Monday, 9 August 2021

Lupine Publishers| Bruxism and Enuresis: Common Entities But Understood

 Lupine Publishers| Online Journal of Neurology and Brain Disorders (OJNBD)


Editorial

In the population in general, but especially in Paediatrics, there are a couple of sleep disorders that deserve different attention, due to the lack of medical culture to address them, these two conditions are bruxism and enuresis. The first one is very, very frequent to find it around us, either with any person that surrounds us, and it is very frequent in women, since it will increase the appearance of headaches in the population in general.

This is defined as the involuntary habit of squeezing or grinding the teeth, especially during sleep; the people in general, but more serious still, the doctors or dentists, have the rather erroneous idea that it is by parasites, and every time they arrive with said symptom to consult they take their “paque-desparacites” without asking anything else; and is that we speak of a phenomenon or condition that has a very definite origin in high levels of anxiety, which leads to a wear on the gums, temporomandibular joint dysfunction, headache or headaches that are very resistant to treatment and depression and anxiety for a chronic bad sleep.

It is thought that only the famous “guard-occlusal” prescribed in dental offices is the answer, but this is far from true, since it must be accompanied by exercise that allows relaxation, and if you hurry me, swimming is fantastic; supportive psychotherapy in many patients; sleep hygiene measures should be indicated, and always the review by a maxillofacial specialist; I always say this phrase to my patients who define the basis of their treatment “should be far from the person who is now and reinvent themselves” as this derives from their temperament and personality.

Enuresis is defined as the persistence of urine or urine without control beyond the age at which bladder control is reached (in a range of 4 to 6 years of age), and occurs both day and night, although the latter by far it is the most frequent, and it is catalogued within the group of parasomnias, which as we already mentioned are activation disorders or sudden sleep arousal. What causes enuresis? Although anatomical alterations in the urinary tract must be ruled out, mainly and by far they are psychological, since it is the face of the depression in many children, that aside they present with anguish and feelings of guilt, believe me that it is quite painful for a child who lives This phenomenon, a situation that if we do not treat it with the maturity and stature required, will mark the life of this being for the rest of his life.

Initially, the management of anti depressants may be indicated, but much more should be treated emotional aspects, with supportive psychotherapy, rewarding behaviour of parents, which means not hitting or mortifying the child, and more than what is found, it is better to talk to him, explain that it is not his fault, and that he would receive some prize or encouragement if he could avoid it; Limit your fluid intake until certain time of day, exercise and our sleep hygiene measures.

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