Family Health Guide

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Bedwetting

Bedwetting , or nocturnal enuresis, refers to the passage of urine during sleep. Bed-wetting is fairly common. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Primary enuresis is when the child has never been dry at night or would not sleep dry without being taken to the toilet by another person or has some dry nights but continues to average at least two wet nights a week with no long periods of dryness. About 5 million to 7 million children wet the bed.Bedwetting often runs in families Most kids who wet the bed have a relative that did it, too. If both parents wet the bed when they were young, it's very likely that their child will as well. Generally, bed-wetting before age 6 or 7 isn't cause for concern. At this age, nighttime bladder control simply may not be established. It's more common among boys than girls. Secondary enuresis occurs when a child goes through an extended period of dryness and begins to experience night-time wetting again. Secondary enuresis is often (though by no means always) caused by emotional stress. If bed-wetting continues, treat the problem with patience and understanding. Bladder training, moisture alarms or medication may help.

Causes of Bedwetting

The common Causes of Bedwetting :

  • Genetic factors (it tends to run in families)
  • Urinary tract infections
  • Abnormalities in the spinal cord
  • Difficulties waking up from sleep
  • Abnormalities in the urethral valves in boys or in the ureter in girls or boys
  • Inability to hold urine for a long time because of small bladder
  • Hormonal factors (not enough antidiuretic hormone--this hormone reduces the amount of urine made by the kidneys)

Symptoms of Bedwetting

Some Symptoms of Bedwetting :

  • Wetting during the day .
  • Constipation.
  • Frequency, urgency, or burning on urination.
  • Cloudy or pinkish urine, or blood stains on underpants or pajamas.
  • Straining, dribbling, or other unusual symptoms with urination .
  • Soiling, being unable to control bowel movements ( fecal incontinence or encopresis ).

Treatment of Bedwetting

  • Padding at night to allow normal social interactions - sleepovers etc.
  • Buzzer alarm and pad systems.
  • Fluid limitation before bedtime.
  • Hypnosis.
  • Lifting and toileting before the parents go to bed .
  • Medication.

 

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