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What causes bedwetting and when to be concerned

Bedwetting (also called nocturnal enuresis) is a very common childhood problem.  The number of children with this problem varies by age. For example, at five years of age, an average of 16% of children will have a bedwetting accident.  By 15 years of age and older, 1-2 % continue to wet the bed.  For most children, this will improve or resolve without any treatment as they get older.

What can cause bedwetting?

Bedwetting may be related to one or more of the following:

  • The child’s bladder holds a smaller than normal amount
  • Genetics (parents who had nocturnal enuresis as a child are more likely to have children with the same concern)
  • Diminished levels of vasopressin (a hormone that reduces urine production at night)
  • The mechanism for the bladder and brain to talk to each other is “off line”
  • Underlying medical/emotional concerns (i.e. diabetes, urinary tract infection, ADHD, etc)

When does a child achieve dryness at night?

Typically, children will learn to stay dry during the daytime first, then they will achieve night time dryness. This whole process generally can take up age 4-5.

When is bedwetting a concern? 

Typically, when ...

Tips for reducing hot flashes for women with breast cancer

Hot flashes are the most common complaint from women going through menopause. And for women who are breast cancer patients, the problem is often more acute. Surgery, chemotherapy and estrogen blocking medications can bring on hot flashes or make them worse if you already have them. And for women who must discontinue hormone replacement therapy, the instant onset of hot flashes and night sweats can severely impact quality of life.

Fortunately, there are several strategies you can easily and safely employ to decrease the severity and frequency of hot flashes and night sweats. Everything I recommend here is non-estrogenic so while it is generally safe for breast cancer patients and survivors, you should always check with your oncologist before trying any new supplement.

First, a few notes on diet. I recently had a patient who stopped eating refined sugars for general health reasons, and her hot flashes nearly disappeared. Your mileage may vary on this one but there are clear health benefits from lowering sugar intake, so it may be worth a try. You might also try ...

Feeding Tips for Picky Eaters

It is important that children develop healthy eating habits early in life. Here are some ways to help your child eat well and to make meal times easier.

What to Expect:

  • After the first year of life, growth slows down, and your child's appetite may change.
  • It's normal for your child to eat more on some days and very little on other days.
  • A child may refuse to eat in order to have some control in his life.
  • A child may be happy to sit at the table for 15 to 20 minutes and no longer.
  • A child may want to eat the same food over and over again.

How can I encourage my child to eat more?

  • Set regular meal and snack times. Avoid feeding your child in between these times, so that they are hungry at meal and snack times. If you want your child to eat dinner at the same time you do, try to time his snack-meals so that they are at least two hours before dinner.
  • Limit juice and milk between meals. Offer water between meals, which will satisfy thirst without spoiling the appetite. Serve drinks at the end of the meal.
  • Respect tiny tummies. Keep portion sizes small. Here's a rule of thumb – or, rather, of hand. A young child's stomach is approximately the size of his fist. A good serving size for a young child is 1/2 slice of bread, 1 oz of meat, or 1/4 cup of fruit or vegetable pieces.
  • Respect changing appetites. Offer ...

Advocating for Your Child with Hearing Loss in the Classroom

By now, the new school year is in full swing.  And while it might have started with newly made memories of a great summer, it may also bring new challenges—a new classroom, a new teacher, a new setting.  All parents want the same thing for their children—to be safe, healthy, happy and successful.  But the latter can be more challenging in the educational setting for children with hearing loss of any level.  So, as a parent, how do you ensure that your child with hearing loss succeeds in the classroom?

  1. Understand the impact of hearing loss on learning, and how to manipulate the classroom on your child’s behalf.  Hearing loss, even a minimal degree, can have a significant impact on learning.  Request preferential seating for your child.  Sitting closer to the teacher will help improve the signal-to-noise ratio (or how loud the teacher’s voice is relative to background noises).  This will help make listening and learning easier.  Work with your child’s teacher(s) to minimize background noises.  Your child should be positioned away from noise sources, such as HVAC systems, heaters, windows if there tends to be a lot of external noises like traffic or the playground.  Being informed on acoustics and noise management is also helpful.  
     
  2. Work closely with your child’s team in the development and updating of his/her IEP (Individual Educational Plan).  Any child with special needs (ie: ADHD, autism, hearing loss) is a great candidate for an IEP, which is uniquely developed for each child with goals for progress during the school year.  It is important to know that the IEP should be updated every 6 months. 
     
  3. Keep the school, teachers, and educational audiologist informed of the hearing loss. Provide ...

Cholesterol and stroke awareness

September is also National Cholesterol Awareness month!

Do you know your numbers? It is important to know your cholesterol levels as they influence your risk of stroke.  Talk to your provider today to find out where you stand!

Do you have trouble remembering “good” cholesterol versus “bad” cholesterol?  An easy way to keep them straight is to think HDL = happy (“good” cholesterol) and LDL = lousy (“bad” cholesterol).  Check out the American Heart Association’s Meet the Fats for memorable information about cholesterol.

How does cholesterol affect stroke risk?  Build-up of cholesterol plaque within your arteries increases your risk of stroke by blocking normal blood flow.  This reduces the delivery of oxygen and nutrients to the affected area.

How can you improve your cholesterol numbers?

Managing your fall allergies and symptoms

Although it’s hard to avoid everything that triggers fall allergies, there are many things that can be done to limit or treat the side effects so everyone can enjoy the season.

What allergies present in the fall?

Dirt-based molds are the main trigger of fall outdoor allergies. Mold is in decaying that plant material in yards and parks, as well as in pumpkin patches, hay and barns. Because we tend to close up our homes as the weather gets worse, inside allergens may get worse. Indoor mold, dust mites and our pets can trigger symptoms.

How do I know I have fall allergies?

Symptoms are the same as you might experience in the spring. Congestion, sneezing, post-nasal drip and itchy, watery eyes are the most common signs of fall allergies.

How can I limit allergens and reduce allergy symptoms?

Tips for kids with Inflammatory Bowel Disease (IBD)

Working as a CMA (certified medical assistant) in Swedish Pediatric Gastroenterology, I have the responsibility and honor of taking care of children diagnosed with a variety of gastrointestinal problems, one of the most serious being Inflammatory Bowel Disease (IBD).  IBD is an autoimmune disease that causes chronic intestinal inflammation.  Crohn’s disease and Ulcerative Colitis are the two main types of IBD, depending on the location and depth of inflammation in the gut. 

As I work with the families of children diagnosed with IBD, I am constantly amazed at what a complicated job they have, balancing life between a chronic illness and the challenges of “normal childhood”. 

As the school year gets off to a start, seeing how hectic life can become for most kids, I wanted to write down a few ways children with IBD might better empower themselves to gain control over their chronic disease:

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