Enuresis and Encopresis Q&A: Bladder Meds, Ex-Lax, and Weaning Off Enemas
Bedwetting & Accidents Blog
by schlos1
3d ago
By Steve Hodges, M.D. How can you help a teenager counteract a bedwetting setback? Is it a good idea to start tapering off enemas if a child's x-ray shows his rectum is still enlarged? What should you do if travel messes with your child's constipation treatment? These are among recent questions posted in our private Facebook support group. I'm answering them here, as the issues raised are quite common Q: My 18 y.o. son has always struggled with nighttime wetting. We jumped right into Multi-M.O.P., with two homemade LGS [liquid glycerin suppositories] per day. We saw immediate progress — he ..read more
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"Mind blown": Voices of Your Village Interviews Dr. Steve Hodges on Constipation, Bedwetting, and Potty Accidents
Bedwetting & Accidents Blog
by Steve Hodges, M.D.
1w ago
Listen to Alyssa Blask Campbell's eye-opening interview with Dr. Hodges on the Voices of Your Village podcast. Campbell, an emotional development expert, wrote: "Boy, do I have an episode for you today. I have not stopped talking about this, and have had so many conversations with people in my real life after having recorded this episode. . . We got to chat about accidents and bedwetting and constipation, and I literally was like, oh my gosh, mind blown. I'm so grateful to have Dr. Hodges' resources, and for his knowledge shared in this episode." LISTEN HERE ..read more
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What You Didn't Know About Bedwetting, Encopresis, Constipation, and Miralax
Bedwetting & Accidents Blog
by Steve Hodges, M.D.
2w ago
By Steve Hodges, M.D.   When I explain to parents that their child’s bedwetting and daytime accidents are caused by constipation — not an underdeveloped bladder, deep sleep, or behavioral issues — folks tend to have loads of questions. Such as;   How can you be so sure the cause is constipation?   How can a kid who poops every day be constipated?   Why do some constipated kids wet the bed while others stay dry?   How can a child not even notice they’re having an accident?   At what age should you treat bedwetting?   What’s your opinion on Miralax?   ..read more
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Pampers' Ninjamas Videos Normalize Bedwetting, at the Expense of UK Kids
Bedwetting & Accidents Blog
by Steve Hodges, M.D.
1M ago
By Steve Hodges, M.D. Diaper companies spend massive amounts of money to normalize bedwetting.   After all, if parents perceive their child’s bedwetting as no big deal — simply an inconvenient part of child development — they won’t question the need to buy ever-larger pull-ups for years on end. Previously, I wrote about Goodnites’ campaign for “Bedwetting Underwear,” designed to provide “a dry night’s sleep” for children up to age 17.    Now comes the Pampers Ninjamas Bedwetting Series, three appealing, upbeat videos designed to assure families in the UK and Irelan ..read more
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The “Long Lag”: Why Bedwetting Takes Longer to Fix Than Daytime Accidents
Bedwetting & Accidents Blog
by Steve Hodges, M.D.
1M ago
By Steve Hodges, M.D. When a child is undergoing treatment for both nighttime and daytime enuresis, a frustrating pattern often emerges: Daytime wetting resolves pretty quickly, and then progress stalls. And stalls. And stalls. Only months later does bedwetting finally start to diminish.   The delay period is so common that I’m giving it a name: the Long Lag.   Though I make a point of preparing families for this plateau, many parents become distressed, anyway. I hear two comments in particular:   •”We were doing so well, and now we’re stuck. What are we doing wrong?”   ..read more
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Q&A With Dr. Hodges: Teenage Bedwetting, Soiled Underwear, and X-rays for Constipation
Bedwetting & Accidents Blog
by Steve Hodges, M.D.
2M ago
By Steve Hodges, M.D. Here's a round-up of recent questions about enuresis and encopresis that I've received via email and our private Facebook support group. Q: My 13-year-old wets the bed every night, and instead of using toilet paper, he uses his clothing to wipe and then hides his dirty underwear. What do you suggest I do?   A: Poop smears, aka “skid marks,” aren’t caused by a failure to use toilet paper; rather, they signal the child’s rectum is harboring stool and the child is struggling to hold it in — in other words, chronic constipation. Bedwetting (enuresis), too, is a class ..read more
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Constipation in Children, Enemas, and the Gut Microbiome
Bedwetting & Accidents Blog
by Steve Hodges, M.D.
2M ago
By Steve Hodges, M.D. Q: My mother, a retired physician, has expressed concern about my daughter’s gut microbiome and malabsorption while on Multi-M.O.P. with two liquid glycerin suppositories (LGS) a day. What would you say in response to this concern?   A: The small intestine is involved in the digestion of food and absorption of nutrients, whereas the intestine is mostly involved in absorbing water. Since enemas clear stool from the rectum, the end of the colon, nutrient absorption is minimally affected.   As for the gut microbiome, if a child is backed up enough to have pee and ..read more
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"Parenting is Easy" Podcast Interview with Steve Hodges
Bedwetting & Accidents Blog
by schlos1
2M ago
In his chat with psychotherapist Chananya Abraham, Dr. Hodges answered: • Can you speed up potty training by having your child wear underwear instead of diapers so they can “feel the wetness”? •How do you know when your child is ready to potty train? •Can you really resolve constipation with dietary improvements? •How can you prompt children to poop when the urge strikes? What does it mean to “fully empty,” and why does that matter? •What are the subtle signs of constipation parents should look for? •Is it true that deep sleep and urine overproduction are causes of bedwetting? LISTEN HERE ..read more
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Treating Your Child's Constipation on Vacation
Bedwetting & Accidents Blog
by schlos1
2M ago
By Steve Hodges, M.D., Even the world’s best poopers, children and adults alike, can get constipated while traveling. Unfamiliar toilets, long car rides, airport security lines, time-zone changes, erratic schedules, more ice cream and fewer veggies — travel poses many obstacles to pooping daily, promptly, and completely. If the urge strikes when you’re in a canoe or on a tour bus, you’re going to override it by clenching that sphincter. If you’re forced to poop in an airplane restroom, with a line of antsy passengers crowding the aisle, you’re likely to rush. And if you’re a child with ..read more
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"My daughter literally leaked stool all day long": Doctors Get Encopresis Treatment All Wrong
Bedwetting & Accidents Blog
by Steve Hodges, M.D.
3M ago
By Steve Hodges, M.D. If there’s one critical lesson I’ve learned in my 20+ years of medical practice, it’s this: Encopresis and enuresis must be taken seriously and treated aggressively.   Doctors routinely underestimate the distress that poop accidents and wetting accidents cause families, and they continue to push useless treatments, such as endless doses of PEG 3350 (aka the Miralax merry-go-round). Medical providers assume most kids will eventually “outgrow” accidents and (I’m guessing) don’t feel an urgency to step up treatment because, well, accidents aren’t life-threatening. &nb ..read more
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