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 children the habit is often broken by appealing to the pride—by requesting or demanding the child to rinse out the bed linen and hang it up to dry himself.
Usually at puberty the trouble ends, and while no amount of whipping will correct the difficulty, the promise of rewards, an appeal to the pride, correction of dietetic errors, the establishment of regular times to empty the bladder, the removal of all reflex causes such as adenoids, need of circumcision, worms, etc.—these combined influences—will bring results in the end, if they are faithfully and intelligently applied.
MENINGITIS
Cerebro-spinal meningitis is not highly contagious. Children old enough to complain of symptoms usually first complain of an intense headache with frequent vomiting and very high fever. Great prostration is seen, the pulse is weak, the respirations are irregular, the child may have convulsions, or it may have chills and fever, and rigidity of the body may be present. The position of the child is very characteristic. It does not want to lie on its back but usually rests on one side, with the spine more or less arched. It is a very serious disease and demands the early attention of a physician. Some cases are very mild and others are exceedingly grave. If the physician is secured early, and special remedies administered that are known today, many of the children may be saved.