It is defined as an inability to control urination.
Enuresis (bed wetting)
- Nocturnal enuresis (bed wetting).
- Diurnal enuresis
It is involuntary urination while
asleep after the age at which bladder
control would normally be anticipated. Bed-wetting is fairly common and
is often just a developmental stage. Bed-wetting is more common among
boys than girls.
- Primary Nocturnal
Enuresis- It refers to inability to maintain
urinary control from infancy. It is the most common form of bedwetting
- Secondary Nocturnal
Enuresis- It occurs after a patient goes through
an extended period of dryness at night (roughly 6 months or more) and
then reverts to night-time wetting. Secondary enuresis can be caused by
emotional stress or a medical condition, such as a bladder infection.
of the causes of bed-wetting include the following:
- Genetic factors (it tends to run in families)
- Difficulties waking up from sleep
- Slower than normal development of the central nervous system (which
reduces the child's ability to stop the bladder from emptying at night)
- Hormonal factors (not enough antidiuretic hormone is produced, which
is the hormone that slows urine production at night)
- Urinary tract infections
- Abnormalities in the urethral valves in boys or in the ureter in
girls or boys
- Abnormalities in the spinal cord
- A small bladder
Bed-wetting is not a mental or behavior problem. It doesn't happen
because the child is too lazy to get out of bed to go to the bathroom.
Enuresis (daytime wetting)
It is defined as involuntary voiding beyond the age of anticipated
control. Children with daytime wetting may have frequent urination,
have urgent urination or dribble after urinating. Daytime wetting is
more common in girls than in boys.
causes include, but are not limited to:
- Incomplete emptying of the bladder
- Irritable bladder
- Urinary tract infection
- Urgency (not "making it" to the bathroom in time)
- Anatomic abnormality
- Poor toileting habits
- Small bladder capacity
- Medical conditions like overactive bladder disorder
is most often diagnosed in children because the parents
express concern to the child's doctor. The pediatrician or family
physician will give the child a physical examination to rule out
medical conditions that may be causing the problem, including
structural abnormalities in the child's urinary tract. The doctor may
also rule out a sleep disorder as a possible cause.
Examination has to be done to rule out any infection and diabetes.
Doctor may also ask about how things are going at home and at school
for the child. Studies have shown that children who wet the bed are not
more likely to be emotionally upset than other children. The Doctor
also ask about your family life, because treatment may depend on
changes at home.
clinical investigation, if any pathology is present then the line
of treatment will be according to that.
children outgrow bed-wetting without treatment. Children achieve
bladder control at different ages. By the age of 5 years, most kids no
longer urinate in their sleep. When bedwetting continues to age 5 (or
at any age if it is troublesome to the child) it is time for treatment
to stop it permanently.
can be treated with behavior therapy and medicine.
- Behavior therapy helps teach your child not to wet the bed. Some behavioral treatments include the following:
- Alarm system that rings when
the child wets bed.
- Reward for dry nights.
- Asking your child to change
the bed sheets when he wets bed.
- Having your child practice
holding his or her urine for longer and longer times i.e. bladder training.
- Have your child go to the
bathroom at the beginning of the bedtime routine and then again right before going to sleep.
Bedwetting, especially Primary Nocturnal Enuresis (PNE) can be treated safely and effectively with homeopathic medicines. Homeopathic remedies selected after properly studying the patient's case is very effective in stopping Primary Nocturnal Enuresis with no relapse. Patients having PNE of any age can be successfully treated. Moreover, all homeopathic medicines are natural, easy to administer and do not cause any adverse effects.
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