Children's Health: Beating the Bed-wetting Blues (cont.)
Side effects with DDAVP are very rare and have really only been seen in children who have way too much to drink before they go to sleep. That can cause "water intoxication" because they are not making very much urine and the water stays in the body and can cause problems with the mineral concentration in the body. But that's pretty rare and with sensible precautions, it's very unlikely. As far as I know, no other problems with DDAVP have been found.
The other medication, which I used to use much more before DDAVP came around, is called imipramine. It is kind of an antidepressant but works very well in keeping children dry. Again, it's relatively safe because you're only giving one dose at night and a low dose at that. The concern about imipramine however, is that an overdose of imipramine is horrific. If there's a chance of a toddler getting into it or anyone taking many of the pills for some reason, it's not a good idea to even have around. But it is fairly safe and a good alternative to DDAVP if you want to get through a night without wetting.
Let's assume that's not the case and he is perfectly healthy. Then it's likely he is still one of the few percent of children who continue to have bed-wetting into their teens. This is again probably due to genetics and often runs in families.
If he is motivated at this point, the urine alarm is probably, again, the best way to go, to help him to achieve nighttime continence. If he is not motivated to do that, you're not going to get very far. Certainly a 13-year-old needs to participate in his own treatment. It helps to do that by explaining what's going on, about how the brain is too asleep and how the alarm will help to wake him up. If he has not tried an alarm, I would certainly go that route first, and then if that didn't work, add DDAVP onto the alarm and see if you can achieve some success.
If that doesn't work, send me a message on my message board in a few months and we'll go to plan C. Good luck.
We also used to think that bed-wetting occurred just at one certain stage of sleep but now it seems to occur at all stages of sleep. So the returns aren't in. Maybe the children are a little bit of a deeper sleep and sleep a little deeper but it's not clear if this is a cause or just a contributor to children who don't wet the bed or who do wet the bed.
- Allergic Skin Disorders
- Bacterial Skin Diseases
- Bites and Infestations
- Diseases of Pigment
- Fungal Skin Diseases
- Medical Anatomy and Illustrations
- Noncancerous, Precancerous & Cancerous Tumors
- Oral Health Conditions
- Papules, Scales, Plaques and Eruptions
- Scalp, Hair and Nails
- Sexually Transmitted Diseases (STDs)
- Vascular, Lymphatic and Systemic Conditions
- Viral Skin Diseases
- Additional Skin Conditions