Reacting to the shocking incident of
a Class 5 girl at the prestigious Visva-Bharati University in West
Bengal being made to drink her own urine by her hostel warden as
punishment for bedwetting, NCPCR(
National Commission
for Protection of Child Rights) Chairperson Shanta Sinha on Monday said
that the guilty must be punished.
"It is a very shocking incident. The concerned warden should be punished for this act. She should be suspended," she said.
Police
arrested the warden of a school hostel who allegedly forced a student to
drink her own urine as punishment for bed-wetting.
The girl's parents lodged a complaint alleging that the
warden of Patha Bhavan school "squeezed urine into the girl's mouth from
the bed sheet".
But the parents have been arrested for "unauthorised entry" to the school.
The educational trust which runs the school has begun an investigation. The warden has made no public comment yet.
Patha Bhavan school, in the town of Santiniketan in West
Bengal state, is run by Viswa Bharati university, which was set up by
Nobel-winning poet Rabindranath Tagore.
A spokesperson for the university said they had received a
complaint from the girl's parents and formed a four-member committee to
investigate the case. The girl was in the school's fifth grade, and she
is reported to be about 10 years old.
'Girl unwell'
The incident has sparked anger and outrage across the country.
India's child rights commission has sought an explanation from the school.
"If this is true, then the warden should be suspended,"
chairperson of the National Commission for Protection of Child Rights
Shanta Sinha said on Monday.
"People who look after children should know how to look after them," she said.
Ms Sinha said her office was sending a notice to the school asking them to explain the incident within a week.
According to the parents of the girl, the incident took place
on Saturday night when their daughter wet her bed because she was
unwell. They say they only found out about the incident when the mother
called the warden to inquire after the girl.
In their police complaint, the parents say that the warden
told them she made the child drink her own urine "as a treatment to stop
the bad habit".
The university also lodged a counter-complaint with the
police, accusing the parents of entering the hostel without permission
on Saturday night.
Corporal punishment is banned in India but cases of physical abuse are regularly reported.
What to do about bed wetting
by Gary A. Emmett, M.D
If your child is still wetting the bed, you’re not alone. Up to 7 million kids still wet their
beds after age 6. Plenty just need a little longer to develop the
internal alarms and hold-it systems that keep urine in until a child
wakes up and stumbles into the bathroom. It may – or may not – be
comforting to know that by age 15, just 1 to 2 kids in 100 are still having problems with wet beds.
Kids who wet the bed fall into two categories
Children who have never (yet) been consistently dry at night.
These children almost always have histories of parents who wet their
beds and they are remarkably deep sleepers who are simply hard to wake
up. Bladder pressure doesn’t rouse them – they just sleep right through
their wetting themselves and their bed. They wet their beds because
they do not respond to high bladder pressure that wakes up most people.
This group usually stops nighttime wetting at the same age their
parents stopped it. Most bed-wetters fall into this group.
Children who were dry at night and now are not. This
group was completely dry and then starting wetting their beds. This is
very different, and much rarer, issue. A few of them have bladder
infections or kidney problems and this can be diagnosed quickly with a
urine sample for analysis. Many of this small group can get all better
just with a course of antibiotics. Another reason for losing the
ability to be dry at night is, unfortunately, severe emotional distress
such as child abuse (physical, sexual and/or emotional), bullying at
school or post-traumatic stress disorder. If that describes your child,
have a serious conversation with your doctor about the steps you should
take to find the cause, and help your child heal
Q: How common is bedwetting in children who are daytime toilet-trained?
A: Over 20 percent below age 5 and even 5 percent in the teenage years (just no one talks about it)
Q: At what age are most children able to control their bladder?
A. Most girls potty train for daytime dryness by age 30 months and
for night dryness by age 5. Boys can also potty train for day dryness by
30 months of age, but may need til age 6 to stay dry overnight.
Q: Could something be wrong with my child’s bladder?
A: In children who have never been consistently dry at night
and are perfectly trained during day, urinary tract disease is
unheard-of as the cause of bed-wetting. (Of course, if your child has
other signs of bladder problems such as pain, fever, an unusual urine
odor, nausea, vomiting or just looking unwell with a fever and no known
cause, contact your doctor.)
See your doctor if your child has never been dry – day or night – by age 4.
Q: What are your top tips for helping children who wet the bed?
A: For all children:
- No liquids after dinner
- Awaken child before the parent goes to sleep and make him or her go to the bathroom and then bac to sleep.
- Teach child to hold urine in during the day for slightly longer periods of time
For children who are dry during day, wet at night and 6 years old or over:
- The 3 above and the “Carrot and the Stick”
CARROT: Get a “star chart” (a calendar and gold
stars), and if the child goes a week without bedwetting let him or her
do a big kid thing like ride his bike to the end of the block (but the
child has to want to do this big child thing). (Don’t reward with toys
or food.) Continue to extend the dry period needed for a reward over
time UNTIL DRY ALL THE TIME.
STICK: The child is responsible to strip the bed and take the sheets to the washer/dryer or gets to sleep in wet sheets.
Q: How can I help my child keep their bed dry?
Try the ideas above. And consider buying a bedwetting alarm that will
awaken the child when his/her underwear start to get damp (it will also
probably awaken the parents – many types available on line, for
example, www.bedwetting.com)
Q: How soon does bedwetting resolve itself?
A: If you do nothing, 10 percent of nocturnal enuresis (the medical
term for bed wetting) goes away every year. If you do everything I
recommended above, 30 percent goes away every year. There is no easy
solution.
Q: Does bedwetting emotionally affect my child?
A: In a young child, it may only be an issue if he or she goes to
sleep-away camp or to a friend or relative’s house for a sleepover. But
after age 10, emotional reactions may be more severe.
Q: How can I help my child cope with wetting the bed?
A: Reassure him/her it is normal. If you or your spouse experienced the same challenge, tell your child about it.
Gary A. Emmett, M.D., F.A.A.P., has been a primary care
pediatrician in South Philadelphia and Center City since 1979. He is
currently an attending pediatrician at Nemours Pediatrics, Philadelphia
and Director of Hospital Pediatrics at Thomas Jefferson University
Hospital
Does your child wet the bed – or did she or he? What did you do about it? What helped most?
Bedwetting Misunderstood but Often Treatable
Parents Often in the Dark About Why Kids Wet the Bed and What They Can Do
Hidden Cause of Bedwetting continued...
"It's a subtle thing and people often dismiss it," Hodges tells
WebMD. "But it is not just simple constipation; it can also mean rectal
tone and is often missed."
Hodges says many parents mistakenly think constipation in
children only means rare or hard bowel movements. Instead, he says the
most common symptom is abnormally large bowel movements.
Excess stool in the large intestine can put pressure on the
bladder and reduce its ability to hold urine, leading to bedwetting. An ultrasound or X-ray can reveal stool in the rectum, and treatment with laxatives or enema usually resolves the issue.
Hodges recently published a study in
Urology
that showed four out of five children who wet the bed showed signs of
constipation in X-rays, even though only 1 in 10 had constipation
symptoms. Once the children were treated with laxatives or enemas, 83%
no longer wet the bed within three months of treatment.
Treatments to Stop Bedwetting
Once the cause of bedwetting is identified, Kiddoo says the most
critical aspect of treatment is reassurance for both the parent and the
child.
"If it is just nighttime bedwetting, it is not medically
serious," says Kiddoo. "But parents should also be aware of the impact
on kids. We don't want to minimize how it's impacting their quality of
life."
Treatments for bedwetting include:
- Bed alarms. The report shows alarms that sound or vibrate at
the first sign of moisture are the only treatment that has been shown to
have a lasting effect on bedwetting. A recent study showed 66% of
children who used a bed alarm were dry for 14 consecutive nights
compared with 4% of children who had no treatment. These effects
persisted after the alarm was stopped.
- Lifestyle modification. Drinking less at bedtime, reducing caffeine, and having incentives such as rewards may help.
- Medication. The drug desmopressin may help children who wet
the bed due to overproduction of urine, but the effects stop when the
medication is discontinued. Tricyclic antidepressants,
an older form of antidepressants, may also be helpful to some children,
especially teenagers who are also experiencing depression. But these
drugs can also have unwanted side effects.
- Alternative therapies. Hypnotherapy, acupuncture, chiropractic treatment, and psychotherapy have been tried for bedwetting, but researchers say there is little evidence to support these treatments.
- Taking no action. Bedwetting is a common condition and there
is a natural cure rate as a child matures: 15% of children per year will
stop bedwetting with no treatment.
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