Enuresis, a common problem in children, occurs mainly in boys. It occurs in 10-15% of children aged 5 to 6 years and in 8% of children 8 years; thereafter, its frequency decreases and reaches to 1 to 2% at the age of 15 years. Children are able to control their bladders at different ages, but most of them are able to do so during the day and night at the age of 5 years (for girls) and 6 years (for boys). The nocturnal enuresis occurs when a child who has attained the age of bladder control urine accidentally while sleeping.
The Possible Causes behind Bed-Wetting
Although experts know that it is not a behavior problem, it is difficult to pinpoint what indeed is the cause. However, there is overwhelming evidence that primary nocturnal enuresis is hereditary. There are enough research papers behind this disorder. A few studies say that the other reasons behind this trouble could be – the child may have a small bladder, produce more urine than their bladder can have, and if their urinary system is not yet developed enough under control urination. In addition, a restless sleep can also be a factor.
Not to wonder, but a few studies claim that enuresis can be caused by stress such as a death in the family, a divorce or a move. Another reason behind bed-wetting is antidiuretic hormone deficiency (ADH). This hormone facilitates water retention by the body. Normally, the rate of ADH hormone increases at night to reduce the volume of urine secreted. Production of DHA in children with enuresis, however, is not stimulated during the night, the volume of urine increases and causes them to wet their bed. A minor injury to a nerve can also reduce the child’s ability to feel that his bladder is full.
Some claim that emotional problems are especially are also a reason behind bed-wetting, but there is little evidence to support this controversial theory. Any sort of emotional stress, e.g. birth of a little brother or a little sister, loss of a loved one, family conflicts, may also result in an urinary problem. Despite all these psychological factors, it is advisable to first do a comprehensive physical examination in order to rule out any possibilities of kidney or bladder problems.
Symptoms and Complications
In children who reached the age of bladder control during the sleep, symptoms of enuresis are classic. The sheets impregnated regularly with urine are certain signs. The child may also wake up at night and cry when it comes to wet the bed or it can awaken the people involved in it to alert them. Enuresis has complications because it affects the self-esteem of the child as it causes emotional disorders. Thus, in order to control such psychological effects, it is essential not to blame the child and ensure that it is an accident.
Like Many Children under 6 years still wet the bed, the presence of one of the following signs should not be ignored. If a child over 5 or 6 years old still wets the bed or a child over 4 or 5 years wets. One must not overlook if their kid starts to wet the bed at night after stopping for an interval of 6 months or more. Lab tests help in making sure that bed-wetting is not caused by a urinary tract infection or a medical requirement like diabetes.
Treatment and Prevention
We do not treat enuresis in children under 5 or 6 years because most of the time, this problem usually resolves with time. But, before curing this disorder, parents must understand that bed-wetting is fairly common up to age 5 or 6 years. They need to adopt a neutral attitude to this disorder (at least in front of the child) because they must not put their child in an unusual position. Most of the parents start blaming their child. Instead, they should offer them an ear and support. They must try to make their kid understand that bed-wetting is common, the problem can be corrected and there is no need to feel guilty.
In many cases, parents behave rudely. Do not get upset when the child wets the bed because this is going to causes emotional problems. Another very effective technique that parents can try is restricting the amount of liquids or beverages containing caffeine (cola or chocolate) before bedtime. The parents need to encourage their child to urinate before going to bed. Make sure that your child safe has easy and safe access to the toilets. The idea is encouraging them to go to the toilet if he wants to urinate during the night. Turn on a night light in the bathroom so the child feels no trouble in using the toilet. If your child is 6 or 7 years and is dry during the day, but at night still wets the bed, or if you suspect that your kid is not properly loading, it is advised to see a doctor. Perhaps he has an urinary tract infection.
Many misconceptions have to do with the idea that there is no solution. But, the reality is that it can be cured. The secret is – different things for different children. And anyway, your child will grow over it sooner or later. It is important to realize that there are no miracle cures that work from one moment to the next. If there is no physical cause, a doctor may recommend you making your child understand the importance of going to the toilet before he/she jumps in the bed.
In other technique, experts say that if your kid is a bed-wetter, you must wake him/her during night. The idea behind this is to train the child’s subconscious to recognize the feeling of urination. And then learn to tighten the sphincter when pressure rises. Undoubtedly, in most of the cases, they child are in too deep sleep to wake up, but parents should make their child awake. At the same time, being a parent you can use diapers or absorbent pants so that you can avoid wet mattresses every morning. The absorbent pants save a lot of shame and may even cause the child goes off to stay in good spirits. Some doctors recommend a slight reduce in liquid intakes before bedtime. But, do not force your child to stay thirsty. When it comes to problems like bed-wetting that have both physical and social elements, it is important that you know what is and is not true.