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A full history taken by the doctor and a complete physical examination should give him a good idea whether the condition is the usual form of bed-wetting or due to disease.

Examination of the urine by testing for protein and sugar and looking at it under the microscope is the only special test necessary.

Most cases are primary and have never been dry for longer than, at most, a month. Those secondary cases who have achieved control for months, or even years, and then relapsed are usually due to some emotional upset such as separation or the arrival of a new baby. These cases usually respond to counselling.

Lifting the child at night before the parents go to bed doesn’t cure it as the times when the child voids vary so much. But, done consistently, it certainly gives dry sheets — and there is the possibility that he will grow out of bed-wetting.

Dehydration — that is, by restricting fluids in the evening — is another method widely used but is of little benefit.

Sometimes, both the parents and the child are satisfied by a full explanation and reassurance and no further treatment is needed. They are prepared to wait until time effects a cure.

In the past, several drugs were used, but with only moderate success.

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I have concentrated on the choice of treatment in this section as this is so important and so daunting. However, the same considerations apply to other decisions in your life as well. Naturally, you will take the opinions of other appropriate people into account. In deciding, say, whether to resign from your job, you might consider the opinions of your spouse, children, employer, Id low workers, practitioner, social worker, and priest. By all means listen to the views of people who are important to you. But, as I’ve said before, you are the only one who really knows what’s best forjyoM. Trust that.

All of the above is about the here and now. Try to apply the same ideas to the future. Have you made a will? People with nicer often avoid doing this because they somehow see it as meaning that they are giving in or giving up hope. Of course, it doesn’t mean anything of the sort. All adults should have a will, because all of them, sooner or later, will most certainly die. Making a will simply means acknowledging and accepting that reality. I know that it is a reality which is unpleasantly close for you, but avoiding making a will doesn’t make the possibility of death go away. If you make a will you are acting on your right to dispose of your property as you wish instead of leaving these decisions to others who should not be responsible for them. Be strong and do it.

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