Bed wetting

Bed wetting

Bed wetting or Enuresis is a psychosomatic disorder. Its an emotional disturbance causing dysfunction of organs controlled by autonomic nervous system. Many children with this disorder also have behavioural disorders. Such children are usually timid and nervous. By age 5, one in five still wets the bed and at age 6, the numbers drop to one in 10. Boys are more likely than girls to wet their beds.

Stages of Bladder Control in children

  • At 6 months – the child usually wakes up before wetting.
  • Between 12 and 18 months the child urinated when placed on the pot.
  • After 2 years the child is capable of retaining urine even when the bladder is full.
  • At 3 years – the child goes to the toilet, takes off this clothes and passes urine.
  • At 5 years – the child can empty the bladder even when its not full.

It is also suspected that bed-wetting may be caused by slow development of the nerves that control the bladder. Among other less common causes is Small Bladder. Even a small bladder unable to hold the urine produced during the night can result in bed-wetting. Bed-wetting can be a symptom of a serious illness (e.g., diabetes or a urinary tract infection), especially if it starts in a child who has previously been dry through the night.

Large majority of children who wet the bed have no underlying disease. In fact, a true organic cause is identified in only about 1% of children who wet the bed.

Secondary bedwetting is bedwetting that starts again after the child has been dry at night for a significant period of time (at least six months). Secondary bedwetting can be a sign of an underlying medical or emotional problem. The child with secondary bedwetting is much more likely to have other symptoms, such as daytime wetting.

Common causes of secondary bedwetting are:

  • Urinary Tract Infection
  • Diabetes
  • Structural or anatomical abnormality: An abnormality in the organs, muscles, or nerves involved in urination can cause incontinence or other urinary problems that could show up as bed wetting.
  • Emotional problems: A stressful home life, as in a home where the parents are in conflict, sometimes causes children to wet the bed. Major changes, such as starting school, a new baby, or moving to a new home, are other stresses that can also cause bed wetting.
  • Pinworm infection: characterized by intense itching of the anal and/or genital area.

    Treatment

    It is probably a good time to seek medical help when the child is 5-7 years of age.

    Bedwetting is typically seen more as a social disturbance than a medical disease. It creates embarrassment and anxiety in the child and sometimes conflict with parents. The single most important thing parents can and should do is to be supportive and reassuring rather than blaming and punishing. Primary nocturnal enuresis has a very high rate of spontaneous resolution.

Some Tips:

  • Your patience and love will go a long way to help a child who wets the bed. Making the child feel guilty, getting angry or acting disgusted will only delay solving this problem. Try to be understanding and supportive.
  • Set an alarm clock two to three hours after your child falls asleep so he or she can be awakened to go to the bathroom.
  • Make sure your child urinates before getting into bed.
Drugs used for Bed wetting:

Desmopressin, Imipramine, Oxybutynin and Hyoscyamine

Desmopressin acetate is a synthetic form of antidiuretic hormone (ADH), a substance that occurs naturally in the body and is responsible for limiting the formation of urine.

Imipramine is a tricyclic antidepressant that has been used to treat bedwetting for about more than 30 years. How it works is not clear, but it is known to have a relaxing effect on the bladder and to decrease the depth of sleep in the last third of the night.

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This entry was posted in Diseases & Conditions and tagged by Manbir & Gurpreet. Bookmark the permalink.

About Manbir & Gurpreet

Gurpreet Kaur’s journey in this world .... Gurpreet Kaur was a Musician. She was a singer and a composer of music. Her interest was composing and singing Gurbani Shabads in Indian Classical style. She sang Shabads in All the Raags mentioned in Sri Guru Granth Sahib Ji. She also taught Gurmat Sangeet at Gurmat Gian Missionary College, Jawadi, Ludhiana. Elder child to Pushpinder Kaur and Dr. Brig. Harminder Singh, was born in Amritsar on 13th Jan 1962. She attended various convent schools as a child because her father would get frequent Army postings as a dental surgeon. She graduated with Music Honors from Govt. College for Women, Chandigarh. Music was her hobby and she composed and sang Raag based Gurbani Shabads. Doing Kirtan was part of growing up nurtured by her parents. She learned music from her father Dr. Brigadier Harminder Singh who was a dental surgeon in Indian Army and a very good singer himself. Gurpreet’s Bhua (father’s sister), Ajit Kaur retied as a Head of Department of Music from Govt. College for Women Ludhiana, and was a renounced Punjabi singer of her time. Gurpreet Kaur also learned nuances of Indian Classical Music from Pandita Sharma. She was a mother of three children, and a grandmother. Her daughter Keerat Kaur is a Computer Engineer. Her two sons Gurkeerat Singh and Jaskeerat Singh are doctors in USA. Her daughter Keerat Kaur too was part of her group ~ Gurmat Gian Group. Gurpreet Kaur left this world at the age of 54yrs on 12th Sept 2016 in Baltimore USA. She had recorded around 25 cds of Gurbani Keertan. 'Raag Ratan' Album (6 CDs) is a Compilation of Shabads in All the 31 Sudh Raags of Sri Guru Granth Sahib Ji. 'Gauri Sagar' Album (3 CDs) is a Compilation of All forms of Raag Gauri in Sri Guru Granth Sahib Ji. 'Nanak Ki Malhaar' ~ ((3 CDs) is an album of Raag Malhar Shabads in various forms of Malhar. 'Gur Parsaad Basant Bana' ~ (3 CDs) is an album of Shabads in Raag Basant sung in various forms of Raag Basant. Har Ki Vadeyai Sarni Aayea Sewa Priya Kee Preet Piyaree Mohan Ghar Aavho Karo Jodariya Mo Kao Taar Le Raama Taar Le Tere Kavan Kavan Gun Keh Keh Gawan Mera Baid Guru Govinda Saajanrraa Mera Saajanrraa

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