Bedwetting (Enuresis)
Enuresis, what is it?
More generally known as bed-wetting, Enuresis is. The most common form of elimination disorder is nocturnal enuresis, or bed-wetting in the night. So, diurnal enuresis is called daytime moistening. Some kids encounter one or a mixture of both. Moreover, this conduct may be purposeful or may not be. If the infant is 5 years or older, the disorder is not diagnosed.
The production of enuresis may involve several variables. Urine release, involuntary or accidental, can result from:
- A Short Bladder
- Persistent diseases in the urinary tract
- Severe stress
Developmental delays which interfere with training for toilets Enuresis, voluntary or deliberate, can be associated with other psychiatric illnesses, including behavioral disorders or emotional disorders such as anxiety. Enuresis also tends to run in families. Indicating that it is possible to inherit a propensity for the condition (passed on from parent to child, particularly on the side of the father).
In addition, a factor in the development of the condition could be toilet training that was forced or began when the child was too young. There is little evidence to draw conclusions about the role of toilet training and the development of Bedwetting.
Children with enuresis are sometimes identified as heavy sleepers who when their bladders are full, do not awaken to the urinary urge to void.
What causes Enuresis?
Signs that Enuresis (Bedwetting) has your kid:
A formal diagnosis of Enuresis can be made when a child, over 5 years of age, regularly urinates in clothes or in bed, intentionally or accidentally. Particularly with a frequency of more than twice a week for a minimum of 3 months. Moreover, this can occur at night (nighttime) or even during the day (daytime) as well.
Why are the children wetting the bed?
In normal bladder control, several factors play a role, such as neuromuscular growth, cognitive development, genetic factors, socio-emotional factors, and even toilet training. In one or more of these areas, difficulties can lead to delays in the control of the bladder in a child.
Enuresis is a widespread childhood concern. Estimates indicate that enuresis exists in 7% of boys and 3% of girls aged 5. However, by the age of 10, these percentages will decrease to 3% of boys and 2% of girls. By the time they become teenagers, most children outgrow this problem. Only about 1 percent of males and less than 1 percent of females having the condition at age 18.
First to rule out any medical condition that can induce the leakage of urine, which is called incontinence. The doctor may take a medical history and conduct a physical examination. Lab tests, such as urinalysis and blood work, can also be done to measure blood sugar, hormones and kidney function. Diabetes, an illness, or a functional or structural defect causing a blockage in the urinary tract are physical disorders that may result in incontinence.
Enuresis can also be associated with some medications that as a side effect. It can cause confusion or behavioral changes. The doctor will base the diagnosis of enuresis on the signs and current activities of the child if no physical cause is identified.
Signs that Enuresis (Bedwetting) has your kid:
A formal diagnosis of Enuresis can be made when a child, over 5 years of age, regularly urinates in clothes or in bed, deliberately or involuntarily, particularly with a frequency of more than twice a week for at least 3 months. Moreover, this can occur at night (nighttime) or even during the day (daytime) as well.
In normal bladder control, several factors play a role, such as neuromuscular growth, cognitive development, genetic factors, socio-emotional factors, and even toilet training. Moreover, in one or more of these areas, difficulties can lead to delays in the control of the bladder in a child.
In the late evenings and night, parents are advised to limit their child's water/liquid intake. Moreover, just before bed, they are often asked to train their child to go to the washroom. As per the clinical picture of the patient, other interventions are also recommended.
To rule out any neurological/medical causes of enuresis, a comprehensive history and an elaborate, general, neurological and mental state exam are performed. Often, laboratory or radiological exams, too are recommended. A combination of behavior therapy and treatment is recommended until the diagnosis is confirmed. The younger the kid, the greater the value of behavioral therapy.
Get a personalized Consultation and opinion
Click below to book an appointment with Dr. Vishal Ganar.