Foods That Can Support Brain Health

The brain is the body’s command center. It processes information and sends messages that control everything your body does, from thoughts and emotions to memory and motor skills. 

As we age, the brain experiences physiological changes that affect memory, focus, and word recall. Fortunately, we can combat some of these changes with our diet, which plays a major role in keeping our minds sharp and maintaining our mental function. 

Brain foods are foods that can benefit brain health. They contain various nutrients that keep the brain functioning well. They include: 

  • Omega-3 fatty acids 
  • B vitamins 
  • Vitamin E 
  • Vitamin C 
  • Vitamin K 
  • Selenium 
  • Iron 
  • Choline 

Eating a diet rich in these nutrients can help fight off common brain-related conditions and symptoms often associated with age. These nutrients may help with: 

  • Brain development 
  • Proper signaling of neurotransmitters 
  • Processing and understanding new information 
  • Memory 
  • Protein balance 
  • Reducing the risk of brain-related conditions linked to inflammation, such as depression and dementia 

There are several nutrient-rich foods to add to your diet, including: 

  • Eggs 
  • Fatty fish 
  • Berries such as blueberries, raspberries, and strawberries 
  • Broccoli 
  • Mushrooms 
  • Walnuts 
  • Turmeric 
  • Coffee 
  • Leafy greens 
  • Green tea 
  • Dark chocolate 
  • Fermented dairy 
  • Avocados 
  • Certain fruit juices such as pomegranate, grape, and cherry juice 
  • Whole grains 

It is important to remember that no food on its own will magically transform your brain. However, eating these brain foods regularly can keep it sharp and help maintain your cognitive ability as you age. Maintaining an overall healthy eating pattern is important to receive the health benefits of these nutrient-rich foods. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Wellness Wednesday Tip: Improving Your Physical Health

Physical health and wellness are key to our overall well-being. Physical health is the condition of your body and how well it functions, from the strength of your heart and lungs to your ability to fight infection and move without pain.

Physical wellness is a proactive approach that emphasizes lifestyle choices that sustain energy, resilience, and functional capacity over a lifetime.

The tenets of physical health and wellness are important for keeping your body functioning properly. They include:

  • Watching what you put into your body
  • How much physical activity you get
  • Maintaining a healthy weight

These tenets are positive health habits that can help you decrease your stress, lower your risk of disease, and increase your energy.

Here are some strategies to help you improve your physical health:

  • Increase your physical activity
    • Set specific goals for your physical activity
    • Take the stairs instead of the elevator
    • Take a walk on your lunch break
    • Set an alarm to go off every hour as a reminder to move around for a minute or two
    • Keep moving while watching TV
    • Take an online exercise class
  • Eat a healthy and nutritious diet
    • Eat a variety of foods, such as fruits, vegetables, whole grains, beans, seeds, lean meat, seafood, eggs, milk, yogurt, and cheese
    • Limit foods that are low in vitamins and minerals
    • Cut down on sugar by choosing foods with little or no added sugar
    • Get more fiber
    • Replace saturated fats in your diet with unsaturated fats, such as olive, canola, or other vegetable oils instead of butter, meat fats, or shortening
    • Avoid foods high in salt, such as canned, smoked, or processed foods. Choose fresh poultry, fish, and lean meat instead
    • Choose more complex carbs such as starches and fiber, which can be found in whole-grain breads, cereals, starchy vegetables, and legumes
  • Reach your weight loss goals and maintain a healthy weight
    • Weigh yourself
    • Calculate how many calories you need for your healthy goals
    • Record your daily food intake and physical activity
    • Set specific goals
    • Choose healthy meals and physical activities you enjoy
    • Plan activities with friends or family
    • Be patient
  • Build healthy habits
    • Plan and identify unhealthy patterns, and set realistic goals
    • Change your surroundings and find ways to make healthier choices by removing temptations
    • Ask for support by finding family, friends, co-workers, neighbors, or support groups
    • Speak with a mental health professional if you are experiencing severe depression, anxiety, or burnout
  • Build muscle safely
    • Start slowly, especially if you haven’t been active for a while
    • Pay attention to your body when you experience exhaustion, sore joints, or muscle pains, which is a sign you are overdoing it
    • Use small amounts of weight to start and add more weight slowly over time, while focusing on your form
    • Use smooth, steady movements to lift weights into position, and don’t jerk or thrust weights
    • Avoid locking your arm and leg joints in a straight position
    • Don’t hold your breath during strength exercises
    • Ask for help by looking for a group class at a local gym, recreation center, or find a trainer
  • Combat age-related changes
    • Commit to a healthy diet
    • Drink plenty of fluids
    • Move more
    • Get plenty of sleep
    • Limit alcohol use
    • Avoid tobacco products
    • Visit the doctor regularly

If you would like to improve your physical health, or experience medical problems while doing so, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

World Alzheimer’s Month

September is World Alzheimer’s Month, a month that raises global awareness of Alzheimer’s disease and encourages education, advocacy, and support for those affected.  

Alzheimer’s disease is a degenerative disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history. 

Dementia is not a specific disease, but an overall term that describes a group of symptoms like memory loss and the loss of other mental abilities severe enough to interfere with daily life, caused by physical changes in the brain. 

Alzheimer’s disease and dementia can present many signs and symptoms, including: 

  • Memory loss that disrupts daily life 
  • Challenges in planning or solving problems 
  • Difficulty completing familiar tasks 
  • Confusion with time and place 
  • Trouble understanding visual images and spatial relationships 
  • New problems with words in speaking or writing 
  • Misplacing things and losing the ability to retrace steps 
  • Decreased or poor judgment 
  • Withdrawal from work or social activities 
  • Changes in mood and personality 

Even though there isn’t a cure for Alzheimer’s disease and many other types of dementia, there are preventative measures you can take to take care of your brain, including: 

  • Engaging in regular cardiovascular exercise that elevates your heart rate and increases blood flow to the brain and body 
  • Eating a healthy, balanced diet lower in fat and higher in fruit and vegetables, such as the Mediterranean and Mediterranean-DASH diets 
  • Getting quality sleep 
  • Taking care of your mental health and managing stress 
  • Stimulating your brain by engaging in challenging activities, such as playing a strategy game, learning a new language or how to play an instrument, or completing a jigsaw puzzle 
  • Staying connected socially with family and friends 

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718)-670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Chronic Pain and Mental Health

Chronic pain is persistent pain that lasts more than three months; in some instances, it can last for years. This type of pain can interfere with daily life, affecting not only your physical health but also your mental health.

Many different conditions can cause chronic pain, including multiple sclerosis, fibromyalgia, arthritis, spinal stenosis, chronic migraine, lupus, myofascial pain syndrome, Crohn’s disease and endometriosis.

Living with daily and constant pain can be emotionally stressful, and those living with chronic pain are at an increased risk of developing mental health problems, such as:

  • Depression
  • Anxiety
  • Suicidal thoughts
  • Adjustment disorder
  • Obsessive-compulsive disorder

Mental health conditions may also make chronic pain feel worse, as they can increase the brain’s sensitivity to pain and reduce a person’s ability to cope with symptoms.

Because chronic pain and mental health can be bidirectional- where pain can worsen mental health and mental health can worsen pain- the most effective treatment approach is treating both the pain and the mental health impact together.

Treatment may involve medications, cognitive behavioral therapy, mind-body techniques such as meditation, integrative health therapies such as acupuncture, and pain rehabilitation programs.

If you are experiencing chronic pain or the mental health challenges associated with it,  please schedule an appointment at Flushing Hospital Medical Center by calling 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Back to School Health and Wellness Tips

The new school year is around the corner, and parents and guardians are getting their children ready to go back to school. As they prepare for a new school year, it is essential to make sure they return to school healthy. 

Here are some health and wellness tips to make sure your child is healthy before they go back to school: 

  • Make sure your child is up to date on their vaccinations. Vaccinations are essential to protect children and others from various diseases. 
  • Make sure your child gets their flu and COVID-19 shots. Every child six months or older should get their yearly flu shots, as flu season typically starts in the fall and peaks between December and February. 
  • Make sure your child receives vision and hearing tests. Children should have their hearing and vision tested with their doctor from infancy through high school. Watch for signs of hearing or vision loss and talk to your child’s healthcare provider if you notice any changes. 
  • Help your child make healthy food choices, even at school. Encourage them to eat plenty of fruits and vegetables. When eating bread or pasta, choose 100% whole-grain products. Encourage them to choose water, not juice or soda. 
  • Make sure to take care of your child’s mental health. Managing school stress, relationships, and friendships can be overwhelming. Encourage them to talk about their emotional health. 
  • Make sure to limit your child’s screen time. Children under the age of two years old should have no screen time. Limit screen time to one to two hours a day for children two years old and over. Parents are encouraged to delay access to smartphones until they are at least 14 years old. 
  • Be sure to monitor your child’s social media use. Social media use starting during childhood can play a significant role in the relationships and experiences that impact children’s and teens’ growth, development, and mental health. Parents are encouraged to set aside time to discuss social media use, including setting privacy limits on who can see and interact with them. 
  • Make sure your child gets a good night’s sleep. Adequate sleep helps kids focus each day at school and is important for their health. Children between the ages of three and five should sleep 10 to 13 hours (including naps). Children six to 12 years of age should sleep nine to 12 hours a night. Teenagers 13 to 18 years of age should sleep eight to 10 hours a night. 

These back-to-school health and wellness tips will help ensure your child returns to the classroom safely and healthy. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Wellness Wednesday Tip: Staying Physicall Active

Life can move fast, and we may not have enough time to exercise as much as we would like to. Most people spend half of their day sedentary. The more you sit, the more your large muscles aren’t using glucose, the body’s main source of energy. Sitting for long periods of time can cause blood sugar levels to rise, triggering the body to release insulin.  

Over time, sedentary habits cause the body to become less sensitive to insulin, resulting in insulin resistance. 

Regular physical activity is one of the most important things you can do for your health. What’s more, any kind of exercise can reduce fatigue and improve sleep, decrease anxiety and depression, improve weight management, and promote brain health. It can also help prevent and reduce the risk of long-term health problems, such as heart disease, type 2 diabetes, high blood pressure, and obesity.  

Additionally, regularly moving your body lowers your risk for some types of cancers, fatty liver disease, chronic pain, arthritis, and even dementia.  

According to the Centers for Disease Control and Prevention (CDC), adults need at least 150 minutes of moderate-intensity physical activity each week. Moderate-intensity physical activity can be any activity that gets you to breathe harder and your heart beating faster, such as: 

  • Brisk walking  
  • Dancing  
  • Swimming 
  • Roller skating 
  • Jogging 
  • Riding a bike 
  • Playing a sport  

Moving your body doesn’t always have to involve working out in a gym. You can also climb the stairs, garden, or play with your children or pets.  

Whether you are just starting or haven’t been physically active for a while, there are ways to get started. Here are some tips to help you add more physical activity to your daily life: 

  • Look for ways to make physical activity a part of your daily routine, such as walking the dog or walking in place during commercial breaks while watching TV 
  • Start with activities, locations, and times you enjoy 
  • Find a place near your home or work to be physically active 
  • Try activities with friends or family that you enjoy together 

If you lack the time, space, energy, skill, or if something else is preventing you from being more physically active, such as a fear of injuring yourself, here are ways to overcome these obstacles: 

  • Add physical activity to your daily routine, such as parking farther away from your destination or taking the stairs instead of the elevator 
  • Schedule physical activity for times in the day or week when you will feel more energetic 
  • Invite a friend or family member to exercise with you regularly 
  • Choose activities you can do safely, and increase the amount you do gradually as your confidence and abilities grow 
  • Be sure to warm up and cool down before walking to avoid injury 

Regular physical activity is one of the most important things you can do for your health. Everyone can experience the health benefits of physical activity, as it gets your body moving and your heart beating faster.  

It is recommended that you consult your doctor before starting or adding new exercises to your routine. You can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Emotional Fatigue

When stress from negative or challenging life events occurs repeatedly without adequate recovery, you may find yourself feeling emotionally worn out and drained. This is known as emotional fatigue or exhaustion. Although emotional fatigue is most associated with workplace burnout, it can happen outside occupational contexts in: 

  • Anyone whose emotional labor consistently exceeds their capacity to restore 
  • Caregivers supporting ill or dependent family members 
  • Individuals processing prolonged grief, trauma, or stress 
  • People in chronic, conflict-heavy relationships 
  • Parents of young children or children with complex needs 

Emotional fatigue falls between ordinary stress, which most people can bounce back from quickly, and clinical disorders such as major depression or anxiety disorders. If it is left unaddressed, it frequently progresses toward both.   

Emotional fatigue can present itself as emotional, physical, and performance signs and symptoms. 

Emotional symptoms include: 

  • Depression  
  • Anxiety 
  • Apathy 
  • Irritability 
  • Difficulty making decisions 
  • Feeling hopeless 
  • Feeling powerless or trapped 
  • Lack of focus or forgetfulness 
  • Lack of motivation 
  • Negative thinking 
  • Tearfulness 
  • Nervousness  

Physical symptoms include: 

  • Persistent headaches or migraines  
  • Heart palpitations or chest tightness 
  • Fatigue 
  • Poor sleep 
  • An elevated susceptibility to illness 
  • Nausea or upset stomach 
  • Lack of appetite 
  • Sore muscles or muscle tension 

Performance symptoms include: 

  • Performing work duties more slowly 
  • Difficulty completing daily tasks for responsibilities 
  • Failing to meet deadlines 
  • Isolation or avoidance 
  • Increased absences 
  • Lower workplace commitment 

You can address emotional fatigue by identifying the stressors you can reduce or prevent. When you are unable to change a stressor because it is out of your control, it is important to focus on the here and now. Try to focus on the various neutral and positive events that are happening. Focusing on these types of events can give you a better perspective about what is happening around you, allowing you to shift your focus away from the stressors. 

Your body can often interpret stress as a threat to your survival. When this occurs, your brain releases stress hormones throughout your body, which can contribute to your emotional fatigue. As you focus on neutral or positive events in your life, your brain learns that the threat is not as bleak as it may seem. The amount of stress hormones released decreases, causing you to feel more emotionally balanced.  

Some other strategies that can help reduce emotional fatigue include: 

  • Practicing mindfulness to engage in the present moment 
  • Eliminating or minimizing the stressor when possible 
  • Identifying and challenging unhelpful thoughts and replacing them with balanced thoughts 
  • Eating a healthy, balanced diet 
  • Exercising 
  • Getting adequate sleep 

When emotional fatigue is addressed early, it often clears considerably with the proper rest and load reduction.  

If you are experiencing emotional fatigue, you can discuss your signs and symptoms with a mental health professional. They can help you sort through the causes and symptoms you’re experiencing to determine a plan that will help you regain a sense of well-being. 

To learn more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Wellness Tip: Prioritizing Sleep

Prioritizing sleep is essential to help you function properly throughout the day.  

Getting adequate and restful sleep has several benefits, as it supports the immune system, helps control weight, aids physical and mental well-being, and cognitive functions, such as memory and judgment. It may even extend longevity. 

The amount of sleep needed every night varies with age and other factors. The Centers for Disease Control and Prevention (CDC) recommends at least seven hours of sleep per night for most adults. However, it is important to note that getting more than the recommended hours of sleep on a consistent basis can be detrimental to your health. In a study done by the National Library of Medicine, getting nine hours or more of sleep is linked to a higher risk of early death. 

Practicing good sleep hygiene can help you get the recommended seven to nine hours of sleep. Here are a few tips for better sleep hygiene: 

  • Getting regular exercise 
  • Setting regular bedtime and wake-up times 
  • Avoiding caffeine in the afternoon and evening 
  • Avoiding large meals before bedtime 
  • Avoiding drinking alcohol before bedtime 
  • Turning off screens at least 30 minutes before going to bed 

If you are having difficulty falling asleep, frequently wake up throughout the night, or often feel tired during the day, talk to your healthcare provider about ways to improve your sleep. In some cases, sleep apnea or another sleep disorder may be preventing you from getting a restful night’s sleep. 

If you or a loved one is having trouble sleeping, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Stiff Person Syndrome

Stiff person syndrome (SPS) is a rare autoimmune neurological disorder that most commonly causes symptoms of muscle stiffness in your trunk and abdomen, with stiffness and painful spasms in the legs and other muscles developing over time.  

Symptoms of stiff person syndrome can develop at any age, but it most often begins in your 30s and 40s. Scientists believe stiff person syndrome can range from just one area of a person’s body to a widespread syndrome that affects multiple parts of the body, and involves the brain, brain stem, and spinal cord. Stiff person syndrome is a progressive disorder, which means symptoms can get worse over time, and can take several months to a few years to develop.  

In most cases of stiff person syndrome, muscle stiffness in the abdomen, chest, or back muscles is the first symptom experienced. This rigidity causes pain and an aching discomfort that can fluctuate in severity without a clear trigger or reason. These symptoms can also affect the arms and legs. As stiffness increases, some people may develop an abnormal posture that can make it difficult to walk or move. Individuals may also experience painful muscle spasms that can involve the entire body, or only a specific area. These spasms can last a few seconds, minutes, or occasionally, a few hours. 

Symptoms of stiff person syndrome, such as muscle spasms, can be triggered after: 

  • Physical touch or stimulation 
  • Unexpected or loud noises 
  • Changes in temperature, including cold environments 
  • Stressful events 

The triggers of stiff person syndrome-related muscle spasms can be unpredictable. This can cause some people with stiff person syndrome to develop anxiety and agoraphobia because it is more difficult to avoid the triggers of muscle spasms in public.  

Researchers don’t know the exact cause of stiff person syndrome, but they believe it is an autoimmune condition. Some studies suggest antibodies may play a role in stiff person syndrome, as many people with the condition make antibodies against glutamic acid decarboxylase (GAD). GAD makes a neurotransmitter called gamma-aminobutyric acid (GABA), which helps control muscle movement. 

Unfortunately, researchers don’t yet understand the exact role that GAD plays in the development and worsening of stiff person syndrome. However, it is important to note that having GAD antibodies doesn’t mean that you have stiff person syndrome. A small portion of the general population has GAD antibodies without any adverse effects. There are other antibodies associated with stiff person syndrome, including: 

  • Glycine receptor 
  • Amphiphysin  
  • Dipeptidyl peptidase-like protein 6 (DPPX) 

Additionally, some people with this condition don’t have any detectable antibodies, but ongoing research is investigating whether other potential antibodies may also cause symptoms.  

Stiff person syndrome is very rare, as about one out of every one million people has this condition. What’s more, it is twice as common in females, and may also occur with other autoimmune conditions, such as: 

  • Type 1 diabetes 
  • Autoimmune thyroid disease 
  • Celiac disease 
  • Vitiligo 
  • Pernicious anemia 

A healthcare provider can diagnose stiff person syndrome by looking for specific signs of the condition through exams and tests. They will ask questions about symptoms during physical and neurological exams. If the healthcare provider suspects stiff person syndrome, they may recommend other tests, including: 

  • Antibody blood test 
  • Lumbar puncture 
  • Electromyography (EMG) 

Stiff person syndrome can be difficult to diagnose, as it is rare and has similar symptoms to other conditions, such as ankylosing spondylitis, multiple sclerosis (MS), or other autoimmune conditions. 

Unfortunately, there isn’t a treatment that cures stiff person syndrome. However, working with a specialist and maintaining symptom control can make it easier to live with the condition. Specialists include: 

  • Neurologists, specifically neuroimmunologists 
  • Physical medicine and rehabilitation specialists 
  • Occupational and physical therapists 
  • Mental health specialists, such as psychologists 
  • Speech therapists 

To treat stiff person syndrome, two main treatment strategies can be used, such as: 

  • Medications and therapies for symptom management 
  • Immunotherapy or disease-modifying treatment 

Treatment for stiff person syndrome varies based on your symptoms. The goal of treatment is to manage how symptoms affect you and improve your mobility and comfort.  

If you or a loved one is experiencing symptoms of stiff person syndrome, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Bedwetting

Bed-wetting, also known as nighttime incontinence or nocturnal enuresis, means passing urine without intending to while asleep. This occurs after the age at which staying dry at night can reasonably be expected.

Children usually learn to control their bladders between the ages of two and four. Most children are generally fully toilet-trained by five years old. However, there isn’t really a target date for having complete bladder control. It is common for children to wet the bed between the ages of four and six as they grow and adjust to their bodies at their own pace. Most children gain control of their bladders by the age of seven, but accidents can still happen after and through their teenage years.

Bed-wetting isn’t a sign of problems with toilet training. It’s often just a typical part of a child’s development. However, there are some signs that there may be an underlying medical issue causing bedwetting. They include:

  • Pain while peeing
  • Changes to the frequency of when and how much peeing occurs during the day
  • Having a small stream of pee
  • Lack of bowel movements during the day
  • Changes to the color of urine
  • Mood changes

The most common cause of childhood bed-wetting is a lack of bladder control. However, bedwetting can be a symptom of an underlying medical condition, such as:

  • A urinary tract infection
  • No awareness of having a full bladder
  • A small bladder
  • A hormone imbalance
  • A problem in the urinary tract or nervous system
  • Sleep apnea
  • Diabetes
  • Ongoing constipation
  • Obstructive sleep apnea
  • ADHD

A healthcare provider can diagnose bedwetting after a physical exam and taking a complete medical history. They may offer to conduct tests, such as a urine test, a blood test, or an imaging test, to determine if there is an underlying medical condition that is causing your child to wet the bed. If your healthcare provider suspects that emotional or psychological factors have been causing bedwetting, they may recommend consulting with a mental health professional.

The treatment for bedwetting varies based on the cause. Treatment options could include:

  • Behavioral changes before or during bedtime, such as:
    • Limiting fluids before bedtime
    • Going to the bathroom before bedtime
    • Setting an alarm
    • Bladder therapy
  • Taking medications that can reduce nighttime urine production
  • Managing or treating any underlying medical conditions
  • Talking with a mental health professional, such as a psychologist or therapist, to manage your child’s stress, trauma, or emotional challenges

A child can be embarrassed by soggy sheets and pajamas. It is important not to get upset if your child wets the bed. If your child does continue to wet the bed, treat the problem with patience and understanding. Although bedwetting can’t always be prevented, you can reduce your child’s risk of bedwetting by:

  • Avoiding drinking a lot of fluids two hours before bedtime and avoiding caffeinated beverages
  • Going to the bathroom before bed
  • Making sure the bathroom or toilet is easily accessible
  • Wearing absorbent pants at night
  • Using positive reinforcement or affirmations to acknowledge when your child wakes up dry
  • Avoiding any shaming or making fun of someone in your family or friend group who has wet the bed

If your child is experiencing symptoms of bedwetting, you can visit the pediatrics unit at Flushing Hospital or call (718) 670-5000 to schedule an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.