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Child Behavior (Expert Forum)
4 YEAR OLD DAUGHTER WETS HERSELF
Answered by
Kevin Kennedy, Ph.D. - Child and Adolescent Psychotherapy, Family Therapy, Crisis Intervention
Harvard Vanguard Medical Associates
This forum is for questions and support regarding child behavior issues such: Child Discipline (behavior management), Normal Child Development, Parent-Child Communications, Social Development
4 YEAR OLD DAUGHTER WETS HERSELF
by nicola, Nov 22, 2000 12:00AM
MY DAUGHTER IS FOUR YEARS OLD. FROM THE AGE OF 2˝ SHE WAS DRY BOTH AT NIGHT AND DURING THE DAY. ABOUT A YEAR AGO SHE STARTED TO HAVE "ACCIDENTS" EVERY NOW AND THEN, WHICH BECAME WORSE WHEN WE MOVED TO ANOTHER PART OF THE COUNTRY AND I BECAME PREGNANT WITH MY SECOND CHILD.
SHE HAS GOT WORSE SINCE THEN AND IT NOW HAPPENS AT LEAST 4-5 TIMES A DAY (A THAT'S A GOOD DAY). HER DAD AND MYSELF HAVE TRIED VARIOUS APPRAOCHES TO DEALING WITH THIS PROBLEM, BUT NOTHING SEEMS TO WORK. IT HAS NOW GOT TO THE STAGE WHERE I AM HAVING TO SEND HER TO SCHOOL WITH 2 OR 3 CHANGES OF CLOTHES EVERY DAY. SHE IS ALSO WETTING AT NIGHT, WHICH TO BE HONEST ISN'T WHAT IS CONCERNING ME - I KNOW A LOT OF CHILDREN DO THIS.
SHE HAS SEEN OUR FAMILY DOCTOR WHO FOUND SHE HAD A BLADDER INFECTION BACK IN SEPTEMBER, WHICH WAS CLEARED UP WITH ANTIBIOTICS.
COULD SHE HAVE AN UNDERLYING MEDICAL PROBLEM OR IS THIS LIKELY TO BE MORE PHSYCOLOGICAL THAN ANYTHING ELSE?
SHE HAS GOT WORSE SINCE THEN AND IT NOW HAPPENS AT LEAST 4-5 TIMES A DAY (A THAT'S A GOOD DAY). HER DAD AND MYSELF HAVE TRIED VARIOUS APPRAOCHES TO DEALING WITH THIS PROBLEM, BUT NOTHING SEEMS TO WORK. IT HAS NOW GOT TO THE STAGE WHERE I AM HAVING TO SEND HER TO SCHOOL WITH 2 OR 3 CHANGES OF CLOTHES EVERY DAY. SHE IS ALSO WETTING AT NIGHT, WHICH TO BE HONEST ISN'T WHAT IS CONCERNING ME - I KNOW A LOT OF CHILDREN DO THIS.
SHE HAS SEEN OUR FAMILY DOCTOR WHO FOUND SHE HAD A BLADDER INFECTION BACK IN SEPTEMBER, WHICH WAS CLEARED UP WITH ANTIBIOTICS.
COULD SHE HAVE AN UNDERLYING MEDICAL PROBLEM OR IS THIS LIKELY TO BE MORE PHSYCOLOGICAL THAN ANYTHING ELSE?
Doctor's Answer
by Kevin Kennedy, Ph.D., Nov 23, 2000 12:00AM
, Nov 23, 2000 12:00AM
Dear Nicola,
Enuresis is often thought to be psychologically driven, but actually this is not very often the case. Sometimes a brief period of regression occurs if a child is experiencing some stress, such as parental separation or divorce, the death of a loved one, the arrival of a sibling, a move, etc. And it was reasonable to think that this could have been the case with your daughter.
But, in light of the diagnosis of bladder infection, it may well be that your daughter's enuresis is primarily a medical matter. Such infections can be pretty persistent. I think it's a good idea to investigate this further. I'm particularly struck in this regard by the frequency of the daytime wetting. Dr. KDK
Enuresis is often thought to be psychologically driven, but actually this is not very often the case. Sometimes a brief period of regression occurs if a child is experiencing some stress, such as parental separation or divorce, the death of a loved one, the arrival of a sibling, a move, etc. And it was reasonable to think that this could have been the case with your daughter.
But, in light of the diagnosis of bladder infection, it may well be that your daughter's enuresis is primarily a medical matter. Such infections can be pretty persistent. I think it's a good idea to investigate this further. I'm particularly struck in this regard by the frequency of the daytime wetting. Dr. KDK
