Enuresis or bedwetting is an inability to control urination, especially in children. This behaviour may or may not be purposeful.
Enuresis is classified into three types
- Nocturnal enuresis: Nocturnal enuresis is also called bedwetting and it is the most common type of elimination disorder. (Urine is passed in night time)
- Diurnal enuresis: Daytime wetting is called diurnal enuresis. (Urine is passed in night time)
- Mixed enuresis: Mixed enuresis is a combination of both Nocturnal enuresis and diurnal enuresis.
Enuresis is further classified into another two types depends on the condition of the child.
- Primary enuresis : In this condition where child was not successfully trained to control urination. Primary nocturnal enuresis with daytime symptoms: those who also have daytime symptoms, such as urgency, frequency, or daytime wetting.
- Secondary enuresis : In this condition where child was successfully trained to control urination, but revert to wetting due to some sort of stressful situation.
- Where in the first case it is represented as fixation and in the second case it is represented as regression.
- Prevalence is reported as follows :
8-20% of 5-year-olds.
1.5-10% of 10-year-olds.
0.5-2% of adults.
2.6% of children aged 7½ years wet their bed on two or more nights a week.
- Specific reason for Causes of enuresis unknown but according to studies here are some reasons behind that are
- Slower physical development in children (Maybe due to small bladder capacity and un-development of body alarms in body)
- The hormone responsible for making urine slower are antidiuretic hormone or ADH. So in the condition, if the body does not produce enough ADH during night time result in lessening the slowdown of urine which leads to filling of the bladder if the child does not feel sense wetting will occur.
- Anxiety: Anxiety-causing events occurring in the lives of children ages 2 to 4 might lead to incontinence before the child achieves total bladder control.
- Genetics: Certain inherited genes appear to contribute to incontinence
- Obstructive sleep apnea: Nighttime incontinence may be one sign of another condition called obstructive sleep apnea, in which the child’s breathing is interrupted during sleep, often because of inflamed or enlarged tonsils or adenoids
- Structural problems: In many cases of incontinence due to problems in a urinary system which is called urinary reflux or vesicoureteral reflux.
- Physical exams are done to find out incontinence
- Chronological age is at least 5 years of age
- voluntary or involuntary repeated voiding of urine into bed or clothes
- Lab tests may also be performed, such as a urinalysis and blood work to measure blood sugar, hormones, and kidney function.
- If no physical cause is found, Doctor will base a diagnosis of enuresis on the child’s symptoms and current behaviours.
Home remedies for Enuresis or bed wetting
Combine sugar and cinnamon powder and then sprinkle it on buttered toast. Give this toast to your child for breakfast.
- Indian Gooseberry:
Take two Indian gooseberries just crush them and deseed them and now add one teaspoon of honey and a pinch of turmeric over crushed Indian gooseberries. Give one spoon of this mixture to your child daily.
Make your child eat two walnuts and five raisins before going to bed. This helps in reduce the frequency of bedwetting