Bedwetting (Primary Nocturnal Enuresis)

What Happens

Bedwetting is common in young children. Children grow and develop at different rates, and bladder control is achieved at an individual pace. Usually, daytime bladder control occurs before nighttime control.

Children may wet the bed several times during the night, and they may not wake up after wetting.

Primary nocturnal enuresis—bedwetting that continues past the age that most children have nighttime bladder control—will usually stop over time without treatment.

• About 85% of children who wet the bed stop by age 5 or 6, and 15% of those still wetting at age 5 to 6 stop with each following year.¹
• Most children with primary nocturnal enuresis will stop wetting by the time they are 10 to 12 years old.

Sometimes bedwetting is related to emotional stress. Bedwetting usually stops when the stress is relieved or managed. bedwetting in older children, especially girls, is more likely to occur with signs of emotional stress and be more difficult to treat.

However, bedwetting can be upsetting. It is more often a cause of emotional stress than a result of it, especially in children older than 6. Explaining that gaining complete bladder control is a normal part of growing up may help reassure your child.

For some children and their parents, bedwetting is not a significant issue and is more of a minor annoyance than anything else.

However, the emotional responses to bedwetting can impact the relationship with your child. If you or your child is having difficulty with handling bedwetting, you may wish to investigate treatment options.

If a medical condition is causing the bedwetting, treating the condition may stop the wetting.

Treatment often does not completely stop bedwetting, but it may decrease how often it occurs. Although bedwetting may return when treatment is stopped, repeating or combining treatments may have longer-lasting results.

Some children who wet the bed also experience accidental daytime wetting. When wetting occurs during both the day and night, usually the factors related to the daytime wetting are explored first.

Bedweeting Problem - All you need to Know

Recurrent, uncontrolled urination that occurs during sleep

Affects both sexes, but more common in boys. The occurrence of bed-wetting in children is: 26% at 4 years, 7% at age 5; 3% at age 10 ; 1.5% at age 14 and 1% at age 18 (Yes! even at 18)

Bed-wetting at night. This is not significant until a child is older than 4 yr.

In most cases, the cause of bed-wetting is unknown. Following are most popular theories:

• Child who is a deep sleeper
• Underlying illness, such as a urinary-tract infection.
• A small or weak bladder that cannot hold one night's urine production.
• Lack of adequate toilet training
• Psychological problems caused by
• Emotional insecurity due to separation from the mother.
• Feeling of rejection
• Birth of new baby
• Immediate fear situation
• Organic Factors: some abnormalities in spinal column &/or genito-urinary system.

• Repeated urinary-tract infection and juvenile diabetes.
• Family history of bed-wetting, in either parent.

Show your child understanding for this problem. Give him love, support instead of condemning him/ her in front of sibling/ outsiders, which mothers commonly do, thinking they can embarrass him enough to give up this habit.
Remember your child wants to get rid of the habit much more than you do.

• Observation of symptoms.
• Laboratory studies of urine and blood to detect juvenile diabetes or urinary-tract infection.

Psychological and emotional scars that may affect the child's personality for years. These are much more problematic than physical damage in the long run.

Bed-wetting may continue for several years. You must rule out urinary-tract infections and juvenile diabetes as causes. If these are eliminated and your child is normal in other respects, consider your child's bed-wetting a minor variation of the age at which bladder control is socially expected.

Prepare the bed and the child

• Protect the mattress with a heavy plastic cover.
• Provide the child with extra-thick underwear and pajamas.
• Discontinue diapers by age 4; they inhibit the child's motivation to improve.
• Put an extra pair of underwear and pajama bottoms by the bed in case the child needs them during the night.
• Have the child urinate at bedtime.
• Awaken the child to urinate after he has been asleep for several hours. If the child is old enough, he may be able to set the alarm clock to awaken him and empty his bladder during the night.
• Reward the child for staying dry. Praise him, hug him, and tell of his success to people who are important to him, such as brothers and sisters.
• Don't blame, criticize, restrict or punish the child who has wet the bed. This can cause him to give up, or lead to emotional problems. Respond gently to accidental bed-wetting.
• Follow instructions if your counselor suggests behavior-modification devices.

Medicine usually is not necessary for this disorder, but your child may be prescribed antidepressant drugs as a last resort. Remember these have to be continued for a minimum of 3-6 months. Patience, more for mothers than children, is need of the day.

No special diet. Encourage your child to drink as much fluid as possible during the day. Decrease fluid intake during the 2 hours before bedtime.

• Your child's bed-wetting continues beyond 4 years of age.
• Child dribbles urine, has a weak urinary stream, has pain when urinating or must strain to urinate.
• Child already on prescribed Medication, and new, unexplained symptoms develop.

Overcoming Bedwetting

Mother positioning a moisture-sensitive pad on a bed whilst her son looks on. The device it attached to a battery-operated buzzer placed on a bedside cabinet.

Treating Pediatric Bed-Wetting with Acupuncture & Chinese Medicine

Treating Pediatric Bed-Wetting with Acupuncture & Chinese Medicine

By Robert Helmer
A Book Review

Bed-Wetting, or Primary Nocturnal Enuresis (PNE), is a very common pediatric problem, though one that most families do not like to discuss openly. It is estimated that as many as 20% of five year-olds, 10% of six year-olds and even 1% of 15 year-olds experience an inability to control night time urination. While there may be a medical condition that is causing the problem, and every child should be tested to rule out such conditions, only 1-3% of enuresis cases have an organic cause that is identifiable by Western medical tests.

Bedwetting Symptoms

Bedwetting Symptoms

Most people (80%) who wet their beds, wet only at night. They tend to have no other symptoms other than wetting the bed at night.

Other symptoms could suggest psychological causes or problems with the nervous system or kidneys and should alert the family or health-care provider that this may be more than routine bedwetting.

• Wetting during the day
  
  
• Frequency, urgency, or burning on urination
  
  
• Straining, dribbling, or other unusual symptoms with urination
  
  
• Cloudy or pinkish urine, or blood stains on underpants or pajamas
  
  
• Soiling, being unable to control bowel movements (known as fecal incontinence or encopresis)
  
  
• Constipation

Frequency of urination is different for children than for adults.

• While many adults urinate only three or four times a day, children urinate much more frequently, in some cases as often as 10-12 times each day.
  
  
• "Frequency" as a symptom should be judged in terms of what is normal for that particular child.
  
  
• Equally important, "infrequent voiding" (less than three times urinating/day) can be a sign of other underlying problems.

Fecal impaction may show up as constipation. Both fecal impaction and constipation cause straining, which can injure the nearby urinary sphincters, muscles that control flow of urine out of the body.

• Fecal compaction is when feces becomes so tightly packed in the lower intestine and rectum that passing a bowel movement becomes very difficult or even impossible.
  
  
• The hard, tightly packed feces in the rectum can press on the bladder and surrounding nerves and muscles, interfering with bladder control.
  
  
• Neither fecal impaction nor constipation is that unusual in children.
  
  
• A strict bowel regimen can often alleviate bedwetting.

Bed Wetting - NOW YOU CAN STOP IT WITH NiteTrain-r®

a highly effective, medically proven way to stop bed wetting forever. Nite Train-r consists of a small transistorized alarm and two, long-lasting moisture-sensing pads. It only takes one or two drops of urine to set off the alarm. This awakens the bed wetter so he/she can go to the bathroom normally. (There is no possibility of electric shock from the alarm system.)

http://www.nitetrain-r.com/

Bed Wetting Problem And Products That Solve Them

Helping deter your child from having bed wetting problems today and well into the future may depend on the bed wetting product that you select. On the market, there are several products that can help children that are learning to go the bathroom, and also products that can resolve the bed wetting problems by getting over them. To find out how the product is going to help your child or the adult is the first thing to do before purchasing one.

Many products on the market are quite limited. Many products on the market will not aid in the help of adults, and if you need help in solution the problem, you have to work hard to find it. In a simplistic approach, there are many great tools that can provide you with the help. The bed wetting alarms for example, help by alerting the child or the adult that there is time to get up and go to the bathroom, this alarms being offered throughout the web and many local areas. This is a quick and effective response. They also help in building self-esteem when they actually get there to relieve them selves and this way provides them with the needs that they have in building it.

If you have a problem with bed wetting, it is important that you learn about it. The most important step in stopping the bed wetting from happening is by determining what is causing the bed wetting. After this you might as well use products that are designed to teach and protect the individual from its problems.

Causes of bed wetting: Getting up at night and seeking out the bathroom may be difficult for some that have a condition that keeps them doing that (the number is pretty high, about millions of people).They do not realize they need to go as a normal person would, so, in consequence, they simply do not wake up and go. The cause of this condition, is not, unfortunately, either quick or simple to prescribe. Each person or child that is facing it has not got a standard, so it is different from individual to individual. You cannot find the solution to the bed wetting problem without determining what the cause of the bed wetting is.

To help determining the cause, try considering these questions:

1. Is the certain child under the age of 8 - In this case, the child has had this problem at least a few times per week or month during its childhood. In this case, immaturity in development is the usual cause of bed wetting, and they might simply outgrow this.

2. Is the patient facing emotional trauma? - It can be very painful to the child, even if you do not see this trauma, and in this case, your child should seek for the help of a doctor, because he can help him prevent and overcome the bed wetting problem by handling the emotional trauma that he is facing.

3. Is there a medical condition? - A child or an adult can wet the bed because of medical condition. Through medications and other types of treatments as well, these conditions can be helped.

You and your doctor can work out in finding the cause, because it may not be evident at first hand. Seeking out for the help of your doctor to treat the condition in most cases is necessary. It is even more important for you to seek that help if you find that the bed wetting is something out of the ordinary.