Enuresis is the clinical term for bed-wetting. It is the involuntary urination during sleep after the age four or five when a person should be able to control the bladder. Infants and children’s will do unintentional urination, it is more normal for them. Many children’s achieve daytime control but not in the night time. The bladder control varies depending upon age. Some parents expect dryness at an early age. When the child is capable of holding the bladder but urinates unfortunately while sleeping is called nocturnal enuresis.
Types of bed-wetting
Primary bedwetting: Bedwetting since from the early stages of the child. The child not yet achieved nighttime dryness over a period of six consecutive months.
Secondary bedwetting: Bedwetting that begins after the child has been dry at night for a significant period of time, at least 6 months.
Risk factors for the cause of enuresis include:
Family history plays a role in enuresis
Chronic constipation
Sleep apnea
Urinary tract infection
Intake of excessive water content foods before bedtime
Medical conditions such as abnormal function of kidney or bladder or neurological system
Attention Deficit Hyperactivity Disorder (ADHD)
Some medications may trigger enuresis
Sexual abuse
Causes of bed-wetting
Doctors do not know the actual cause for nocturnal enuresis. But there are various developmental conditions include:
Hormonal problem: A hormone called antidiuretic hormone causes the body to produce less urine at night time. In some cases, the human body does not produce the ADH hormone and results in the increased production of urine when the person is sleeping.
Genetics: Teens with enuresis often have a Parent who had the same problem at about the same age. scientifically identified the specific genes that cause enuresis.
Sleep problems: sometimes deep sleep may cause enuresis that they don’t wake up when they want to pee. Sometimes bedwetting is the sign of obstructive sleep apnea.
Bladder problem: Your child may have a small bladder or not developed properly. This cannot be able to hold urine which is produced during the night.
Caffeine: Caffeine can cause a person to urinate more.
Medical conditions: Some medical conditions may also cause secondary enuresis. Medical conditions include diabetes, urinary tract abnormalities (problems with the structure of a person’s urinary tract), constipation, and urinary tract infections (UTIs). Spinal cord injury may also play a role in enuresis. But it is rare.
Psychological problems: Some doctors believe that stress or tension can be associated with enuresis.
Symptoms
Many people will wet their bed only at night. They will not have other symptoms than bed wetting. But some physiological problems with nervous system or kidney may cause the signs and symptoms.
Bedwetting during the day
Frequency, urgency or burning during urination
Dribbling, straining or other unusual symptoms of urination.
Being unable to control bowel movements
Constipation.
Frequency of urination will vary from children to adult
While adults may urinate only three or four times in a day, children urinate frequently more than adults, in some cases, they may urinate 10 to 12 times a day.
Complications of bed-wetting
Bedwetting can create some issues for your child including:
A person cannot go to trip or stay outside home for social activities such as sleepover and camp.
Rashes may occur in the bottom or in genital area due to sleep in wet underwear for a long time.
Bedwetting can lead a person to feel low self-esteem, guilt, and embarrassment.
Prevention of bed-wetting
Parents should encourage child by being positively and should make them understand how the bedwetting will affect his or her social life.
Wake up your child several times to go to toilet for urination.
Encourage your child to urinate before bedtime and several times in a day, that makes your child as routine habit.
Avoid beverages and food that contain caffeine before bedtime
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