Enuresis is the clinical term for bedwetting. 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 the early age. When the child is capable of holding the bladder, but urinates unfortunately while sleeping is called nocturnal enuresis.

Risk factors

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
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 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.

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 with urination
Being unable to control bowel movements
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
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

Treatment and medications

Your doctor can do several things to treat bedwetting based on what caused it. The most often treatment for enuresis is behavioral modifications.

Bedwetting alarms: To treat bed wetting in teens, various types of bedwetting alarms are available. Most of the persons responds to the alarms and make them go toilet. These alarms will go on when the person begins to wet on the bed. By this alarm, a person can sleep without wetting the bed too much. If it’s been doing for years, automatically you can train yourself to wake up or to hold your urine until morning.

Bedwetting alarm

Manage what you eat and drink before bed: People who with enuresis can manage their food and drinks before sleeping. By going toilet before going bedtime can reduce the bed wetting. Avoid certain foods in the evening which can irritate the bladder include such as tea, coffee, chocolate, sodas and other carbonated beverages containing caffeine.

Imagine yourself dry: Positive imagery can make you dry during the night, where you think about waking up dry before you go to sleep, can help some people stop bedwetting. Some people find that rewarding themselves for waking up dry also works.

Medical treatment

Bedwetting that caused from other medical conditions can be cured by doing medications. Medications can treat the variety of which bedwetting is a symptom. For example:

The drug desmopressin and imipramine (Tofranil) reduces urine production at night. It is given orally or as a tablet but only for children more than 5-year-old.

If your bladder is smaller, an anticholinergic drug such as oxybutynin (Ditropan XL) can be used to reduce bladder contractions and to increase bladder capacity. It is used along with other medications and it is generally recommended when other treatments have failed.
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 

Avoid beverages and food that contain caffeine before bedtime.

DISCLAIMER : The essense of these health articles provided are STRICTLY for INFORMATIONAL PURPOSES ONLY and should not be regarded as the final solutions to any health hazards. If your health status quo does not improve after few days, PLEASE CONSULT YOUR DOCTOR FOR FURTHER DIAGNOSIS AND TREATMENT.

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