Bedwetting in children (nocturnal enuresis)Bachon mein bistar geela karna (nocturnal enuresis)

Bistar geela karna kya hai

Bistar geela karna, jise nocturnal enuresis bhi kehte hain, ka matlab hai neend mein bina irade ke bistar mein peshab kar dena, aise bachay mein jo raat ko khushk rehne ki umar ka ho. Zyadatar bachay takreeban paanch saal tak raat ko khushk ho jate hain, lekin bohat se nahi hote, aur is ka zyada der tak rehna ghair mamooli nahi.

Yeh bohat aam hai, bachay ki ghalti nahi, aur zyadatar bachon mein waqt, sabr aur saade madad se behtar ho jata hai. Yeh guide walidain ke liye hai. Yeh batati hai ke yeh kyun hota hai, kya madad karta hai, kya nahi karta, aur doctor ko kab dikhayein.

Bistar geela karne wale bachay susst, shararti, ya jaan bujh kar aisa karne wale nahi hote. Woh aam tor par aap jitne ya aap se zyada pareshan hote hain.

Yeh kitna aam hai

Bistar geela karna bachpan ke sab se aam masail mein se aik hai. Kisi bhi school class mein aam tor par aise bachay hote hain jo bistar geela karte hain, chahe woh is ke baare mein baat nahi karte. Yeh larkon mein zyada aam hai, aur aksar khandan mein chalta hai, is liye walidain ya chacha mamu ko bhi bachpan mein hua ho sakta hai.

Yeh kyun hota hai

Aam tor par yeh kisi bimari ki wajah se nahi hota. Teen cheezein aksar saath kaam karti hain:

• Gehri neend. Dimagh bhare hue bladder ka signal nahi pakadta, is liye bacha sota rehta hai.
• Raat ko zyada peshab banna. Kuch bachay raat ko itna peshab banate hain jitna bladder rakh nahi sakta.
• Raat ko kam gunjaish wala bladder, ya aisa bladder jo bharne se pehle sikurta hai.
• Qabz masle ko barha sakta hai, kyunke bhari aant bladder par dabao dalti hai.
• Khandani rujhan. Agar aik ya dono walidain ne bachpan mein bistar geela kiya ho to bachay ko hone ka imkaan zyada hai.

Kam aam tor par bistar geela karna kisi aur cheez se juda hota hai, jaise peshab ka infection, diabetes, kharate ya raat ko saans ruk jana, bladder ya us ki nason ka masla, ya bachay ki zindagi mein dabao.

Bistar geela karne ki do qismein

• Hamesha raat ko geela (primary). Bachay ne kabhi lambe arse tak khushk raat nahi guzari. Yeh sab se aam qism hai, aur aam tor par upar ki wajohat se samjhi ja sakti hai.
• Khushk rehne ke baad dobara shuru (secondary). Bacha chhe mahine ya zyada khushk raha aur phir dobara geela karne laga. Is mein aisi wajah ka imkaan zyada hai jise dhoondna chahiye, jaise infection, diabetes, qabz, ya koi baat jo bachay ko pareshan kar rahi ho.

Doctor ko kab dikhayein

Meherbani karke doctor ko dikhayein agar aap ka bacha:

• Paanch saal se bara ho aur bistar geela karna abhi bhi ho raha ho aur bachay ya khandan ko pareshan kar raha ho.
• Din mein bhi geela karta ho, ya bohat baar bhagte hue toilet jata ho.
• Peshab karte waqt dard ya jalan, ya badboodar ya dhundla peshab ho.
• Bohat pyaas lagti ho, bohat paani peeta ho, ya wazan kam ho raha ho.
• Qabz ka shikar ho, ya apne kapre kharab kar leta ho.
• Zor se kharate leta ho, ya raat ko saans rukti lagti ho.
• Mahino khushk rehne ke baad dobara geela karne laga ho.
• Nau-jawan ho jo ab bhi bistar geela karta ho.

Meherbani karke is ka intezar na karein ke aap ka bacha sharminda ho ya school trip aur sleepover chhor de. Madad dastiyab hai, aur zyadatar bachon ke liye kaam karti hai.

Doctor kya karta hai

Doctor aam tor par:

• Geela karne ke baare mein poochega, kitni baar, din ki alamaat, toilet ki aadaatein, peena, aanton ki aadaatein, neend aur kharate, aur khandani history. Aik hafte ya do hafte ki saadi diary madad karti hai.
• Bachay ka muaina karega, jis mein pait, genitals, peeth aur taangein shamil hain.
• Peshab ka test karega infection aur sugar ke liye.
• Aam tor par scans ya blood tests ki zaroorat nahi hoti, siwaye is ke ke doosri nishaniyan hon. Ultrasound ya doosre tests sirf khaas halaat mein istemal hote hain.

Kya madad karta hai

Yeh saade qadam zyadatar bachon ki madad karte hain, chahe is ke baad koi bhi ilaaj ho:

• Apne bachay ko tasalli dein. Usay batayein ke yeh us ki ghalti nahi aur behtar ho jayega.
• Din mein achhi tarah paani piyein aur sone se pehle do ghanton mein kam. Fizzy drinks aur caffeine se, khaas tor par shaam ko, parhez karein.
• Din mein baqaidgi se toilet jayein aur sone se theek pehle dobara.
• Qabz ka ilaaj karein. Khurak, reshe aur paani ke baare mein doctor se poochein.
• Bistar ko mehfooz rakhein waterproof cover se, aur faalto chaadarein qareeb rakhein, taake geeli raat sambhalna aasaan ho.
• Apne bachay ko shamil karein. Usay pursukoon tareeqe se chaadar badalne mein madad karne dein, saadi baat ki tarah, saza ki tarah nahi.
• Koshish par inaam dein, jaise din mein paani peena ya sone se pehle toilet par baithna, sirf khushk raaton par nahi.
• Ise nijji rakhein. Bhai behnon, kazinon ya rishtedaron ke saamne is par baat na karein.

Raat ko bachay ko toilet le jane ke liye jagana us raat bistar khushk rakh sakta hai, lekin masle ka ilaaj nahi karta.

Ilaaj ke tareeqay

Agar saade qadam kaafi na hon, aur bacha itni umar ka ho ke khushk rehna chahta ho, to mukhya ilaaj yeh hain:

Meherbani karke baaligon ke liye dawaiyan, ya chemist, hakeem ya parosi se koi dawai na dein. Kuch bachon ke liye mehfooz nahi.

Kya nahi karna chahiye

• Meherbani karke apne bachay ko saza na dein, na dantein, na sharminda karein, na doosron se muqabla karein. Saza bachon ko pareshan aur sharminda karti hai aur bistar geela karna mazeed barha deti hai.
• Meherbani karke din bhar paani na rokein. Bachon ko din mein peena chahiye.
• Meherbani karke taweez, roohani ilaaj, khaas khurak ya ghareloo totkon par bharosa na karein. In ke madadgar hone ka koi saboot nahi, aur yeh theek ilaaj mein der karwate hain.
• Meherbani karke mazaq na uraein na doosron ko apne bachay ka mazaq uraane dein.

Aam sawalaat

What bedwetting is

Bedwetting, also called nocturnal enuresis, means passing urine in bed during sleep, without meaning to, in a child who is old enough to be dry at night. Most children are dry at night by about five, but many are not, and it is not unusual for it to carry on for longer.

It is very common, it is not the child's fault, and in most children it gets better with time and patience, and with simple help. This guide is written for parents. It explains why it happens, what helps, what does not, and when to see a doctor.

Children who wet the bed are not lazy, naughty, or doing it on purpose. They are usually as upset about it as you are, or more.

How common it is

Bedwetting is one of the most common childhood problems. In any school class there are usually children who wet the bed, even though they do not talk about it. It is more common in boys, and it often runs in families, so a parent or an uncle may have had it too.

Why it happens

Usually it is not caused by a disease. Three things often work together:

• Deep sleep. The brain does not pick up the signal from a full bladder, so the child sleeps on.
• Making a lot of urine at night. Some children produce more urine at night than the bladder can hold.
• A bladder that holds less at night, or a bladder that squeezes before it is full.
• Constipation can add to the problem, because a full bowel presses on the bladder.
• Family tendency. If one or both parents wet the bed as children, the child is more likely to.

Less often, bedwetting is linked to something else, such as a urine infection, diabetes, snoring or interrupted breathing at night, a problem in the bladder or the nerves to it, or stress in the child's life.

Two kinds of bedwetting

• Always wet at night (primary). The child has never had a long dry spell. This is the most common kind, and it is usually explained by the causes above.
• Started again after being dry (secondary). The child was dry for six months or more and then began wetting again. This is more likely to have a cause that needs looking for, such as an infection, diabetes, constipation, or something worrying the child.

When to see a doctor

Please see a doctor if your child:

• Is over five years old and bedwetting is still happening and bothering your child or family.
• Wets in the daytime too, or has to rush to the toilet very often.
• Has pain or burning when passing urine, or smelly or cloudy urine.
• Is very thirsty, drinking a lot, or losing weight.
• Is constipated, or soils their underwear.
• Snores heavily, or seems to stop breathing at night.
• Started wetting again after months of being dry.
• Is a teenager who is still wetting the bed.

Please do not wait for your child to be embarrassed or miss school trips and sleepovers. Help is available, and it works for most children.

What the doctor does

The doctor will usually:

• Ask about the wetting, how often, daytime symptoms, toilet habits, drinking, bowel habits, sleep and snoring, and the family history. A simple diary for a week or two helps.
• Examine your child, including the tummy, the genitals, the back and the legs.
• Test the urine for infection and sugar.
• Not usually need scans or blood tests, unless there are other signs. An ultrasound or other tests are used only in special situations.

What helps

These simple steps help most children, whatever treatment follows:

• Reassure your child. Tell them it is not their fault and that it will get better.
• Drink well in the daytime and less in the two hours before bed. Avoid fizzy drinks and caffeine, especially in the evening.
• Go to the toilet regularly during the day and again just before sleep.
• Treat constipation. Ask your doctor about food, fibre and fluids.
• Protect the bed with a waterproof cover, and keep spare sheets close, so that a wet night is easy to manage.
• Involve your child. Let them help change the sheets calmly, as a matter of fact, and not as a punishment.
• Use rewards for effort, such as drinking in the day or sitting on the toilet before bed, not just for dry nights.
• Keep it private. Do not discuss it in front of siblings, cousins or relatives.

Waking your child at night to take them to the toilet may keep the bed dry that night, but it does not cure the problem.

Treatment options

If the simple steps are not enough, and the child is old enough and wants to be dry, the main treatments are:

Please do not give medicines meant for adults, or any medicine from the chemist, hakeem or a neighbour. Some are not safe for children.

What not to do

• Please do not punish, shout at, shame or compare your child. Punishment makes children anxious and ashamed, and makes bedwetting worse.
• Please do not limit fluids all day. Children need to drink in the daytime.
• Please do not rely on taweez, spiritual cures, special foods or folk remedies. There is no evidence that they help, and they delay proper care.
• Please do not tease or let others tease your child.

Common questions