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III ANALYSIS OF TREATMENT
The treatment and approach in each case naturally varies with the
etiological factors and temperament of the child.
On the whole, Dexten is being used much less frequently - although it
has a definite use in certain selected cases, and has also been used with
success as an adjunct to the Bed Buzzer for children who are very deep
sleepers.
In each case, prior to any consideration of medicinal therapy, or use
of the buzzer, a considerable time is spent in talking to the child and
then to the mother. The child's attention and confidence is thus more
easily gained and the mother is asked to talk over the salient points
with the child at home. This method of approach has proved very effective
and the child's increasing interest during the interview has been
obvious.
Specific Treatments:-
(1) Routine and Charting:
This has been instigated in all cases, and the charting of dry nights
only by marking a "small home made diary" with coloured stars obviously
encourages the child. Children who are definitely of the enuretic "prewaking
group" are routinely woken for voiding at 5 a.m. for a period of six
weeks, which is usually long enough to establish a normal "habit wake
reflex".