Bedwetting in 11 yo with congenital disorder - getting exhausted

Child's First Name: Linda
Age: 11 years
Height: 154 cm
Weight: 60
Birth weight: 3300 g (european size)
Hair color: it used to be blond, now it’s getting darker
Race/nationality: Belgian

1. What is the chief complaint? bedwetting.
At the age of two she was diagnosed with a neurological disorder that causes a motoric delay (she only crawled at two years old, walked at 4 years old) , kidney troubles and learning problems.
She wetted the bed until she was 6 years old, at day she was dry from 4 years old. She only wetted the bed when she was very stressed about something (this happened 3 times a year)
At the age of 6 she was bullied for several months at school. She was homeschool for 4 years and now she goes to school again. Last year there were a couple of weeks that she was bullied again and she refers to that time as “her black episode”
In May this year she had a very stressful time at school and experienced lack of energy. She stressed out about two field trips. After the first field trip she came home and couldn’t reach the bathroom at time. She has wetted the bed almost every night since then.
When I ask her what happened that exact day she says that she felt very isolated from the group.
Her urine was tested and she was diagnosed the last months several times with bladder infection. She took antibiotics two times, but it didn’t have an effect on the bedwetting.
She often has a bit of a higher temperature since then.
The bedwetting most of the time happens at 2 am-3 am
She feels exhausted and at school she asks for a lot of time out.

2. When did this problem start? What happened in the child's life around that time? What do you think caused it?
see above


3. What aggravates the chief complaint?
when it’s hot at night and she sweats a lot
During summer months she had a fan at a side of her bed, but now autumn is starting, she wants to keep it turned on during the night (she says she needs the noise to fall asleep)

4. What makes the chief complaint better? (
as far we haven’t found anything
5. What time of day is the worst for your child ? 2-3am
7. What was the mother's and father's state of health at time of conception? How did the mother feel during pregnancy physically and mentally? Did she suffer any shocks or traumas while pregnant?
Mother: I felt sick a lot.
The birth had to be triggered because at 40 weeks, the birth didn’t get started.
8. Did the mother have any unusual or memorable dreams while pregnant? yes, I dreamt that there was a second child beside the child in my womb, but that child was more vague (sometimes I think that there was a second child for a short time, and that I lost it)
10. Were there any complications at birth? she got stuck in the birth channel

11. At what age did the child: crawl, walk, talk, teethe, toilet train, wean? she only crawled at two years old, walked at 4 years old
12. How did the child react to the following situations:
she’s very attached to her grandmother and regularly asks to stay over there but when she’s there she’s homesick. She really likes being at home, with regular meals (she’s especially fond of fruit, she says she likes them because they’re so refreshing), watching tv, playing computer games, writing fantasy stories on the computer, listening to music (while she moves in a spinning way )
She has a lot anticipatory fears when for instance we’re going on a field trip. often when we get there, she enjoys herself but she always asks soon when we’ll go home (and when she’ll get her fruit)
At the age of 7 she got a foot trauma because of a car hitting her on a parking lot. For a year she was very scared to come out of the house.
She begs for a puppy since years and almost every day she starts a discussion about this.
She had a kitten four years ago but in 2014 this cat was hit by a car and died. Since 2015 we have a cat again and she’s very afraid that something will happen to this cat.
13. How many rounds of antibiotics has the child had and for what conditions? around 4 yo she had a lot of ear infections, three times treated with Antibiotics / January this year she had a throat infection treated with antibiotics and now the two last months two times antibiotics
14. Any skin conditions treated with cortisone-type cream? No
15. Did the child have an especially severe childhood illness--measles, mumps, croup, etc.?
-> salmonella, pneumonia
16. When ill or upset does the child want to cling or be left alone, or something else altogether? she’s sulky, wants to be taken care of (she wants food and wants to talk about fun things that perhaps will happen in the future )

17. How would you describe the child's behavior when playing with other children?
she has one best friend and together they play fantasy games. she used to be rather dictatorial but now there’s a good balance between them. At school she doesn’t understand play yard games and she often asks for a book to take to school so that she can read during the breaks.
18. What feedback do you get from the child's teachers? She’s a slow learner, when asked a question she answers silently.
19. How does your child treat animals? She cares a lot for her cat. She wants the cat to be around her all the time and feels sad when the cat stays for instance outside for a night.
20. What foods and drinks does your child crave?
she craves fruit especially strawberries, fruit juice, tomatoes, omelet and bacon, milk
she dislikes chocolate (although she’s now beginning to like black chocolate)
She reacts badly to Fristi (sugared milk with strawberrie flavor), after drinking it she’s whiny and extremely tired

21. What fears does your child have?
spiders and insects (she almost jumps out of the car when there’s a fly in it)
that something will happen to her cat or the chickens
that she will be bullied again
that her bedwetting will never pass
about the future: that her parents will die, that she won’t find someone who loves her
22. Is the child chilly or warm? Is there excessive perspiration anywhere?
23. How affectionate is the child when not sick? not particularly.

24. How sympathetic is the child (concerned with the suffering of others)? rather

25. How is the child affected by music and dancing? Loves music and moving to a beat (she spins around her own axe )

26. What emotion tends to predominate with the child? tired, sad, anxious

27. Is the child fastidious? not particularly
28. Is the child sensitive to criticism and reprimand? very sensitive.
When she has to do her school work, it takes ages before she attends to it. If I tell her that she really has to do it, she says a lot of sad things that for instance happened a long time ago. If we loose our patience at her eventually, she gets very angry in return.

29. Describe the child's eating habits
-> she enjoys eating, eats rather slowly and always asks for a second portion
30. Are there any digestive complaints
diarrhea
31.
Are there any problems associated with sleep? What position does he sleep in? Does he throw the covers off? Does he sweat during sleep? On which part of the body? Trouble falling asleep? Nightmares, etc.?
she has difficulties falling asleep,
she moves in her bed, throws the bed covers off and often sleep with her knees raised
she wants a lot of stuffed animals in her bed, we limited them to 12, but she often tries to sneak in extra ones
she sleeps at her back or at her left side (so that she can check the wall at that side for spiders and insects)
32. Any skin symptoms or anything note-worthy about the skin, the complexion, etc.?
she’s rather pale with several moles
33. Is there anything striking, or characterizing about your child, for example: attatchments, unusual desires and abilities, preferences in clothing, etc.?

34. How cooperative is the child?

35. What's standing in his way of getting what he wants or needs?

36. How often does the child get sick? Does he tend toward certain illnesses?

37. What illnesses run in the family, including the grandparents? grandmother: psorias arthritis grandfather: diabetic Mother: CFS(cronichal fatigue syndrom), joints pain Father: allergy, asthma Grandmother: fibromyalgia

38. What does the child really love to do? she used to love swimming or being at the seaside (jumping up and down at the water edge, making sand castles, while she doesn’t care getting cold) but now she feels too tired to do this

39. It's important for us to know what may have been the cause for the complaints you have mentioned. To this end, please make a list, in order of occurence, of the major events in the child's life, including such things as physical and emotional traumas, major illnesses, losses, deaths in the family, surgeries, etc. and the child's age at the time. If he or she had a notable reaction to these events, please describe.

We really hope someone can give us advice.

Kind regards,
Catherine