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Seven Steps to Nighttime Dryness: A Practical Guide for Parents of Children with Bedwetting
2011 by Brookeville Media LLC, Ashton, Maryland. Printed and bound in the United
States of America. All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by an information storage and retrieval system—except by a reviewer who may quote brief passages in a review to be printed in a magazine, newspaper, or on the Web—without permission in writing from the publisher. For information, please contact Brookeville Media LLC, PO Box 27, Ashton, MD 20861. 301-774-1349, fax 301-774-7982. Although the author and publisher have exhaustively researched al sources to ensure the accuracy and completeness of the information contained in this book, we assume no responsibility for errors, inaccuracies, omissions, or any inconsistency herein. Any slights of people or organizations are unintentional. Readers should use their own judgment or consult a medical expert or their personal physicians for specific applications to their individual problems. All trademarks mentioned are the property of their respective owners.
Visit for additional bedwetting information and Attention Corporations, Universities, Colleges, and Professional Organizations: Quantity discounts are available on bulk purchases of this book for educational, gift purposes, or as premiums. For information, please contact Brookeville Media LLC, PO Box 27, Ashton, MD 20861. 301-774-1349.
Cover illustration: Jing Jing Tsong, Hawaii Renee Mercer is a Certified Pediatric Nurse Practitioner specializing in the treatment of children with enuresis, or bedwetting. She sees children with bedwetting and daytime wetting in her private practice, Enuresis Associates, in Elkridge, Maryland. Renee has more than 25 years of experience in pediatrics. She developed her interest in enuresis after appreciating the great unmet need of children with bedwetting. She works closely with families in their quest for dryness and has a tremendous success rate.
After years of frustration finding suitable products for children with bedwetting, Renee co-founded the Bedwetting Store, (http://www. a comprehensive online and catalog source for bedwetting alarms, waterproof bedding and pads, products for daytime wetting and information to assist children in achieving dryness. She regularly blogs to answer questions and provide the newest bedwetting information to families on
Renee lives with her husband and three sons in Maryland.
Anti-diuretic hormone (ADH)
factors; wetting. Can be further defined as diurnal, nocturnal, Constipation
hard, dry or infrequent bowel movements.
how often urination occurs;
of urine produced by the kidney; also know by trademark DDAVP.
Functional bladder capacity
the amount of urine the bladder
Diurnal enuresis
after a prolonged period of dryness.
Secondary enuresis
Timed voiding
Nocturnal enuresis
day at regular intervals of time (e.g., every two hours).
a medication that allows bladder
Timed voiding program
Pelvic floor muscles
protein during digestion, triggers serotonin release.
Primary enuresis
wetting that has always been
small tube that carries urine from
the kidney to the bladder.
tube that carries urine from the
bladder to the outside of the body.
Urinary system
responsible for producing urine,
storing it and getting rid of it.
Urinary tract infection (UTI)
a condition where bacteria (germs)
grow anywhere along the tracts
where the urine passes, causing an
infection. Can occur in the kidney,
ureter, bladder or urethra.
see anti-diuretic hormone (ADH).
the act of excreting urine.
secondary, 7, 17, 27–28, 77, 97see also causes of enuresis, new, starting at, 24timed voiding schedule at, 88–90 apnea, 26decreased arousal from, 12–13, combination therapy for, 83, 109keeping records, 84parental assistance with, 81–82use of alarms, 81–83with bedwetting, 20, 69–70 for daytime wetting, 86use of vibratory watch in, 88–90


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