(Enuresis) is the inability to maintain urinary control during sleep. Involuntary
urination at night is referred to as nocturnal enuresis (NE) whereas
involuntary urination at daytime is called as diurnal enuresis. Nocturnal Enuresis is also called as Bed-wetting. Bedwetting is more common in
boys than girls. Nocturnal Enuresis can be
divided into Primary Nocturnal Enuresis (PNE) and Secondary Nocturnal
Primary Nocturnal Enuresis refers to inability to maintain urinary control from infancy.
Primary Nocturnal Enuresis is the the most common form of bedwetting
If the child has experienced a minimum 6-month period
of continence before the onset of the bedwetting, the Nocturnal Enuresis is considered
Secondary Nocturnal Enuresis.
In secondary enuresis, the key is finding out exactly what has changed.
There might be a new psychological stress such as a move, or a death
in the family. It might be something physical: the onset of a urinary
tract infection or diabetes,
for example. It might be a situational change, such as altered eating,
drinking or sleeping habits. Clearly, something has changed before
bedwetting. The first step
in solving the problem of bedwetting is identifying any changes in your child’s life.
Research has shown that primary nocturnal enuresis is often
inherited. Genetic factors are involved and it tends to run in
Medical disorders like diabetes, urinary tract infection, sleep apnea or
epilepsy can cause incontinence. Psychiatric disorders can also be a cause
of bedwetting. Hormonal factors
also play some role in Enuresis. (If there is not enough Antidiuretic
Hormone (ADH)-this hormone
reduces the amount of urine made by the kidneys). Urinary tract
infection is also one of the reasons of Enuresis.
Some of the other causes of bedwetting include the following:
Difficulties in 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
Abnormalities in the urethral valves in boys or in the ureter in girls
Abnormalities in the spinal cord
Inability to hold urine for a long time because of small bladder
Drinking too much before bedtime is not a
cause for Enuresis. It's not a
mental or behavior problem. It doesn't happen because of child's laziness to get out of bed to go to
pee (urinate). Also children do not wet the bed purposely or to harass their parents.
(Bedwetting) was once thought to be a
psychological condition. It now
appears that psychological problems are the result of enuresis and not the
Children achieve bladder control at different ages. By the age of 5
years, most kids no longer urinate in their sleep. Bedwetting in children
and babies up to the
age of 5 is not unusual, even though it may be frustrating to parents.
When bedwetting continues to age 5 (or at any age if it is troublesome
to the child) it is time to discuss it with us and ask for treatment to stop
Child 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
Reward for dry nights.
Asking your child to change the bed sheets when he
Having your child practice holding his or her urine
for longer and longer times i.e. bladder training.
Bedwetting especially Primary Nocturnal Enuresis can also be treated
safely and effectively with homeopathic medicines. Homoeopathic remedies
selected after properly studying patient's case is very effective
in stopping Primary Nocturnal Enuresis with no relapse. Patient having PNE
age can be successfully treated. Moreover all
homeopathic medicines are natural, easy to administer and without any
adverse effects. If you have any specific question about your kid's
click here to ask.
Bed-wetting can lead to behavior problems
in child because of the guilt and
embarrassment a child feels. Punishing your child
for wetting the bed will not solve the problem. On contrary it will worsen
the situation and child will lose his confidence. Punishing, scolding or
beating child will not help because child doesn't do it
purposely. Teens shouldn't be made to feel guilty about
something he or she can't control. It's important for your child to know
that bed-wetting isn't his fault. Cure of bedwetting is a simple matter
with homeopathy. Better to remedy this problem at the earliest.