurs after the chronological age when continence is expected (generally 5 years old) and that is not due to a substance (e.g., a diuretic) or to a general medical condition. Children who are above 5 years of age tend to have control over urination. If older children (above 5 years) wet their bed or wet themselves in places other than the bathroom, they might be suffering from enuresis. The instances must last for quite a few months before this is considered a problem. One or two incidences may occur even in normal children. For a diagnosis of this problem it is necessary that organic causes are ruled out. Enuresis may occur during the day (diurnal enuresis), night (nocturnal enuresis), or both and is frequently associated with delayed bladder development, poor toilet training, and stressful situations. This is often a source of anxiety and embarrassment for children.

Worried that your child might have Enuresis?

  1. Do you frequently receive complains from school of your child toileting in class?
  2. Do you have to frequently change your child’s clothes due to him/her wetting his/her pants?
  3. Does your child regularly resist the urge to use the toilet?
  4. Does your child cross his/her legs, squat, sit on a heel, etc. to prevent wetting?

Treatments, we provide that can help your child and you:

Behaviour Modification

Parental Counselling

Categories
Elimination Disorders

Encopresis

Encopresis is repeated defecation in inappropriate places (clothing, floor, etc.) that occurs after the age of 4 and is not due to a substance (e.g., a laxative) or to a general medical condition. Around about four years of age, most children learn that they must go to the bathroom for elimination. Sometimes despite learning where to eliminate, they accidentally eliminate (or pass faeces) in inappropriate places. When this takes place, the first step is to rule out organic/physiological causes. If there are no organic reasons, professional help must be sought. In the great majority of cases, encopresis develops as a result of chronic (long-standing) constipation. Encopresis may or may not be accompanied by constipation and is often associated with poor toilet training and stressful situations. This is often a source of anxiety and embarrassment for children.

Worried that your child might have Encopresis?

  1. Do you frequently receive complains from school of your child toileting in class?
  2. Do you have to frequently change your child’s clothes due to soiling?
  3. Does your child regularly resist the urge to use the toilet?
  4. Does your child experience painful / reduced bowel movements?

Treatments, we provide that can help your child and you:

Behaviour Modification

Parental Counselling