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Children who pee during the day even though they know how to control toilet bowls

Children who pee during the day even though they know how to control toilet bowls



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We use the term enuresis to refer to the urinary incontinence that many children have despite being old enough for this not to happen.

Peeing during the day is something that happens to many children, older than 3-4 years, who do not have any organic problem that prevents them from controlling their sphincters. But, What to do if the child pees during the day even though he knows how to control toilet bowls?

Normally, it is around 2 years when we begin to remove the child's diaper. The time it takes the child to fully control his toilet bowls is variable. Nevertheless, a child over the age of 4 should have no difficulty controlling pee during the day.

If this happens, we must pay attention to this situation and explore what may be happening for our child to pee during the day.

Before continuing to delve into this topic, it is necessary to refer to the different types of enuresis:

Classification based on the moment of occurrence:

  • Daytime wetting: The child pees during waking periods.
  • Nocturnal enuresis: The child pees at night.

Classification based on duration:

  • Primary enuresis: The child pees persistently and continuously from birth.
  • Secondary enuresis: The child at some point since birth has come to control pee for a period of time (6-12 months).

We are going to talk about secondary daytime enuresis. That is, we are going to talk about those children who pee during the day without having any organic alteration that suggests a problem with toilet training.

In addition, the child does not pee constantly and persistently since birth, but there have been periods in which he has controlled the pee without any problem.

Next, we point out those causes that have nothing to do with the existence of a medical problem that is favoring the child to urinate during wakefulness:

  • Anxiety.
  • Stressful situations such as a teacher's wake-up call, a fight with a friend, the death of a loved one, the birth of a sibling, the separation of parents, etc.
  • High levels of psychological distress.
  • Seeking attention.
  • The child does not empty the bladder (Many children when they play miss the need to go to the bathroom and pee on themselves or do not ask permission to go to the toilet because they are embarrassed to interrupt class and hold their urine for a long time until it escapes, etc).
  • You have not learned to link the filling of the urinary bladder with the need to urinate.

Consequences for the child of peeing during the day

  • Low self-esteem.
  • Dependence on the maternal figure.
  • Discussions at home about peeing.
  • Teasing by peers.
  • Anxiety.
  • Feeling of guilt and shame.

The most important thing is that we do not scold our son and, on the contrary, let us offer him our full support so as not to generate added suffering. Talking openly about the issue is essential to find solutions, we cannot ignore this situation and we must not obsess over it.

We must avoid being very demanding and give it a little time until we find out what's going on and what can be done to control pee.

We cannot scold or punish you for this reason, much less in front of other people, this can be humiliating. Nor is it good to compare the child with his siblings, this can lower his self-esteem.

It is important that the child participates in the personal hygiene process. The child can take care of washing, changing and taking clothes that have been soiled with pee to the washing machine. This will help them to become aware, reduce their feelings of guilt and / or shame, and take an active role during their learning.

Also, we can teach the child small exercises to help increase the capacity of your bladder.

For example, the child can be told to hold the pee for about 30 seconds when going to the toilet before urinating. And, subsequently, the time can be increased. Another exercise that we can propose is to interrupt the pee several times while urinating. You can do this just once at first, then increase the number of times you voluntarily “break” your pee while you urinate. Ideally, your child should practice this type of exercise at least twice a day (one in the morning and one in the afternoon).

But, if despite taking into account all these recommendations we observe that the problem persists, it is advisable to inform the family doctor of this situation so that the child can be referred to the corresponding specialist.

You can read more articles similar to Children who pee during the day even though they know how to control toilet bowls, in the category of Urine - Urination on site.


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