Sleep Disorders Health Center
Sleep Disorders: Tips for Bed-Wetting Prevention
Bedwetting can damage the child's self-image and confidence. The best way to prevent this is to be supportive. Parents should reassure the child that bedwetting is a common problem and that they are confident that the child will overcome the problem.
Here are some tips to consider.
- Focus on the problem: bedwetting. Avoid blaming or punishing your child. Remember, your child cannot control the bedwetting, and blaming and punishing just make the problem worse.
- Be patient and supportive. Reassure and encourage your child often. Do not make an issue out the bedwetting each time it happens.
- Enforce a "no teasing" rule in the family. No one is allowed to tease the child about the bedwetting, including those outside the immediate family. Do not discuss the bedwetting in front of other family members.
- Encourage responsibility. Help your child understand that the responsibility for being dry is his or hers and not that of the parents. Reassure your child that you want to help him or her overcome the problem. In addition, have your child help in the clean-up process.
- Make clean-up easy. To increase comfort and reduce damage, use washable absorbent sheets, waterproof bed covers, and room deodorizers.
Bedwetting Prevention Tips
Along with supporting your child emotionally, there are a number of steps you can take that may help reduce the number of accidents. Here are more tips.
- Reduce evening fluid intake. Do not give your child anything to drink in the 2 hours before bedtime.
- Have your child go to the bathroom before getting into bed.
- Set a goal for your child of getting up at night to use the toilet. Instead of focusing on making it through the night dry, help your child understand that it is more important to wake up every night to use the toilet.
- Make sure the child has easy access to the toilet. Clear the path from his or her bed to the toilet and install night-lights. Provide a portable toilet if necessary.
- Reward your child for remaining dry. A system of sticker charts and rewards works for some children. The child gets a sticker on the chart for every night of remaining dry. A certain number of stickers earn a reward.
- Consider using diapers or pull-ups at night. Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. Others argue that pull-ups help the child feel more independent and confident. Talk to your child's doctor to determine what is best for your child.
WebMD Medical Reference
TOPAMAX is approved for migraine prevention in adults only.
TOPAMAX is not used to stop a migraine after it starts.
IMPORTANT SAFETY INFORMATION
Serious risks associated with TOPAMAX include lowered bicarbonate levels in the blood resulting in an increase in the acidity of the blood (metabolic acidosis). Symptoms could include hyperventilation (rapid, deep breathing), tiredness, loss of appetite, irregular heartbeat or changes in the level of alertness. Call your doctor immediately if you get these symptoms. Your doctor may want to do simple blood tests. Chronic, untreated metabolic acidosis may increase the risk for kidney stones or bone disease.
Other serious risks include decreased sweating, increased body temperature, kidney stones, sleepiness, dizziness, confusion, difficulty concentrating, and increased eye pressure (glaucoma). Call your doctor immediately if you have any decrease in vision or eye pain. These problems can lead to blindness if not treated right away.
More common side effects are tingling in arms and legs, loss of appetite, tiredness, nausea, diarrhea, taste change and weight loss.
Tell your doctor about other medications you take. Please see full U.S. Prescribing Information.
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