Bed-wet­ting at 4

New Straits Times - - Heal -

MOST ac­tive chil­dren do not have ADHD. There tends to be an over-di­ag­no­sis in chil­dren with high en­ergy lev­els.

Be­ing very ac­tive, im­pul­sive and cu­ri­ous do not equate to a di­ag­no­sis of ADHD.

Some chil­dren may have be­havioural or dis­ci­plinary is­sues which should be han­dled dif­fer­ently. The strik­ing char­ac­ter­is­tic in a child with ADHD is inat­ten­tive­ness. They have poor fo­cus on any ac­tiv­ity and are usu­ally un­able to com­plete a given task.

It is of­ten dif­fi­cult for par­ents to as­cer­tain if their child does in­deed have ADHD.

If you are in doubt, get him eval­u­ated by your pae­di­a­tri­cian or a child psy­chol­o­gist.

AN­SWERS PRO­VIDED BY YOU will be glad to know you are not alone in this. At the age of four, an es­ti­mated 20 per cent of chil­dren still wet their beds at night.

Most ex­perts will not con­sider night bed-wet­ting to be a prob­lem un­der the age of five years. Keep­ing dry at night in­volves a more com­plex mech­a­nism of brain-blad­der con­trol and hor­mone se­cre­tion and some chil­dren achieve this ma­tu­rity later than oth­ers.

I would not be too con­cerned about your daugh­ter now given that she is dry by day and uses the toi­let in­de­pen­dently. En­sure she is not con­sti­pated, not tak­ing flu­ids 1-2 hours be­fore bed­time and makes a trip to the toi­let be­fore you tuck her into bed.

Night-time wet­ting may be viewed as a nor­mal vari­a­tion in your child’s devel­op­ment.

If her bed-wet­ting per­sists beyond the age of five, it would then be ad­vis­able to bring her to see her pae­di­a­tri­cian to rule out any other med­i­cal con­di­tions.

CON­SUL­TANT PAE­DI­A­TRI­CIAN, PAN­TAI HOS­PI­TAL KUALA LUMPUR.

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