Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Enuresis occurs when a child involuntarily and repeatedly urinates somewhere other than in the toilet. Most accidents happen at night, while the child is asleep. Enuresis is common, and almost all children wet their bed or their pants at one time or another. Some children continue to have accidents for months or years after being toilet-trained. While any child can experience enuresis, it affects boys more often (especially bedwetting).
Urinary accidents are a normal part of growing up. In fact, bedwetting tends to run in families. Because these accidents can be stressful and embarrassing for your child, it is important to provide them with emotional support. Do not punish or humiliate your child for enuresis, no matter how old they are.
Children generally grow out of bedwetting without treatment. Sometimes, we treat children by teaching them how to hold their urine longer or to urinate at certain times of the day and night. If needed, we may prescribe medications to reduce nighttime bedwetting.
If your child suddenly begins wetting their bed or pants once they've been dry for 6 months after toilet training, they may have another health issue. If so, we will treat the underlying condition, which should clear up these accidents.
Children learn how to fully control their bladders at different ages. It is fairly normal for a child under the age of 7 to occasionally wet the bed or their underpants. Children up through the age of 10 may have an occasional urinary accident. By the time a child reaches 15, most can control their bladder, but a few continue to have the occasional urinary accident, usually at night. Bedwetting tends to run in families.
In some children, the bladder becomes overly full of urine at night while they are asleep. Their brain hasn't learned to respond to the signal that their bladder is full, so they don't wake up to go to the bathroom.
If your child is toilet-trained and has consistently stayed dry for 6 months and then suddenly begins wetting the bed or clothing, it may be a symptom of another condition. For instance, children with a urinary tract infection may lose control of their bladder. Other more serious conditions, such as diabetes, can also cause enuresis.
Sometimes toddlers or preschoolers who were previously dry can begin bedwetting when a new sibling arrives. This setback is usually temporary.
Enuresis can also be associated with a psychological condition, such as conduct disorder. Also, children who have disabilities, such as cerebral palsy or Down syndrome, may be at higher risk.
If you are concerned that your child's incontinence may be due to a more serious condition, please discuss it with us.
A child with enuresis involuntarily wets their bed or underpants several times per month after the age of 5 or 6 years old.
Older children with enuresis may have 1 urinary accident or more per month.
We diagnose enuresis (typically bedwetting) by performing a physical examination and by listening to your child's symptoms.
We will ask you about how often your child wets their bed or underpants. It may help if you keep a diary to identify the following:
We may test your child's urine to rule out another condition, such as a urinary tract infection. Rarely, we may request abdominal X-rays to rule out other conditions.
It may help for your child to get plenty of sleep and use the toilet regularly throughout the day and right before bedtime. You may also wish to waken your child once during the night to use the toilet.
If bedwetting is a problem, avoid giving your child fluids an hour or 2 before bedtime; however, don't overly restrict fluids because your child needs fluids to stay healthy. Some parents find that not giving their children drinks that contain caffeine also helps.
Most children grow out of urinary accidents so no treatment is needed. However, there are some things you can do at home to help your child remain dry.
Make sure your child uses the bathroom at regular times throughout the day. Have them sit on the toilet for 5 to 10 minutes shortly after meals and after drinking fluids, even if they do not feel the urge to urinate. Talk to older children about not holding their urine and going to the toilet as soon as they feel an urge to urinate. You may also wish to waken your child once during the night to use the toilet.
If your child has a bedwetting problem, an alarm (such as Sleep Dry, Wet-stop, or Enuretone) might help. You can buy a bedwetting alarm at many stores without a prescription. The small alarm goes off when the child begins to urinate in their bed. The alarm awakens you or your child so that the child can get up and urinate in the toilet. It can take several months for your child to awaken with the bedwetting alarm. When used consistently, these alarms are successful at stopping bedwetting.
Reward younger children (ages 5 to 8) for staying dry at night and urinating frequently throughout the day. For instance, the child can place a sticker on a calendar each time they use the toilet and have a dry night. Have your child actively help remove wet clothing or bedding. Older children can place their wet clothing or sheets in the washing machine or bundle them for the laundromat.
Never punish or humiliate your child for having enuresis, no matter how old they are. All children, but especially older children, suffer from discomfort, embarrassment, and shame surrounding this condition. Reassure your child that bedwetting is a common problem that can be helped.
If your child has issues with bedwetting, we may prescribe a medication called DDAVP (desmopressin). It decreases the amount of urine output at night. Your child may want to use this medication if they have a sleepover so they don't have a urinary accident in front of friends. It can also be used over a long period of time to stop bedwetting incidents, but it can lead to dependence and electrolyte imbalances. We may ask you to stop using the medicine periodically to see if the bedwetting problem has gone away.
Please call the Appointment and Advice line for help if your child is
Ages 2 through 5 and toilet-trained and has not had a urinary accident for at least 6 months, but suddenly begins wetting their underpants or bed.
Ages 5 through 10 and consistently wets their bed or underpants at least 2 times a week.
Ages 10 and up and continues to have urinary accidents at least once a month. Treatment is available, and your child does not need to continue to suffer the embarrassment of urinary accidents.
Also, please call us if your child of any age is:
In some instances, your child may have an underlying condition that we should evaluate.
If you are concerned about your child’s symptoms, and your concerns are urgent, please contact our Appointment and Advice line, which is available 24 hours a day, 7 days a week.
Our advice nurses can give you immediate advice, and our telephone staff can send me a message or schedule an appointment for your child.
Depending on your child’s symptoms and medical history and your preferences, the nurse may:
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting care for your child easier.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your child’s care to stay current on your child’s health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your child’s condition, care is safer and more effective.
We will work together to monitor and assess how your child’s medications are working and make adjustments as needed.
Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically, in advance.If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, such as X-rays, we will schedule an appointment with the Radiology Department.
When the results are ready, I will contact you with the results by letter, secure e-mail message, or phone. In addition, you can view most of your child’s laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your child’s condition. In some cases, I may contact them during your visit, so we can discuss your child’s care together. If we decide your child needs a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
My goal is to provide high-quality care and to offer you choices that make your child’s health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available to help you manage your child’s care at any time that is most convenient for you. From my home page you can:
You can begin to manage your child’s care online by requesting access through our Act for a Family Member feature. Once you have added your child to your account, you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.