unable to do this
without appropriate treatment pursued for months, and even years.' Dr.
Tanner states:--'Very frequently this affection is the consequence of
bad habits; being favored by the free use of fluids during the after
part of the day, by exposure to cold in the night, and by lying on the
back.'
The presence of worms in the bowels is one of the causes of this
annoying ailment, and they should be sought for in all cases. Stone in
the bladder sometimes occasions the affection, but in such instances
other symptoms will soon point to the true nature of the trouble.
This subject is one of an importance which demands some attention from
us in a work for parents. In the language of Dr. Vogel, 'the effects of
this malady are unpleasant, for the psychical development in particular
suffers. The repeated punishments which these children undergo blunt
their sense of honor considerably; they become cowardly and deceitful,
and have no personal spirit. If great and expensive cleanliness is not
practised, the bed, and even the whole room, acquires a urinous odor,
which contaminates the atmosphere and begets conditions by no means
favorable to healthy growth. Such children may be ultimately attacked by
indolent ulcers on the nates and lower extremities, the results of
urinous excoriations.'
The only _symptom_ ordinarily present is that the child towards morning
or in the middle of the night wets the bed without waking. This may
happen several times during the sleep, and recur every night. In some
cases the act takes place only every other night, but it is rare that
there is an interval of more than one night.
The _cause_ of this failing is sometimes very simple and one easily
remedied; for it is often the result of neglecting to take young
children up once during the many hours they require for sleep. By
attention to this matter and to the diet, the habit may be speedily
broken. Unfortunately most cases are not so quickly amenable to
treatment.
In the _treatment_ of this infirmity, corporal punishment should not be
thought of. It is useless, cruel, and unnatural. The child might as well
be punished because it squints or has club-foot.
Care must be taken to see that the little patient eats or drinks nothing
for several hours before bed-time. The child should also be awakened a
little before midnight, and at a very early hour in the morning, and
made to empty its bladder. It is of great importance to get the child to
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