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Many visitors to our website Potty Training and Bedwetting Solutions wonder what the different treatment options are between bedwetting and potty training. This article explores the causes and some treatment options for bedwetting. Causes of bedwetting The most common reasons for a child suffering from bedwetting are as follows: developmental delays (as mentioned earlier), genetics (same here), sleep disorder (such as sleeping too deeply), behavior and psychological disorders, anatomy, antidiuretic hormone levels. The most commonly accepted, but also hardest to prove, cause of primary nocturnal enuresis is maturational delay of the central nervous system. Basically meaning that the child’s nervous system doesn’t sense that the bladder needs to be held, and the urine is released during sleep. Sleeping disorders make up a very large percentage of children who suffer from bedwetting, and there has been extensive research done on the subject, but there have been such varying results, that it is hard for researchers to determine a primary sleep disorder that can be determined as the main cause for bedwetting. Some people believe that bedwetting is mainly caused behaviorally, which leads to the issue of psychological consideration- some studies have shown that psychologically children who suffer from nocturnal enuresis have essentially the same behaviors as children who don’t, while other studies have concluded the opposite. In those studies that show psychological differences between the two groups, the differences have mainly been that a child who has a bedwetting problem is less social and has more self-esteem issues than the other group. This begs a question though: do the low self-esteem and social issues go hand in hand with bedwetting children, or does the bedwetting lead to these types of psychological situations in these children? Family history is also very important, and many studies have shown results that deem it almost conclusive that if a parent suffered from bedwetting as a child, there is a very strong chance that their child will. In fact, one study showed that in a family where both parents suffered from this condition, there was a 77 percent chance that their child would do the same. This is a helpful finding, because it helps dispel the theory that enuresis is a behavioral problem. In turn, this makes it more acceptable, and causes slightly less frustration and guilt, which can lead the way for a better outcome following therapy. Treating bedwetting In the beginning of trying to deal with a bedwetting situation, you may opt to try different methods of battling it without the interference of doctor or medical care. Whether or not medical intervention will be necessary depends largely on many factors, including such issues as the child’s age, how often they actually wet the bed, and the perceived severity of the problem by the child’s family, and most children actually do outgrow bedwetting, never needing treatment for it by a physician at all. Many parents use night time diapers to battle bedwetting, and while these work great in preventing the bed from getting wet due to the accident, they actually do very little in the way of helping resolve the issue. Although it is obviously very important to focus on this part of bedwetting, it is also very important to try to prevent future occurrences. This is why is a good idea to try and step in as early as possible to use many basic methods of prevention. Then, when these don’t work, you may decide to take your child to the doctor. You should know, though, that children younger than six years of age are usually not treated by doctors if bedwetting is the only problem. Once you have decided to take your child to a physician concerning bedwetting, it is important to know that it may take a long time to actually reach the ultimate goal of completely accident-free nights. It is a long process in which both the parent and the child must remain dedicated. There are two methods which doctors utilize to deal with bedwetting problems: behavioral therapy and medicine. It is extremely important that the parent and child be as cooperative as possible, and be willing to try the doctor’s suggestions. If anyone has a bad attitude about the situation, it can make solving the problem a whole lot harder, if not impossible. When you first take your child to the doctor, they will most likely want to rule out any medical conditions in the very beginning. While most of the children who are seen by physicians regarding bedwetting are perfectly healthy, some actually do have a medical condition. So, before a doctor will approach it as if they don’t, they will want to make sure that this really is the case. The evaluation the doctor does on your child should be geared toward ruling out anatomic abnormalities of the urinary tract or bladder. These can include such situations as posterior urethral valves, an ectopic ureter, or an epispadiac urethra, which is a urethral opening on the dorsum of the penis. When the doctor does a thorough exam, which will include gathering family medical history, a physical exam, and a urine evaluation, they are usually able to determine whether or not there is a medical condition and, if there is, what that condition might be. When, and even before, your child is being medically treated for enuresis, it is an excellent idea to keep a diary of bedwetting episodes. Along with this diary, if the child’s bedwetting does not occur repetitively on a nightly basis, it is a good idea to write down anything that might have occurred that day to upset your child’s normal psychological balance. Once the doctor has determined whether there is, or is not, a medical condition contributing to your child’s bedwetting situation, they can determine which methods of treatment will best help them. Again, it is important to remember that consistent follow-up can be a key to improvement in bedwetting (it is also good to know that improvement is usually defined by most doctors as a 50 percent decrease in the frequency of bedwetting episodes). Your doctor may decide to use just one method of treatment or both in conjunction with one another. The behavioral methods can, and usually do, include the following: an alarm system, a reward system, asking your child to change the sheets, and bladder training. An alarm system Bedwetting Alarms can be an excellent tool for helping by retraining your child’s sleeping patterns so that they sleep more lightly, and wake up more often during the night, allowing less time for an accident to occur. You can set these for a certain amount of time and have your child get up and try to use the restroom every time the alarm goes off. A reward system can also be a very successful method of behavior therapy, especially once the child has learned new sleep patterns and is having less frequent accidents. Giving them either a small reward each day after a dry night, or a large reward at the end of a certain length of time, such as an entire week of dry nights, can help give your child even more incentive to try to wake up at night. Having your child change the sheets is also an excellent way to help keep them from having as many bedwetting nights. While it is never good to punish a child for something they have little to know control over, this is not punishment, and is instead a way for them to learn that they have to be responsible for their actions, even if those actions occur while they are sleeping. This also works well because they are having to get up out of bed and be pulled from the deep sleep more often, which in turn can lead them to sleep more lightly on a regular basis. Bladder training is another form of behavioral therapy that can help limit bedwetting nights. This is defined by, during the day, having your child hold their bladder for longer and longer periods of time. They may always go to the restroom immediately when they feel the urge to go, and so when they are in a deep sleep, that is how their body reacts when that urge hits them. If you teach your child to hold it for as long as they can when the urge comes while they are awake, they are more likely to be able to hold it subconsciously while they are asleep. If behavioral therapies do not work, and only if the child is 7 years of age, or older, medicines may be prescribed. Medicines work best in conjunction with behavioral therapy, because they are not a cure for bedwetting. They also may have side effects. If you do decide to go with medicines as a treatment option for your child, there are two common kinds, one of which your doctor will likely prescribe. One of these helps the bladder hold more urine, and one helps the kidneys make less urine. Obviously, these are not the types of drugs you will want your child to have to take consistently for the rest of their life. Instead, they are best when used temporarily in conjunction with the behavior therapy mentioned earlier. Helping your child cope with bedwetting Not only should you try to help your child overcome their bedwetting problem, but you should also focus on helping them to understand it and not feel quite so bad about it, if at all possible. Your child likely feels very ashamed at being a bedwetter. They may also feel guilt for not being able to control their body in a way that they feel they should. This is very likely in older children. You should never punish your child for this problem. It is very important to remember that your child cannot help it. Again, the older the child is, the more this applies, and your child is likely even more irritated about it than you are. You should try to not make your child feel any more guilt about it than they already do. It may also help your child to know that no one really knows the exact cause of bedwetting, because there are too many factors that have to be considered in each case. Explain to them the many different causes that might be affecting their situation, and the fact that these reasons are not their fault, and that you will help them overcome it. Tell them as much information as is necessary to help them be able to deal with it without thinking less of themselves. For instance, if you wet the bed as a child, be sure and explain this, while also informing them that it can run in families. This might help take some of the pressure off and relieve some of their guilt. Just remember, this is a rough time on both you and your child, and you should use whatever methods necessary to dispel your bedwetting difficulties. Keeping the right no-fault attitude can definitely help, as well as having an open mind to suggestions for treatments, and being dedicated to whatever ways you decide to treat bedwetting and/or potty training. penis elargement patch guide to penis enlargement com enlagement penis penis pump vimax best enlargement exercise penis do penis enlargement pill really work free exercise tip for penile enlargement vimax free natural penis enlargement penis enlargement operation penis enlargment surgery photo
I really don’t know how to say this any other way. My dog decided to talk to me the other night and he had a lot to say. It initially played like any other night really. Once again, I was tossing and turning, in and out of sleep. I was half awake, mulling over my job situation: I want to make money writing but I need an income more. Then the most bizarre thing happened. “Hey human Bob! This is your best friend speaking! Wake up!” Who the hell was that? It was a deep, low voice; strong and certain with a hint of a bourbon induced slur. Sounded like Dean Martin actually. I immediately sat up. It was pitch black. The radio clock blurred 3:53 in a dull crimson light. All I could make out was the shadowy outline of Parker, my trusty beagle, sitting upright at my feet. “Hey boy, did you hear that?” I whispered instinctively. “Someone’s in the house.” My vision was starting to warm up to the darkness. Parker just stared back at me, his head tilted, his long ears hanging to the side of his head like hand towels on a wall. He turned his head to the bedroom doorway, lifted his nose to the night and sniffed. He turned back to face me. “Don’t think so.” I swore Parker spoke but it couldn’t be. I mean his hound drawn lips seemed to move to the words I heard but that was impossible. “Who’s there?” I yelled into the night. “Whoever it is, I am warning you that I am at this moment retrieving my loaded double-barrel twelve gauge from under the bed. I will shoot you. So leave now and I want to hear the door slam behind you.” I made some dumb noises in a lame attempt to fool the intruder into believing what I had just proclaimed. I took the ruse to the next level. “Okay. I’m fully armed and about to call 911 from my fully powered cell phone. Oh yeah, strong signal, four bars. Oh yeah, this is going to be a very clear 911 call.” “You’re breaking me up. Put the phone down human Bob.” It was Parker talking. I was certain of it. Nah, it had to be a sick trick. “Okay, good one Steve. You wired up the dog with a little speaker. Very funny.” My brother Steve was known to go to great lengths to pull off pranks. But I was pretty sure he was at his apartment in the city, sixty miles away, God knows doing what, and at 48 years old, unlikely to suddenly bother me with a prank—it had been 25 years since his last one. But the mind scrambles to the most implausible scenarios when so duly challenged. “Don’t think so. Nope it’s me, Parker,” the dog mumbled. I was positive he spoke again. By now I was sitting straight up, leaning towards him. He just sat there and looked at me with those big dark eyes. His poker face was on. “Parker? Are you talking to me?” “Well I’m not talking to myself.” I leaned back against the headboard. He yawned. “This can’t be. I’ve got to stop watching Animal Planet.” “Listen, I’ve got something to say and I’m not sure how long this talking stuff is going to work so …” “You are talking!” I interrupted incredulously. “Should you want I bow wow?” “Holy cow! Parker you are talking.” “Yup. But I’m not sure for how long. So can I say a few things before …” “I can’t believe this.” “Yeah I know. Either can I but if you don’t mind.” I looked at him with a giant smile plastered across my face. Parker can talk. The dog was talking. Who was I kidding? It had to be a prank. He continued. “I’ve been listening to a lot of that talk radio and that C-SPAN channel you watch while you write. I’m here to tell ya I don’t like what I’m hearing.” “You’re kidding me right?” “Afraid not.” Oh this was good. I was really hallucinating. Talk-shmalk, I had a few nagging questions of my own. “Hey, can I ask you something before you get to your stuff?” “Make it quick. I haven’t got all night.” “You like smell things a hundred times more than we do, right?” “Four hundred.” “Okay, four hundred. Wow! Then I really wonder about this.” “Yeah I know. Why do we like to sniff every morsel of excrement or yellow patch of urine we encounter on our walks?” “Now that you bring it up, yeah, why? It must smell like the inside of Dick Cheney’s or Ted Kennedy’s septic tank? And you know how much crap they’re filled with.” “That was a funny one human Bob. But it isn’t like what you smell. We pick up a lot more notes. It’s a broader pallet if you will. We don’t smell stink. We smell identity, mood, and illness. For instance, you know that crazy cairn terrier down the street?” “Yeah.” “She has stomach cancer and her humans don’t have a clue.” “You are kidding me?” “She probably has less than six months if they don’t get her to a vet soon.” He paused to lick his right front paw. “Yeah, and another thing. Don’t take me out at nights for awhile.” “Why?” “Cause there is a rabid possum living under the porch. That’s why.” “You know this from the smell of possum poop?” “Excrement.” “Whatever.” “Yup.” Parker yawned as if bored. “So is that it? Can I say what I need to say?” “Well there is that thing you do with that licking your, you know, your …” “Penis?” “Well, yeah.” “Jealous are we?” “Well, it’s just that …” “It’s all about keeping clean. Nothing pleasurable if that’s what you’re driving at. Nothing like what you do with your hand. By the way, I’d appreciate it if you wouldn’t pet me afterwards. Nope, no pleasure; it’s all business. You made sure of that when you had me “fixed”, remember. Thank you very much.” “Oh yeah, sorry about that. I had no idea you knew any different.” “No idea my butt. I’ll ‘no idea’ ya.” He paused again to lick his right paw again and then continued. “But I don’t hold it against you. We don’t hold grudges. Heck, if we did, we would have mauled most humans dead by now. Which brings me to why I am talking to you.” “No grudges. Really? I mean that “fixing” stuff is pretty serious. That’s pretty good if that doesn’t bother you.” “You done? Can I get to my concern?” “Sure. Sorry. Go ahead.” “How can humans be so smart supposedly, while they single handedly are destroying the Earth?” “You mean global warming?” “It’s more than that. It’s the air. It’s the water. It’s the dirt. It’s the forests. It’s the killing. It’s the anger. It’s the hate. It’s the grudges. It’s the fear. It’s everything.” “Oh come on. You’re being a little dramatic.” “We don’t know dramatic.” “Well give me examples of what you mean.” “First of all, the air is filled with danger. Dogs, cats, birds, animals of all kinds can smell it. It is our biggest topic when we get together.” “I don’t smell a thing.” “Yeah, that’s part of the problem. And you can’t taste the troubled water either.” “Scientists don’t seem to be complaining. So I should be listening to a dog?” “We have no agenda. Dogs call it as they smell it.” “ ‘call it as they smell it’; I’m suppose to just accept that?” “Yeah, there is a lot you should just accept.” “Oh yeah, like what else?” “Well, and here is what I think is the crux of the problem, you keep choosing the wrong alpha humans.” “What?” “You’ve got this alpha thing all wrong. Just because animals order their packs based on physical size and strength doesn’t make it so for humans. We do it because we are simple. You do it because you are thoughtless. That’s what we, and I think it is fair to say I am speaking for all animals, don’t get. Humans are able to think things through. But they never do. Well, that’s not completely true; some have but they are mocked or marginalized. An alpha dog barks and gets all puffy, like that wacky shepherd Sarge from around the block. The worst he can do is break out of his electronic fence and charge one of us. But you humans take it up a notch.” “Can you give me a for instance?” “God there are so many. Let me see. Okay, you’ve elected a president who pounds his chest and walks around like a gorilla with its arms all out to the side, all tough and all, carrying on with ‘bring it on’. When he jumps the fence, he brings tanks and bombs and humans loaded down in weapons and in body armor. Meanwhile, you have alpha males all over the place, flexing their muscle in their packs, threatening to obtain nuclear weapons, the great equalizer, giving the president one excuse after another to hop the fence. It’s nuts. And I for one am telling you, you’ve got it all wrong.” “Well, I don’t know what to say.” “You don’t need to say anything. Just start picking the right alpha humans; humans whose visions see beyond fighting, whose hearts hold no grudges, whose thoughts and reasons are not the products of testosterone, whose collective knowledge is rooted in the concept that true peace is never the consequence of war but the outcome of constant learning, negotiating and adjusting.” “This is what you want to tell me? Nothin’ for nothin’ but it’s a little heavy for a little chat with a dog at 3:30 in the morning.” “In a nut shell, yeah.” It was hard to accept this from my beagle. I mean, he’s a dog; a sleeping, eating, sniffing, crapping dog. I was chalking this whole episode up to stress. I was apparently snapping. “That’s it. I’m pretty much done. Just one last thing while I have the chance.” “What? World hunger? String theory?” I asked sarcastically. “You get the right alpha humans and the world hunger thing will take care of itself, smart ass. As far as string theory, who do you think I am, Hawking? I’m just a dog. No it’s more pedestrian than that, something I think you can manage.” “Then what, already?” I asked impatiently. “You know that thing you do occasionally where you empty the dish washer in the buff.” “Ummm … yeah I guess.” “Put some clothes on. It’s disturbing. I’m beggin’ ya, please!” “All right, but only if you lick your privates in private.” “I’ll see what I can do. No promises.” “So this is it? No more talking? You know we could make a fortune on Letterman with his stupid pet tricks.” “It’ll never happen. You see, this is a one time deal. Not sure why or how this is happening. Maybe that God guy is involved somehow. All I know is that when it is done, it is …” He abruptly stopped talking. “Parker?” Not a grunt. He yawned and as he did he stretched his front legs out and spread across the foot of the bed, his ears resting flat on the blanket. “Parker … are you done? Is that it?” He slowly closed his eyes and floated off to sleep. “Parker … just like that?” He began to twitch; in hot pursuit of a fox I imagined. “Holy smokes. I must be dreaming myself.” I curled back down under the safety of my covers, scratched my butt and thought about the conversation I had just had with Parker or myself or both. I sniffed the air. It smelled fine to me. What the heck was he talking about, ‘danger in the air’? It had to be a dream. As I drifted off to sleep, I thought about getting a real job real soon, apparently this writing stuff was getting the best of me. I also made a point to remember to talk to the owners of that crazy cairn terrier. I thought it was the least I could do. 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They say that nature gives with one hand and takes away with the other. Many men have brains that help them land big jobs, discover amazing things or start their own companies and make fortunes. However, these amazing brains tend to come bundled with less than satisfactory penises. In fact, a lot of men have to cope with this type of trade off and are forced to face life with small penises that are bound to make things difficult later on. For this reason, men turn to penis enlargement techniques to supplement or offset the stinginess of nature and to improve their lives. But penis enlargement is a wide and wild territory that may not be all that friendly to new users. It is very important for any man to find the right penis enlargement program or product. It doesn’t really matter what you’re using, but it must be something that works properly. There is no reason to spend time and money on products that are either worthless or hazardous. Among the traps that lie in wait for the unwary penis enlargement seeker is the risk of incorrect enlargement. Most men think that any kind of penis enlargement is good. Heck, what can be wrong about a little gain here and there? Well, it’s not that simple. Penis enlargement has to be done correctly and uniformly regardless of the product you’re using. There’s simply no other way. Adding just a bit of girth, mostly on one side, or increasing the length a bit, at the expense of some burst blood vessels is never a good idea. Whether you’re into traction devices, penis exercises or enlargement pills, you always have to look for certain signs that prove the seller’s good faith and quality standards. First and foremost you should look for a money back guarantee. If the product advertised on the website is a quality product then the vendor shouldn’t have any problem offering a generous money back guarantee. Beware of vendors who leave you only a small product return window. This is usually a sign that something’s not right. Second comes full time customer support. This is the best way you can tell if the product is sold by a full blown company or just some guy with a computer who stays at home and couldn’t care less if the product worked or not. What you need is full time customer service which can answer any of your questions. The quality of website design is also a sign of how much money and care went into the product. Avoid cheap looking websites. Third comes customer forums. If a vendor has an effective product to sell, he won’t mind customers discussing their experiences online. Customer forums are a great way of getting in touch directly with men who have already tried various products and can give you a first hand account. This goes hand in hand with the information featured on the website. The more information about the product (not just beating around a distant bush), the better. If the vendor is not shy to talk about the product then he probably has nothing to hide. Fourth comes medical endorsements. These are priceless. If an M.D. is willing to put his professional reputation behind a product, this means that the product in question is worth buying. If the website also features customer testimonials then your search for a quality PE product is over and you have a winner. You can also look for bonuses handed out by the vendor to good customers. Bonuses are something like extra icing on a very good cake and further proof that the vendor knows the value of big spending customers. So there you have it. The five things that make the difference between a good penis enlargement solution and a bad one that you should avoid like plague. It’s not simple to tell a good thing from a scam, but it’s not very hard either. Be careful.