r
a turning of one eye outward when the contraction is divergent. It is
not possible for the mother to correct this condition. The one
important thing for her to do is to take the child to a skilled
ophthalmologist early in his life, that treatment may be instituted
for the correction of the difficulty.
RETENTION OF URINE
Not an unusual condition during childhood is a temporary retention of
urine. It may follow an attack of colic or accompany any acute
illness. Increase the water drinking, and, after seven or eight hours,
hot cloths should be applied over the bladder; a large enema (enema
bag should be hung low) should also be given, retaining as much as is
possible. These simple measures usually relieve the condition. If
retention follows circumcision, due to swelling of the parts, the
surgeon should be notified.
BED WETTING
Nocturnal enuresis (bed wetting) usually is found to "run in
families." It is seldom the case to find that both the father and the
mother escaped bed wetting during childhood when the child is sorely
afflicted.
Early bad habits may be the prime factor in this distressing and
humiliating difficulty. A little child that has been compelled to lie
in wet diapers for hours at a time gradually becomes accustomed to
"being wet," and the desire to urinate is not under the keen control
of a will that has been trained by untiring patience to "sit on a
chair" at regular intervals throughout the day. This lack of training
in a child who possesses an unstable nervous system, creates the
proper environment for the habit of bed wetting--which often marches
steadily on until puberty. In the treatment of bed wetting give
attention to the following:
1. The urine should be thoroughly examined.
2. The size of the bladder should be determined.
3. The last meal of the day should not be after four o'clock in the
afternoon.
4. All during the day, in young children, systematic training should
be begun--put the child on the chair every hour, then every hour and a
half, then every two hours. Let the work be done most painstakingly
and much will be accomplished toward training the bladder to "hold its
contents" during the night. For a time it will be necessary to set an
alarm clock to ring every three hours during the night, that the
bladder may be relieved at regular intervals.
5. No liquids whatever are allowed after four P. M.; even the four
o'clock meal should be very light.
6. In older chi
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