Medically Speaking: Enuresis (Nighttime Bedwetting), Jacqueline Guarino Broda, PA-C

Texas Children's Hospital, located in Houston, Texas, is one of the nation's largest children's hospitals, consistently ranked across all subspecialties by U.S.News & World Report. Academically partnered with Baylor College of Medicine, we have over 1,400 full-time faculty physicians and more than six decades of experience caring for some of the rarest and most complex cases in pediatrics. This series of videos provides unique insight straight from our premier experts on exciting topics, cases, advances and new research impacting the field of pediatric health care. To learn more about the series visit texaschildrens.org/medicallyspeaking.
This presentation is not intended to present medical advice or individual treatment recommendations, and does not supplant the practitioner's independent clinical judgment. Practitioners are advised to consider the management of each patient in view of the clinical information. All content is shared for informational purposes only, and reflects the thoughts and opinions of the original author. No physician-patient relationship is being created by the use of this presentation. The presentation sets out recommendations based upon similar circumstances and is provided as an educational tool. The presenters are not attorneys, and to the extent this presentation provides commentary on current laws and regulations affecting health care activities, it is not intended as legal advice.

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  • @ctm6249
    @ctm62492 жыл бұрын

    Consice and well presented.

  • @joyapathan1112
    @joyapathan11122 жыл бұрын

    Mere age 21 sal hai muze 5se 6 sal pahilese Bedwetting shuru ho gayi or mare ghar wale mere shadi ke bare mai soch rahe the is liye mai shadi se bohot jada dar rahi thi maine you tube pe comments padhakar branocon syrup and utracon syrup aAmazon se mangavali 25-30 din mai aaram milne laga or 4 month mai bedwetting ki problem solve ho gayi isse mere dil ko rahat mili or ab mai happy bhi hu

  • @johnsmythe6564
    @johnsmythe6564 Жыл бұрын

    Has it ever struck you as odd that we spend nearly a third of our lives laying down in an unconscious state? Even though scientists can’t quite pin down the exact explanation for why we need to sleep, we do know that it is extremely necessary. Good sleep correlates to lower stress, more happiness, and better overall health. In this article we’ll dig into what exactly the body does while it slumbers. As you sleep at night you pass through a series of four stages. The cycle goes through the stages and then has its own process for repeating them. In order to wake up feeling well rested and energized, it’s important that these cycles complete themselves. There are many myths surrounding the problem of bedwetting. If parent are quizzed on whether the child is a deep sleeper, 97% will respond in the affirmative. Frustrated Parents are usually told by their Health Care Professional "Don't worry about it they'll probably outgrow it." Some do, many don't. Set an alarm and get them up before you go to bed. You drag them to the toilet like a sack of potatoes, get them to void and thereby teach the child to do the one thing you're trying to stop, wetting in their sleep! They are not awake. Nocturnal enuresis is a parasomnia. A SLEEP DISORDER !! REM sleep [ Sleep chart ] The latter part of our sleep cycle, if we are sleeping normally, is in REM (RAPID EYE MOVEMENT) That is when you can leap out of bed and say “Wow, great sleep” I feel terrific. If you awaken someone who is in Delta, slow wave sleep it may take a while to get their motors running, they are usually very groggy. The Delta waves get even stronger in this period. For that reason this stage is sometimes referred to as Delta Sleep. Generally, it is in this stage that sleepwalking and bed-wetting occur. An individual with a sleep disorder may experience a rapid REW rise (red on the chart) that only lasts for 20-90 seconds. That is not long enough to attain wakefulness. They may dream they are in the bathroom and void in the bed. Some individuals will never wet the bed, however a sleep disorder may express as night terrors, bruxism (grinding the teeth), restless leg syndrome, sleep talking, sleep apnea. Sleep begins in stages 1 and 2, (theta sleep) the blue line on the chart and then progresses to 3 and 4, (delta). After stage 4 sleep is complete, stage 3 and then stage 2 are repeated before entering REM (rapid eye movement) sleep, which is where we dream. Once REM sleep is over, the body usually returns to stage 2. We then cycle through these stages approximately four or five times throughout the night. During the last one or two cycles, there is no delta sleep at all. On average, we enter the REM stage approximately 90 minutes after falling asleep. The first cycle of REM sleep might last only a short amount of time, but each cycle becomes longer. REM sleep can last up to an hour as sleep progresses. Good quality sleep requires both non-REM and REM sleep in uninterrupted cycles. If we are sleeping normally we will spend 20-30 minutes in stage 4 usually twice in the early phase of sleep. The latter part of sleep is usually most prevalent in the late stages and early morning. We should awaken from REM fully refreshed. In most studies, sleep electroencephalograms have demonstrated a marked difference with nocturnal enuresis. When surveyed, however, parents consistently maintain that their child with nocturnal enuresis is a “deep sleeper,” compared with their offspring who are not bedwetters. The red line on the chart denotes the typical enuretic. A bedwetter will drop quickly into stage 4 sleep and remain there for long periods. The rapid REM rise on the chart only lasts for 20-90 seconds, not long enough to attain wakefulness and they’ll void at this point. Sometimes they’ll dream they are in the bathroom. Other surveys have found that children with nocturnal enuresis are more subject to “confused awakenings,” such as night terrors or sleepwalking than children who do not wet the bed. Source: American Family Physicians - 2003. (Sleep Chart) Adults spend about one-third of their day sleeping, or 7 to 9 hours. There are 2 types of sleep: Rapid-eye movement (REM), when most dreams occur Non-REM, which has 3 stages, including the deepest sleep During normal sleep, a person cycles through REM and non-REM stages several times during the night. Each cycle lasts about 90 minutes, but the amount of non-REM versus REM sleep changes throughout the night. More REM sleep tends to occur toward the morning. REM sleep first occurs about 90 minutes after falling asleep and accounts for less than one-fourth of total sleep time. Most dreams occur during REM sleep. The eyes move fast from side-to-side under the eyelids. Brain wave activity, heart rate, and blood pressure increase close to rates when awake. Breathing becomes faster and inconsistent. Arm and leg muscles become temporarily paralyzed so you cannot act out your dreams. Older people spend less time in the REM stage Sleep disorders disrupt these normal cycles which in turn causes other health problems. Both REM and non-REM sleep are needed to stay healthy. Stanford University's William Dement, MD, PhD, who many refer to as the “father of sleep medicine.” Identified many of the common "Sleep Disorders" back in the mid '80s: Sleep disorders: Nocturnal enuresis, Bruxism, Central Sleep Apnea, Circadian Rhythm Hypersomnia, Narcolepsy, Night Terrors, Obstructive Sleep Apnea, REM Sleep Behavior Disorder, Sleepwalking, Sleep-Related Breathing Disorders, Sleep-Related Movement Disorder, Sleep Paralysis. These are all PARASOMNIAS!! National Geographic, Dec. 1987 featured William Dement in an article Called “What’s this thing called sleep”. Can bedwetting be inherited ?? NO! but a sleep disorder most definitely can be.. Siblings, parents, uncles and cousins may exhibit different sleep disorder symptoms such as above, however they are only symptoms. The problem is incorrect sleep. Someone who experiences bedwetting remains primarily in the deep Stage 4 sleep too long; therefore, they’re missing uninterrupted cycles and limiting dream sleep. Undoubtedly, this compromises normal, healthy, and restful sleep. This is why we often see bedwetters with mood irregularities, ADD/ADHD symptoms, difficulty awakening in the morning, and struggles with schoolwork. This long Stage 4 sleep pattern also causes the disconnect between the brain and the bladder, which ultimately leads to the symptom of bedwetting. REM sleep can be considered the emotional restorative phase of sleep while stage 4 deep sleep is the physically restorative. Dreams Dreams can take on many different forms. Lucid dreams occur when a person is in a dream while being actively aware that they are dreaming. Vivid dreams involve especially realistic or clear dream content. Bad dreams are composed of bothersome or distressing content. Recurring dreams involve the same imagery repeating in multiple dreams over time. Even within normal dreams, there are certain types of content that are especially identifiable. Biotech The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source in dreams are things like flying, falling, being chased, or being unable to find a bathroom. The human mind is not designed to remember dreams. REM Stage sleep can be considered the emotional clearing house of the mind. If you dwell on a dream when you awaken you’ll remember fragments, but dreams are not intended to go into long term memory despite the plethora of dream books & journals on Amazon. Alarm systems. When an enuretic is in stage four sleep they are unconscious and generally cannot hear an alarm. A dual system that sounds for child and parent can be an effective tool when combined with a training program to correct the sleep architecture. The care givers must become the Coaches in a specific program to correct the architecture of sleep. It can take up to 3-4 months to train a child or adult to sleep better or more normally. One of the better programs currently available is: www.nobedwetting.com

  • @shivappagaddadavarayurvedi8265
    @shivappagaddadavarayurvedi82654 жыл бұрын

    I have given tooth ache pacent is a good result getting.

  • @saniyasayyad8378
    @saniyasayyad83783 жыл бұрын

    Meri chhoti sister ka problem tha bed wetting ka roz rat ko bister gila kr deti thi hm bhi pareshan hogaye the hmne uski bohot jaga treatment bhi karayi thi or usse koi fayada nhi mila tha ek din youtube pe hi kisike comments padhe the utracon syrup and branacone syrup k bare me to maine oo bhi meri sis ko diaa amazone se mangvaya tha maine ab isse oo bilkul thik hogayi hai kafi tratment k baad is syrup se bohot achha result mila ab meri sis ne ek bhi bar bister gila nhi kiya or ye ayurvedic bhi hai best hai"

  • @shubhamsingh6024
    @shubhamsingh6024 Жыл бұрын

    Muze bed wetting ki bahut problem thi is problem ki vajah se mai apne khud ke rishte daroke ghar bhi nahi ja pata tha bahut hi sharmindgi mahsus hoti thi lekin mera ye problem na to kisi doctor ne aur nahi kisi mahangi dawa ne thik kiya mera ye problem sirf Utracon syrup aur Branocon syrup se hi thik ho gaya. Best medicine 👍🏻

  • @raniwagh1361
    @raniwagh13612 жыл бұрын

    Mere bhai ko bedweting ka problem vo rat ko pura bisatar 2,3 gila kar deta is vajase mami usako bohot dat lagati fhir bhi vahi problem fhir mamine use dr.s ko dikhaya pr unke medicine se kuch fhayda nahi mila you tube pe video dekha bohot sare logoke Utracon syrup and branacon syrup ke baremai comments padhe or use hamane amazon se bula liya usko 20 se 25 din mai aaram mila or 3,4 months mai uski bedweting problem complete solve ho gayi achha hai

  • @marthaherbasguzman2149
    @marthaherbasguzman21493 жыл бұрын

    To much talking! It is not quite true. Very simple !! Aneareis is about emotional problem, is about, missing love, atachement parenting, attention, connection with mother espetialy. Hmmm! Sorry you are not right!! Talk and talk , but you need more reeding about.