6 year old daughter has been potty trained for over 2 years.

6 year old daughter has been potty trained for over 2 years. within the past 6 months has started wetting the bed now almost evernight. is also urinating on floor in bedroom. she gets attention, she is not acting out. what else could cause this?

ANSWER:
 
it may be not unusual for many parents to face this situation, although some kids may urinate till 7 years like this. But definiitely this is a cause of concern as itmay be a result of infection, emotional / anxiety related evenet, fear or sweet diet.
There may be many other reasosn but these seem to be common.
visit your pediatrician who can help you ruling out all of these and will guide to a child psychologist who may help you train your child through counselling or other techniques.

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> Date: Thu, 27 Dec 2007 20:27:18 -0800

>
> Please be brief and avoid too many medical terms 6 year old daughter has been potty trained for over 2 years. within the past 6 months has started wetting the bed now almost evernight. is also urinating on floor in bedroom. she gets attention, she is not acting out. what else could cause this?
>
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40 yr old working mother of 13 months,3 weeks old- twins

I am a 40 yr old working mother of 13 months,3 weeks old- twins. My questions are
>
> 1)The twins were preterm born at 35 weeks and were weighting around 2.25 kgs and birth. Their weight recently at 13.5 months is around 10 kgs. In the first 5 months they were fed breast milk plus formula (Nan) in the ratio of maybe 30:70 i.e. more of formula. Introduced them to solids after that.
> Is their diet adequate and sufficient of the diet in term of composition (carbohydrates, proteins and fats, nutrients and minerals). Their typical meals are as given below. As you will notice no oil/or ghee is added to their meals. Is that okay?
>
> Early Morning(7 to 8 am)
> · Breast Milk –if possible, feed for around 7-8 mins, each of the twins
> · Formula (Lactogen)- 100 to 120 ml
> Midmorning Morning (around 10.30 to 11 am)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> · Fruit-one small banana/little papaya/one chickoo/half mosabi
> Noon (around 1.00 to 1.30 pm)
> · Khichdi- rice, around 4/5 vegetables,sprouts(moong or chawli)-no oil/ghee added
> Evening(around 4.30 to 5pm)
> · Vegetable paste-4/5 vegetables boiled with salt and mashed- no oil/ghee added
> · One Biscuit/Toast
> Evening(around 6.30 to 7.30 pm)
> · Formula (Lactogen)- 60 to 100 ml
> Evening(around 9.30 pm)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> Night (around 10.30 to 11)
> · Breast milk feeding –around 7-8 mins,each
>
> 2) I would like to continue breastfeeding them to the extent I can till they are around 2 years old.Is it okay for me to take Satavarex to boost my milk supply.
> 3) Is T-minic drops safe to give when they catch a cold
>
> Thanks and appreciate your time given
 
ANSWER:
 
The variety and frequency of diet seems adequate, but unless the quantity is specified it isnt always easly to get to whether its in adequate calorie , protein, carbs etc. (most of the times exact percentage is not required)
 
If the feeds are made as per instructions on formula usually they contain the carbohydrates proteins and fats in proportions.
There is no need to restrict fat till 4 year age, he may also need extra fats for his growth in this age group.
 
As he is 1 year plus there is no need to prolong breast feeding, so definitely no need to boost your milk production, so let it have its natural course.
 
Just for your knowledge his requirements on an average will be 1000 cal per day which is usually done with 8 good feeds of 100 ml each. by 2 year it will be 1200 cal per day
 
Its important at this age to have the child on complementary feeding. A 1 year old child should be able to eat all the diet items which an adult can eat , and his requrements may be as good as half of an adult.
 
plot his serial growth charts, maintaining well on growth charts is an indicator of good intake.
 ** Your email reply won't reach me if you are not in my address book, so do not reply to this email. If you feel like commenting answering or replying .. for further communication; please do repaste this answer and query along with as i donot store the communications all the time. however you may comment at website if it gets published at www.pediatricianonline.in

** Disclaimer: The contents of this blog/mail are for informational purposes only and should not be construed as medical advice or substitute for professional care. This is not a professional or clinical consultation. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. An examination or decision by a doctor can not be completed unless he/she had personally examined the patient through professional consultation. However this site/mail will help you understand problems, discrepancies and clarify doubts and misunderstandings; and will discuss various therapy options in given hypothetical situations. http://health.groups.yahoo.com/group/paediatrics
 
 

> Date: Thu, 27 Dec 2007 22:35:30 -0800
> 
Hello Drs,
>
> I am a 40 yr old working mother of 13 months,3 weeks old- twins. My questions are
>
> 1)The twins were preterm born at 35 weeks and were weighting around 2.25 kgs and birth. Their weight recently at 13.5 months is around 10 kgs. In the first 5 months they were fed breast milk plus formula (Nan) in the ratio of maybe 30:70 i.e. more of formula. Introduced them to solids after that.
> Is their diet adequate and sufficient of the diet in term of composition (carbohydrates, proteins and fats, nutrients and minerals). Their typical meals are as given below. As you will notice no oil/or ghee is added to their meals. Is that okay?
>
> Early Morning(7 to 8 am)
> · Breast Milk –if possible, feed for around 7-8 mins, each of the twins
> · Formula (Lactogen)- 100 to 120 ml
> Midmorning Morning (around 10.30 to 11 am)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> · Fruit-one small banana/little papaya/one chickoo/half mosabi
> Noon (around 1.00 to 1.30 pm)
> · Khichdi- rice, around 4/5 vegetables,sprouts(moong or chawli)-no oil/ghee added
> Evening(around 4.30 to 5pm)
> · Vegetable paste-4/5 vegetables boiled with salt and mashed- no oil/ghee added
> · One Biscuit/Toast
> Evening(around 6.30 to 7.30 pm)
> · Formula (Lactogen)- 60 to 100 ml
> Evening(around 9.30 pm)
> · Approx. 2 watis of wheat rava porridge made with milk,water,rava and jaggery- no oil/ghee added
> Night (around 10.30 to 11)
> · Breast milk feeding –around 7-8 mins,each
>
> 2) I would like to continue breastfeeding them to the extent I can till they are around 2 years old.Is it okay for me to take Satavarex to boost my milk supply.
> 3) Is T-minic drops safe to give when they catch a cold
>
> Thanks and appreciate your time given.
>
>
>
>
>
> hide my email address
>
> how did you get to my website? from email or search engine or chatroom or a friend? search engine
>
>
> --
> Date/Time: 2007-12-27 22:35:28 PST
> Sender IP: 203.77.177.96 [India] | kut2kotulpy1qrv5
> Referrer: http://askyourdoc.blogspot.com/

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