Enuresis is the involuntary loss of pee in children, who due to their age must have reached bladder control. Night enuresis is the loss of urine that occurs at night and is the most frequent. According to data in the United States, enuresis affects up to 15-20% of children in the childhood stage, and 2% of adolescents under 15 years of age..
Diagnosis and treatment
The diagnosis is eminently clinical and there must be a repeated emission of urine during the day or night, for two days a week or for a minimum of 3 months. The age must be at least 5 years old.
A differential diagnosis must be made with the following causes: Diabetes insipidus, Urinary infection, Hyperthyroidism, Diabetes mellitus, Potomania, Urinary infection, Renal insufficiency, Convulsive pathology, Neurological pathology and a drug-induced enuresis..
Traditionally among the recommended measures to achieve control of urine loss at children ages, the use of voiding schedules is recommended. In the voiding calendars the evolution of the child is recorded in the behavior of wetting or not the bed through attractive symbols for him and is accompanied by a reinforcement program. Other methods used as "pipi stop" are also based on these behavior modification techniques.
Among the pharmacological treatments used are: Desmopressin (remission rates of 20-50%), reduces the production of urine and increases the concentration of urine; Imipramine (ADT) and Oxybutyn (Anticolinergic).
Enuresis Trainer: an app to treat enuresis in children.
"Enuresis Trainer" is a therapeutic health application for the treatment of children's enuresis and basically consists of an interactive voiding calendar, based on traditional voiding schedules and behavioral modification therapies, and which also has the attractiveness of being an interactive application, to enjoy a monthly and weekly monitoring program, to reward the effort of the child with more attractive animations, and to be able to carry out a joint monitoring of the case, by parents, users and professionals.
As a result of our work with the TKT Brain Solutions team, "Enuresis Trainer" has emerged. Children who become "pipi" in bed, when they should control it by age, would meet criteria of child enuresis. Enuresis or not controlling the "pipi" can be an important cause of anxiety and marginalization in children .
The app can be used in mild cases and in moderate cases, both to facilitate the first steps before leaving the diaper, as well as in school children who have urinary incontinence, and urinate at night. The goal of "Enuresis Trainer" is for children to control the loss of urine, and not to pee in bed.
It is an application perfectly compatible with any medication, and with any concomitant psychological therapy.
The positive point is that it rewards the achievements of the child, with interactive stickers and animations, so that the days "not wet", or in which the child does not "pee in bed", will have a prize as a sticker interactive. That is why we say that it is based on positive reinforcement methods. If longer goals are met in time, for example, not to pee in bed for 4 consecutive days, the prize will increase.
Links of Enuresis Trainer: