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Many men suffer from erectile dysfunction (ED) -- the inability to achieve and sustain an erection long enough to have enjoyable and fulfilling sex. For a variety of reasons ED is most common in men over 45. The sex drive is often lowered even further in older men who are taking medications of various kinds. Most of us assume the sex drive gradually diminishes as we get older, so we are prepared to accept ED as a natural condition. But the fact is, the inability for many men to sustain an erection may be more the result of treatable physical conditions rather than an actual loss of sex drive. Until the early 1980s most people -- including most trained urologists -- assumed that ED was basically a mental or psychological problem. But in 1983 at a presentation to the American Urological Association, Dr. Giles Brindley demonstrated that a penis could be made erect by injecting it with the drug phentolamine. In a public demonstration, he used his own penis to make the point. Brindley had discovered that the penis could be made erect by relaxing the normally consricted blood vessels leading into it. Once the blood vessels are relaxed, they let in more blood and the penis inflates something like a balloon to form an erection. So gradually it came to be accepted that ED is the result of physical changes in the adult male -- not primarily mental or psychological conditions. Viagra - Controlling the Penile Valve Phentolamine -- the drug used by Dr. Brindley to give himself a public erection -- started to be used with some success in the 80's and 90's, but there are two problems with phentolamine. First, it is not selective enough to target only the penis, so its effects on other parts of the body are unpredictable. And second, the erections it creates are not brought on by sexual stimulation. You can get an erection any old time with phentolamine, and you will continue to have one until the effect of the drug wears off. Viagra was the first drug that overcame these two problems. (It was introduced in 1998 by the Pfizer company. The active ingredient in Viagra is sildenafil citrate.) Viagra does not work by relaxing the blood vessels of the penis. Instead it enhances the natural processes that take place when a man is sexually stimulated. It does this by controlling what we might call the "Softeners" -- the chemicals in the body designed to make the penis go soft after an erection. It works something like this. When a man is sexually stimulated his brain sends signals that trigger the production of chemicals that relax the blood vessels in the penis. Think of these as "Hardeners". As the blood vessels are relaxed by the production of Hardeners, blood flow increases and the penis goes erect. But nature has also designed a way for the erection to gradually subside. At the same time as Hardeners are being produced to relax the blood vessels, the body is also producing Softeners to break down and neutralize the Hardeners. These are an enzyme known as phosphodiesterase (PDE5). As long as the sexually stimulated male is producing more Hardeners than Softeners, the penis will remain erect. But as soon as the production of Hardeners starts to go down, the Softeners will get the upper hand, and the erection will start to fizzle. It is now generally assumed that ED is caused by an imbalance of Hardeners and Softeners. The body is either not producing enough Hardeners, or too many Softeners. Either way, the result is the inability to sustain an erection. What Viagra does is block the production of Softeners. This allows the Hardeners to build up in the blood vessels of the penis and create hard, sustained erections. The beauty of the process is that nothing happens without sexual stimulation. Viagra does not take the place of stimulation. Instead, it simply lets the natural chemicals created by sexual stimulation do their work. After sex, when the brain is no longer creating Hardeners, the erection subsides naturally. And when the effects of Viagra wear off -- normally after 4 or 5 hours -- the normal processes are restored to the way they were before taking the drug. Of course, as with any drug, there are potential side effects. Viagra should not be taken if you are taking any nitrate-based drug, including nitroglycerin or if you are on any blood pressure or heart medication, as combining Viagra with these drugs can cause a severe drop in blood pressure. Also, if you have any liver or kidney problems it is not recommended that you take Viagra. penis enlagement procedure penis enlargment surgery picture penis enlarement result enlargement free penis pill sample penis enlargment excersizes free natural penis enhancement penis enlargement operation penis enlargement device

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Excerpt from The Steroid Deceit Having abused steroids for three and a half years, I was always afraid of being found out. I took pains to keep my steroid use hidden from my parents. They thought my newfound muscles were the result of all the time I spent at the gym, as well as the various supplements and powders that I always seemed to be taking. Little did they realize that some of those pills I called “vitamins” were actually oral steroids. The façade to my life of deceit began to crack, when I received a panicked phone call from my mother. She had evidently found one of my syringes. I rushed home. Since using steroids, I had become a much better liar than I ever could have imagined, and naturally I was ready to give her an Academy Award winning performance. My mother was waiting for me at the front door, and started in on me as I made my way up the pathway. “Are you using heroin?" “Mom,” I told her, offering her a big smile. “You’ve got it all wrong.” She waved the syringe in her hand as if to say, “How could this be wrong?” I didn’t stop smiling, even though inwardly I was cursing myself for having been careless with my needles. I had slipped up. Until that mistake I had always cleaned up after my usage and secreted everything away. While my mother brandished the syringe, I was doing some waving of my own, showing her a prescription form. By this time we were in the house. “I am not a junkie, Mom,” I told her. “I was given a prescription from a doctor.” “What for?” she asked. “For steroids,” I said, “only steroids.” She still looked doubtful, so I said, “I’ll go show you.” I went up to my room and returned with a vial. “See,” I said, showing her the vial, and then repeated, “It’s only steroids.” It’s only steroids. As a parent I can tell you that if I heard those words from one of my two boys I would be as concerned as if my child had announced, “Don’t worry, it’s only heroin.” I made a big show of throwing out the syringe and vial in front of my mother, My mother appeared pacified. Luckily, she didn’t know anything about steroids, and what I was saying must have sounded reasonable. Besides, my tossing out the vial and syringe clearly demonstrated that I didn’t have a problem. What she didn’t know was that I had a secret stash in my closet with dozens more vials and needles. It was also a good thing she didn’t look closely at the prescription, or she might have wondered why a vet was prescribing a drug to a human. In my hunt for bigger and better steroids I had found a veterinarian willing to write me a scrip for equipoise, a steroid prescribed for horses. As if that wasn’t bad enough, I had made copies of the prescription. I didn’t even have horse sense. I was a drug abuser with an illegal prescription covering up his habit by lying. I wish my mother hadn’t trusted me. I wish she had challenged me. I wish she had taken note of all the warning signs my body and behavior were giving off, and had pulled me up short. According to the U.S. Center of Disease Control, up to 6% of high school students have tried, or are using, steroids. Even if that figure is wildly exaggerated – even if it’s only half of that number – we are still talking about an incredible number of young people using steroids. Teens typically use steroids to get buff, or try and get an athletic edge. What they don’t take into account is the potential hazards that come with the drugs. Some of the side effects include: Psychological addiction; Depression and mood swings; Insomnia; Severe acne; Hair loss; Infertility; Liver disease; Testicular atrophy; Arteriosclerosis; Heart disease; Permanent stunting of growth; Feminization of males including breast swelling (gynecomastia – also known by steroid users as “bitch tits”); Stretch marks; Water retention; High blood pressure; Tendon and ligament damage Specific side effects of females are: Virilization (becoming more masculine) of females, with such symptoms as excessive face and body hair, deepening of the voice which is irreversible; suppression of menses; decreased breast size; and enlargement of the clitoris; It is hard to believe that given all the health risks associated with steroids that they continue to grow in popularity. I am afraid that either the message of their dangers isn’t getting out, or maybe it’s just that the other “message” is so much more prevalent that it’s hard to refute. When people look at the hard, muscled bodies presented by smiling, oversized human beings, they see a tempting portrait. Users and potential users are seduced by this picture of health and vitality. The picture doesn’t show the strain on the arteries, the wear and tear on the heart, or the pinball effect on the psyche. Because society has not yet raised enough red flags over steroid use, the burden for this scrutiny has to fall on parents and loved ones. At the time I abused steroids they were an “under the radar” drug; my parents didn’t even know what they were. Public awareness about steroids has grown, but judging from their increased popularity, teens and adults have not yet come to the realization that using them means playing Russian roulette. To protect their children from the dangers of steroids, parents need to be vigilant. For their own good, no child should be able to get away with what I did. It was wrong of me to pretend indifference about my drug habit and proclaim, “It’s only steroids.” Steroid use is the hidden epidemic. Somehow the war on drugs has missed this target. Parents can’t afford to turn a blind eye, though. Among the warning signs parents should be looking for in a child who might be using steroids is: A rapid increase in the musculature of your child; Your child’s preoccupation or obsession with “getting big”; An outbreak of acne (predominately on chest and back) far and above the usual; Pronounced mood swings;The presence of muscle magazines (look for the usual smiling steroid figures on the cover). There’s an old axiom: if it’s too good to be true, beware. Those bodies are too good to be true; Vials and pills and syringes – it is up to you to read the labels. I told my parents that the oral steroids I was taking were vitamins. Watch out for the following pills: Anadrol; Dianabol; Winstrol; tamoxifen; clenbuterol; clomifen citrate; masterolone Anything in a vial is suspect (if it is in a vial, it is usually vile). The brand names are many and varied, but look for the following substances: stanazalol; nandrolone decanoate; nandrolone phenilpropionate; dromastolone dipropionate; and testosterone. Despite all those misleading advertisements which claim you can lose 10 pounds of fat and put on 10 pounds of muscle in just a few days, it doesn’t happen that way. The human body doesn’t change overnight. When not using steroids, professional athletes are hard-pressed to put on 10 pounds of muscle in a year, even with rigorous workouts. If your child suddenly sprouts muscles, it is your job to be suspicious. Don’t be surprised if your teen credits those muscles to his or her pumping iron, and taking protein shakes and supplements. Speaking from experience, I can tell you that those pills and shakes are all but worthless. Invariably, the spokesperson for those kinds of products is a steroid abuser. The fact is that those supplements will not pack on the pounds and muscles as the manufacturers claim. Steroids will do that. They might also cause you to die or go crazy getting those muscles, but that’s not something you are ever likely to hear coming out of the mouth of Mr. Big Biceps. What should a parent do if they discover that their child is using steroids? One of the first priorities is opening up a dialogue with your child and start discussing this risky behavior. One of my favorite sayings is, “There is nothing uglier than truth when it is not on your side.” Truth is a great antidote to combating steroid usage. From the onset I would impress upon the child that what they are doing is both illegal and harmful. If you take a steroid, in the eyes of the law it’s the same thing as popping an amphetamine or Quaalude. Possession of steroids is a federal offense, and can result in jail time of up to one year in prison along with a fine up to a thousand dollars. If you manufacture or distribute steroids, the penalties are much more severe. It is common for many steroid users to sell or distribute their drugs. Doing a “favor” for another user can now result in a jail sentence. Expect your child to be defensive. When you start explaining about health risks associated with steroids, you are sure to hear, “I don’t know anybody who has had those kinds of problems.” It is entirely possible they’ll be telling the truth. You will have to explain that sometimes the effects are not immediate, and sometimes they can’t be seen. Tell them that steroids are like cigarettes; often they debilitate over time. You also have to try and impress upon them what I think of as “the X Factor.” Every day more evidence comes forward showing the detrimental effects of steroids. It’s only recently that steroids have been linked with depression, just as there have only been preliminary studies on steroids being a possible “gateway” drug. Before the mid-nineties, though, no one was talking about ‘roid rage. And before that no one had any idea about the potential for kidney damage and arteriosclerosis due to steroid usage. Your child will tell you that steroids work, and he’ll be right. They do work, but it’s one of those cases of their working too well. Your child might not want to hear about heart disease or liver tumors or hardening of the arteries. You will hear about the strength gains, and the “incredible” workouts. Your response should be, “At what cost?” The human body is designed for certain maximum levels. Those who abuse steroids can, and do, spend more time at the gym or on the playing field, and are able to push themselves harder and longer. Sooner, usually than later, though, the human body rebels; joints tear and ligaments rip. It isn’t surprising that sports medicine has seen an epidemic of career ending injuries in the past decade. Steroids have given athletes a false platform upon which to perform; when that platform collapses, too often it is game, set, and match. This trend of serious injuries extends from high schools to the professional levels. Sports doctors say they are seeing a huge increase in tendon and muscle ruptures. That isn’t a coincidence. When bodies get pushed too hard, they snap even harder. Student athletes are under enormous pressure to perform and that makes steroids tempting. Non-athletes feel their own pressures; everyone wants to look “buff” and fit. Parents should also tell their children that steroids are cheating. In simple terms of right and wrong, they are wrong, and you don’t want your child to be a cheater. If your son or daughter is looking for an athletic advantage, tell them that you don’t believe in winning at all costs and neither should they. Stress to them that the muscles they think they are getting are artificial and temporary, and if they want the real thing then they are going to have to work for it. Talk to your child and make sure his or her self-esteem is not dependent on body image. This will probably be another case where your child thinks you are old-fashioned and out of it; when your child grows up he will see how wise you were (but don’t expect to get thanked any time soon). It is possible your child has body dysmorphia, with a resulting skewed view on what his/her body really looks like. Harrison Pope established a formula to calculate what he called the “fat-free mass index” (FFMI). Based on those calculations, the upper limits of musculature and build can be defined by their scoring system. The researchers found that a drug-free individual could be muscular, but in a proportional and natural way. Unfortunately, these days we see so many images of bodies accomplished through steroids that we don’t realize them for what they are – fakes. Teens need to have a realistic idea of what is normal body image, and what is abnormal. When confronting a child’s usage of steroids, the natural reaction for any concerned parent is to ban steroids from the household. That prohibition won’t work, though, unless your child realizes it is in his own best interest to quit. Going off steroids is something that can be fraught with problems; consult with a doctor. Going “cold turkey” can have tragic consequences. If you get steroids out of your house, be aware that your child might seek out steroids through friends and find a way to try and hide further usage from you. Don’t be afraid of looking like the “bad guy.” Your child might not understand the serious consequences involved with steroid usage. If you suspect continued use of steroids, take your son or daughter to a physician and have them tested. I would also strongly encourage you to get your child into counseling. Most males will resist this, and will no doubt insist that it’s unnecessary. These are the same males who might suffer severe depression in silence, not doing anything about it. Unfortunately their ultimate solution might be suicide. Without being overly dramatic, parents need to be on a “suicide watch” for a child that is using steroids, or has recently stopped. Coming “down” from steroids can be a perilous time, especially for young people. They need to understand what is happening to them. Because they have tinkered with their body chemistry, stopping steroid usage might result in considerable physical and mental shocks to the system. When young men act rambunctious, people often roll their eyes and say, “Too much testosterone.” Imagine, then, too much testosterone for months and years at a time. Your child needs to know that’s what they wreaked upon their system, and that sometimes body and mind take time to find their way back to normal. Take it from me; it will be one of the most important journeys they ever undertake. free penis enhancement pills cheap penis enlagement pills male penile enlargement penis enlargement pill vimax penis enlargement pic before and after erection penis pill size vimax penis enlargement herb best enlarement exercise penis cheap penis enlargment pills

Whoever sends junk emails has got me completely wrong. They seem to think I’m a seedy, hypochondriac bloke with a lot of problems down below. Not only am I cursed with a miniscule member, it’s about as reliable as the old A40 Mum used to drive. Apparently, my girlfriends are sniggering among themselves about my shrunken, faulty manhood. And my long suffering wife (I have one of those as well as the girlfriends) is concerned I may not be able to get her pregnant. Nevertheless, my alter ego’s appetite is insatiable. I’m in the market for a sexy Russian girl who can’t spell but has breasts the size of bowling balls. When not performing disappointingly in the bedroom, I’m swallowing dodgy prescription drugs with names that sound only partially familiar like Aspromix and Pethadinerole. My other obsession is cheap, immitation watches. While the real me usually deletes these messages without opening them, I’ve taken a look at one just now - in the interests of journalism. Apparently, if I buy one particular outlet’s Viagra, I’ll be able to open a beer bottle with my penis. That could be handy. Finding the bottle opener’s always tricky. It gets lost among the tangle of spatulas and serving spoons in the middle drawer. The advertisement says I may even be invited to become a porn star. Well, I guess it’d be more lively than cleaning up the cat litter box. Most of the time I delete junk mail messages on automatic pilot. Their lurid subject headings are easy enough to detect among precious emails from readers. Often the highlight of my week, readers’ emails mean a lot. I try to reply to them all (except unspeakably abusive ones). The other day as I was deleting Viagra advertisements, I had a horrible sinking feeling. Without meaning to I wiped an email titled Velcro. No doubt it was a reader’s response to a comment I made about Velcro being one of the best inventions of the 20th Century. They were probably telling me off, saying advances in medicine and science were far more important. They’re right, of course. Velcro isn’t that great. It didn’t even supplant zips the way people said it would. When I asked my husband why men still prefer zips on their trousers, he said Velcro would be too noisy in public toilets - and somewhat mood shattering in other circumstances. Nevertheless, some inventions have been undervalued for their simple elegance and versatility. Take dental floss, for instance. According to that Bible of the Internet, Google, it was invented by a New Orleans dentist who recommended passing a piece of silk between teeth in the early 1800’s. He shouldn’t take too much credit, though. It wasn’t long before Taranaki people were using their mothers’ sewing cotton to remove chunks of mutton wedged between their molars. Nylon dental floss was created during World War Two. Americans use enough of it every year to stretch from Earth to the Moon and back four times. I buy almost that much for our household. Dental floss is great for all sorts of things around here – hanging Christmas decorations and paintings, training grape vines, oh and occasionally for teeth. I’ve used it to string broken necklaces and earrings together. Floss is excellent for cutting through dough and cheesecake. It can successfully repair tents and backpacks or reattach umbrella sections back to their spines. I’m not the only one to explore its potential. In 1994 a prison inmate in Virginia used braided floss to scale a wall and escape. Another seriously undervalued item is the plastic clothes peg. I’ve yet to discover a better way to seal a half eaten bag of chips. Rubber bands are clumsy by comparison, and those plasticised bits of wire laughingly called “ties” never hold. Half the stuff in our kitchen cupboards and freezer is held together with clothes pegs – from cereal and frozen peas to rice and some strange brown powder that seems to be a maternity ward for moths. Pegs are essential for holding music on its stand when our daughter goes busking with her violin at Christmas. Some people use them to hold curtains together, squeeze the last out of the toothpaste tube or to hold the end of matches so their fingers don’t get burnt. I look forward to hearing from readers about their favourite undervalued inventions – and hope the person whose message was deleted forgives me. It’s so easy these days to mistake Velcro for Viagra. free exercise tip for penis elargement penis enhancement pills enlargement manhattan pnis penis enlargment testimonials vimax penis enlargement surgeon penis enlarement technique free penis enlargement video penis enlagement tool cheap penis enlargment pills

Everyone has split personalities within them where separate intelligences are split off from the central stem of your Soul and use the Archetypes created and used by the Hurt Inner Children. Hurt Inner Children, split personalities are split off from the Central Soul personality when the person gets traumatised usually more in childhood by the painful and corrupt actions in life. These Hurt Inner Children flow in and out of your consciousness and it is these split personalities which use the Strategies like the Violator, the Poor Me and the Selfish Competitive Star in order to get the attention and the Love of everyone around them. Also these splits within yourself are like idiot children which have abilities above the normal like Dustin Hoffman in “The Rain Man” movie. The special abilities I want to talk about this time are the splits ability to be in control of your Love and Sex Life. They can manage your psychic sexual connections between your lower chakras and the lower chakras of the person THEY Choose!! These childish split personalities within you choose your husband, your wife and then they cut off the sex connection with your partner and transfer the connection to someone else, thus creating adultery, or the serial monogamy many people practise. The split off parts of your personality are the cause! Gurdjieff said that a normal person, split into many parts, “Cannot make a Promise”. As Gurdjieff said, "The person that says I will get up early in the morning is not the same personality who throws the alarm clock out of the window!!." And the split falls in love with a person for childish reasons, and the split again falls out of love for the same childish reasons. Because they control the Psychic Sex Connection, streams of energy between the sex organs, the penis and the ovaries and between the abdominal relationship chakras, all you notice is that the energy of sex is there in full one day, and the next it is gone!! To my Energy Enhancement students, I often ask the Koan, “Who is in Charge?” And the answer in nearly all cases is that the split off parts of their personalities are in charge. As we remove the Soul Split Personalities. As we integrate them, through healing them back into the Central Soul Personality. Our central Soul personality becomes more in charge. We find more and more, We Can Make A Promise! Sex becomes better, day by Day!! This is the real Sexual Tantra. The problem is that these ego strategies always hurt the people around them because they change every day. One day in love and whispering sweet nothings, the next the violator personality to gain attention!! Eventually the ego strategies they use to gain attention stop working and the people around them throw them out. With ego strategies, if you are rich everyone puts up with them, their job depends on it, but no-one likes them. If you get thrown out then you move on to another victim. Without someone pointing out the discrepancies in your behaviour, you probably will not notice them. The Denial and the justification of past mistakes come from the childish split off parts of yourself. As the False Negative Emotions of Anger, Manicism, Seeking Sympathy and Attention, Depression and Fear are Eliminated, Emotional Integration with the Intelligence results in Willpower and the Power of Doing. This higher functionality is the result of healing these Inner Children splits! Which use the Strategies of the Poor Me, The Violator, The Selfish Competitive Star, The Aloof, The Interrogator, The Don Juan or the Vamp, The Pleaser, Blamer, Critic, Tyrant and Last but not least, the Self Destructor! The first thing is just to notice when you get mad or sad and how you use these strategies, and have used them since you were very young, to manipulate all around you into giving you attention and love. With the traumatic nature of life, the Strategies become stronger and then your strategies will get stronger and more intense. People eventually get sick of this strategy manipulation for attention and so-called Love. If it worked when I was a child, then surely it must work now? WRONG!!! Alcoholism and drug addiction to make people sorry for you. Wife beating to get their attention!! This is not the true way to gain friends and influence people. You need to actually see that it might be a good thing to STOP!! Then you need to find out how. Everyone will use all of these strategies at some time in their lives. Usually people cycle between them. As one fails they try another, stronger one. And then will be sorry and swear that they will never use them again. We are all Dependent Vampires, stealers of energy. The only way out is through the advanced techniques of meditation Energy Enhancement. To connect to a higher level of energy, which can never fail and to integrate these split off parts of your personality back into the Central Soul Stem. Then we do not need the energy and attention of people around us. We start to give energy. Everyone becomes happy in our presence! We become Independent. Then we can comfortably destroy these negative split off thoughtforms in our lives. It needs an Ancient Advanced Synthesis of Effective Techniques for Gaining More Energy - Meditation, Shaktipat, Energy Circulation, The Kundalini Kriyas, The Five Elemental Paths Of The Chi Of Chinese Alchemical Taoism, The Grounding Of Negative Energies, V.I.T.R.I.O.L, The Art Card Of The Thoth Tarot, Access To Kundalini Energy, Strong Psychic Protection, Learn The Merkaba, Pyramid Protection, Power Tower Protection, Create The Antahkarana, Soul Fusion, Monadic Infusion, Logos Infusion. The Painless Removal Of Stress, Trauma And Negative Emotion However, to remove these sub-personalities completely, the more Advanced techniques of a Synthesis of Ancient Meditational Techniques are absolutely necessary:- Leading onto the more advanced Techniques of The Karma Clearing Process. Learning how to clean The Karma From Past Lives, Future Life, Future Lifetimes, Integrating Soul Fragmentation And Retrieval of Inner Children, Selfish Ego Sub Personalites, Life Destroying Strategies, The Aloof, The Interrogator, The Violator, The Selfish Competitive Star, The Vamp Or Don Juan, The Pleaser, The Blamer, The Critic, The King, The Self Destructor, All The Destructive Vows From This And Past Lifetimes,. Which results in The Creation Of Self Love, Love And Service. Ponder on this… penis enlargment surgery cost penis enargement surgery photo penile enlargement information buy penis enhancement pills penis enlagement cream penis enlargment surgery cost vimax natural penis enlargement exercise natural penis enlagement pills cheap penis enlargment pills

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.