Bedwetting / Nocturnal Enuresis / Urinary Incontinence

Bedwetting is also called urinary incontinence nocturnal enuresis. The condition when urine passes involuntarily while asleep is known as bedwetting.

bedwetting

The child first achieves daytime control of urinary bladder and then night time. Bedwetting is a common problem among kids and teenagers. In most of them, it goes away on its own. But if it persists for a long time a doctor must be consulted.

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Most of the cases of bedwetting are due to developmental delay. it is not due to any physical illness or an emotional problem.

How Bedwetting Is Classified?

• Primary bedwetting: This type is continuous since early childhood. A child daily wets the bed.
• Secondary bedwetting: This type begins after the habit of wetting the bed does not occur for at least 6 months.

Common In?

It is a common condition among boys as compared to girls. It is prevalent between 4 to 7 years of age.

Why Children Do Bedwetting?

The exact cause of unknown, several contributing factors are:
• The small size of a bladder.

• Nerves that control the bladder are slow to mature.

• Low production of the anti-diuretic hormone.

• Stress.

• Urinary tract infection.

• Pinworm infection

• Chronic constipation.

• Abnormal anatomy of the urinary tract.

• Diabetes.

• Intake of the large quantity of fluid.

Urination More During

• Involuntary urination at night.

• Occasional daytime involuntary urination.

No Test To Diagnose Bedwetting

• A doctor will ask about complete symptoms of a child.
• Complete medical history of parents.

• Urinalysis to rule out UTI or renal disease.

• Occasional X-ray of kidney or bladder.

• In rare cases, MRI of lower spine or pelvis is advised.

Any Treatment for Bedwetting

• A synthetic form of anti-diuretic hormone (ADH) helps in limiting the formation of urine at night.

• Imipramine relaxes the bladder.

• Oxybutynin and hyoscyamine reduce unwanted contractions of the bladder.

Prevention Tips For Bedwetting

• Limit the intake of fluids in the evening.
• Avoid caffeine-containing drinks in the evening.
• Always urinate before going to bed.

• Avoid constipation.

Homeopathic treatment

Causticum:

• Frequent urination with scanty emission and thirst.

Sepia officinalis:

• Enuresis occurs during the first sleep.

• Frequent and ineffectual desire to urinate.

Sulphur:

• Patient is scrofulous.

• Enuresis every night.

• Tormented with constant desire to urinate during the day.

Equisetum:

• Incontinence with dreams or nightmares when passing urine.
• Much mucus in urine.

• This remedy has a prime action on bladder.

Kreosote:

• Dreams of urinating.

• Enuresis in the first part of night.

• Offensive urine.

Sabal:

• Enuresis due to paralysis of sphincter vesicae.

Uranium:

• Patient has dry mucous membrane and skin.

• Copious urination.

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