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Dr. Raj Kumar

Pediatrician, Hyderabad

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Dr. Raj Kumar Pediatrician, Hyderabad
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Raj Kumar
Dr. Raj Kumar is a trusted Pediatrician in Chikkadapally, Hyderabad. He is currently practising at Raj Pediatric Centre in Chikkadapally, Hyderabad. Save your time and book an appointment online with Dr. Raj Kumar on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 33 years of experience on Lybrate.com. You can find Pediatricians online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Raj Pediatric Centre

Watertank Road, Chikkadpally, HyderabadHyderabad Get Directions
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Bedwetting - 7 Possible Reasons Behind It

Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Bedwetting - 7 Possible Reasons Behind It

Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

  1. The child's gender: Bedwetting is more common in boys.
  2. The child's development and maturity
  3. The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.

Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

  1. A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
  2. Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
  3. A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
  4. Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  5. Urinary tract infection: This infection can make it difficult for your child to control urination.
  6. Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  7. Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.

A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

  1. Wetting during the day
  2. Frequency, urgency, or burning on urination
  3. Straining, dribbling, or other unusual symptoms with urination
  4. Cloudy or pinkish urine, or blood stains on underpants or pajamas
  5. Soiling, being unable to control bowel movements
  6. Constipation

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

  1. Your child still wets the bed after age 7
  2. Your child starts to wet the bed after a few months or more of being dry at night
  3. Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
  4. Self-Care at Home

Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

  1. Reduce evening fluid intake.
  2. The child should urinate in the toilet before bedtime.
  3. A system of sticker charts and rewards works for some children.
  4. Make sure the child has safe and easy access to the toilet.

Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2857 people found this helpful

Hello, My daughter is 3 years old. Since 2 days she is not able to pass the stool properly. Today she was crying while doing. The stool is not soft.

MBBS
General Physician, Mumbai
Hello,
My daughter is 3 years old. Since 2 days she is not able to pass the stool properly. Today she was crying whil...
For constipation I will suggest you to eat food with high fiber content like green leafy vegetables and can also eat bananas at bedtime as it is effective as a laxative and if necessary take 5ml of syp emty at night

My son is of 1 year 4 months and his tongue inner part shows light white & yellow colour. What is the reason?

PG Diploma in Nutrition & Dietetics, M.Sc.in Food & Nutrition
Dietitian/Nutritionist, Ghaziabad
My son is of 1 year 4 months and his tongue inner part shows light white & yellow colour. What is the reason?
stomach may be upsat or improper tounge cleaning. you can connect with us on lybrate for personalised guidance.
1 person found this helpful

Hi Dr, Meri first baby gril jan 29-2017 ko howi but still now abi tak mujhe period nahi aya. Kya wajhe hai koi preshni ki bat hai kya? please gve me rply.

MD PHYSICIAN
General Physician, Delhi
Hi Dr,
Meri first baby gril jan 29-2017 ko howi but still now abi tak mujhe period nahi aya. Kya wajhe hai koi preshn...
Almost anything is considered normal when it comes to your periods while breastfeeding. All women experience a time of postpartum bleeding following birth which is not considered a menstrual period. If bottle-feeding, most mothers will have their first real period not long after this. Breastfeeding, however, suppresses menstruation at least for a while. For some mothers, there may be an absence of menstruation for weeks, months, and even years while still breastfeeding.

My baby is 1 month old and when she was nearly 15 days she started pooping every 3 rd or 4th day and not everyday. Is it normal?

MBBS
General Physician, Mumbai
My baby is 1 month old and when she was nearly 15 days she started pooping every 3 rd or 4th day and not everyday. Is...
Just make sure that she does not have a hard abdomen and it’s okay for a newborn child to pass motions once a week

My daughter is 11 months old, Problem is that she is not passing motion since 4 days, please suggest sir.

B.Sc Biochemistry, P.G Diploma in Dietetics
Dietitian/Nutritionist, Navi Mumbai
My daughter is 11 months old, Problem is that she is not passing motion since 4 days, please suggest sir.
Please give her fibre rich food like cucumber and also can make sweet or salted daliya .Do try to put a tsp of ghee in milk and give 3 times.
1 person found this helpful

My daughter is 13.5 years old she has very poor appetite. She does not eat anything in morning (says will vomit or having vomiting feeling ), basically we have seen its more of anxiety of going to school that she avoids eating .on weekends she does not complain of vomiting but no eating. Her weight gain and height gain last 5-10 years is below lowest curve. Worried of both, suggest anything for hunger and height.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
You have rightly said that it is all due to anxiety for going to school. It is easy to over come this problem by awaking her in the morning earlier by 15-20 minutes so that she can take her breakfast easily. There is no medicine which can change this habit. Increase frequency of her diet in stead of increasing quantity of diet which shall be helpful in gaining growth.
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