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Bedwetting Health Feed

Bed Wetting: What You Need To Know?

Dr. Nishant Mahajan 90% (130 ratings)
DNB (Pediatrics)
Pediatrician, Faridabad
Bed Wetting: What You Need To Know?

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:

  • The child's gender: bedwetting is more common in boys.
  • The child's development and maturity
  • 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:

  • A small bladder: your child's bladder may not be developed enough to hold urine produced during the night.
  • 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.
  • A hormone imbalance: during childhood, some kids don't produce enough anti-diuretic hormone (adh) to slow nighttime urine production.
  • Stress: stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  • Urinary tract infection: this infection can make it difficult for your child to control urination.
  • Sleep apnea: sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  • 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

  • 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
  • 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: 

  • Your child still wets the bed after age 7
  • Your child starts to wet the bed after a few months or more of being dry at night
  • Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
  • Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful
  • Reduce evening fluid intake.
  • The child should urinate in the toilet before bedtime.
  • A system of sticker charts and rewards works for some children.
  • 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.


In case you have a concern or query you can always consult an expert & get answers to your questions!

2 people found this helpful

7 Possible Reasons Behind Bedwetting

Dr. Lata Bhat 89% (172 ratings)
Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
7 Possible Reasons Behind Bedwetting

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

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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4676 people found this helpful

Adult Bedwetting - 7 Things That Can Possibly Lead To It!

Dr. Aditya Pradhan 86% (64 ratings)
DNB (Urology), MS - General Surgery, MBBS
Urologist, Delhi
Adult Bedwetting - 7 Things That Can Possibly Lead To It!

Bedwetting is a common problem among children who are yet to learn how to control their bladder but bedwetting can also be a problem for adults. Adult bedwetting is known as secondary enuresis. It is a condition that develops at least six months or much later after a person has learnt to control over their bladder.

Adult bedwetting can happen occur due to several reasons that are listed below:

  1. Sleeping problems can be a major reason for bedwetting at night. Sometimes one might be in a deep slumber to and wakes up to the sensation of a full bladder and the urge to urinate. Also, many suffer from another sleeping disorder- night terror. One wakes up partially from their sleep frightened which may cause them to lose control on of their nerves and wet the bed.
  2. Stress and anxiety is another major cause for adult bedwetting. Adults have busy schedules these days and the stress and anxiety levels are high in them. Extreme stress and frustration can make one nervous as a result the person may find it difficult to control his nerves and thus lose control over the bladder.
  3. Medical conditions in a person or a person who suffers from neurological disorders are prone to lose the control over their bladder. Patients who have suffered a stroke often face difficulties to in responding to signals send sent by the body and the sensation of a full bladder is one of them. Often as a side effect of medication one may face this problem.
  4. One may have a small bladder that may not be able to hold the large volume of urine that the body produces. Maybe during the day, the person may not face a problem but at night this can be a reason for bedwetting. A person's bladder can also become hyperactive during the night which leads to the inability to hold the urine in during sleep.
  5. Diabetes is a very common reason for bedwetting among adults especially among the elderly people. In case of type 1 diabetes, the extra glucose that is stored in the liver and muscle tissues are released between meals or during exercise or at night during sleep.
  6. Urinary tract infection caused by microbes can cause one to lose control over the infectionbladder. Infection in the bladder or the kidneys or ureters and the urethra are termed as UTI.
  7. An obstruction in part of the urinary tract, such as from a bladder stone or kidney stone can cause a person to face this the problem of bedwetting.

Other than these major reasons, a few others can be an enlarged prostate, obstructive sleep apnea, hormonal problems or genetics can contribute to the problem of bedwetting. Bedwetting may not stay the entire life but in adults, it causes other problems like such as embarrassment or lack of confidence. Bedwetting, however, should not be neglected and one should visit a doctor lest it should lead to other health problems.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1956 people found this helpful

My child some time passes urine while sleeping at age 7.now a days he is taking sodium valporate for complex partial seizure or absence seizure. He is responding to medicine .his MRI is correct n EEG is sometimes with abnormal spikes on right side. i am a ex defence person.

Dr. Tanmay Palsule 96% (3514 ratings)
MD - Homeopathy, BHMS
Homeopath, Pune
It maybe considered normal up to 5 yrs of age but beyond that needs to be medicated. Homoeopathy has wonderful solutions to such problems. For medication consult online in private.
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Fix Your Appointment With your Paediatrician For Your Child

Dr. Lata Bhat 89% (172 ratings)
Fellowship In Neonatology, MRCPCH(UK), Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
Fix Your Appointment With your Paediatrician For Your Child

A pediatrician manages a child's overall physical and psychological health condition. While most parents consult a pediatrician when the child falls sick, they miss the importance of regular visits to the doctor even if the child is seemingly healthy. There are recommended schedules which prescribe regular visits to the doctor from about a week after the birth of the child. The visits are more frequent up till the age of 6 or 7, after which a monthly visit is usually sufficient. The following is a list of reasons why your child should be taken to a pediatrician every month:

1. Documenting the rate of growth
The pediatrician measures the child's weight and height during every visit and charts them. This is important for comparison with the average rate of growth and pin pointing the problems in normal growth (if any) and the reasons for these problems. For example, if a 4 year old girl is in the 80th percentile for height, it means that 80% of the girls her age are shorter than she is and 20% are taller than she is. The rate of growth is an indicator of a child's general health.

2. Detecting deviations in developmental patterns
There are well-defined physical and emotional developmental patterns for children of all ages. For example, a child starts using signals to communicate by 4 months, or starts talking by the age of 2. A pediatrician can spot deviations from the standard patterns better than parents can. Apart from the measurement of height and weight, sometimes hearing, motor skills and vision tests are also conducted on your visit to the pediatrician to ensure that these basic systems and functions are developing properly.

3. Identifying reasons behind behavioral problems
Behavioral issues in children can be caused by a number of reasons - their inability to correctly express physical discomfort, bonding or attachment issues with the parents or caregivers, interactive problems with peers in school etc. Common behavioral problems are snoringsleep walking, bed wetting, outbursts of anger, lack of social communication etc. The problems can be prevented from becoming complicated conditions if treated early.

4. Prevention of diseases
The schedule for all the required vaccinations is maintained by the pediatrician. Apart from immunization, regular visits to a pediatrician are important for pointing the beginning symptoms of certain diseases. Nutritional deficiencies, which are very common in children, can be diagnosed and addressed before they lead to health problems. Often parents become extremely apprehensive about the child's health- their queries can be answered and their worries can also be put to rest by these visits.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4014 people found this helpful

My 9 years old child is not toilet trained and soils the clothes. He can not tell or realize that he has to go to toilet to pass stool or for potty and ends up dirtying the clothes. Can he be cured? What may be the problem?

Dr. Sajeev Kumar 92% (25270 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
He can be well trained gently without force and scolding him . Some drugs like imipramine amy be used under supervision .Most children sometimes wet the bed at night until about 12 months after they use the toilet during the day. Many 3-year-olds wet the bed at night at least once a month. Nighttime bed-wetting may even occur sporadically into school age.
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My 9 years old child is not toilet trained and still spoils the clothes. What can be his problem and how can he be cured?

Dr. Pulak Mukherjee 89% (4565 ratings)
BHMS
Homeopath, Hooghly
Well it is one kind of bladder retention disease which is very common, not harmful but problematic, by proper homoeopathic treatment it is curable, long term homoeopathic treatment is needed to cure this, Soo you can contact me through Lybrate in private consultation.
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Bedwetting - How Homeopathy Can Help Treat It?

Dr. Gunjan Kumar 85% (47 ratings)
BHMS
Homeopath, Ludhiana
Bedwetting - How Homeopathy Can Help Treat It?

Children may run around having fun and growing in the process. Some children may be more active than the others and some may be more attentive at school. All children go through some sort of trouble while growing up. This is because of the drastic changes that the bodies of little children constantly go through. One such problem commonly faced by the children is bedwetting. This problem may be a common one, but it should be brought under control as soon as possible so that the children do not have to face social embarrassment as they grow older.

Apart from providing a healthy and happy living to the children, it may be essential to find a way of treatment that may not leave the child affected by the harmful ingredients of the regular allopathic medication. One of the safest and the most effective ways to be able to treat bedwetting is homeopathy. Homeopathy is a branch of medicine and treatment that works on the body of the user with the most natural ways. The medicines in homeopathy are made using basic ingredients from plants and other organic materials.

Homeopathy for children:
The use of homeopathy for problems that affect the children in particular is essential because of the fact that they have growing systems and the growth may get adversely affect with the strong and highly potent allopathic drugs. It is also important to understand the nuances of controlling the bedwetting issue in children and also know what the causes of the problem may be:

  1. When the children are highly fatigued, they may wet the bed due to the deep sleep that they may be experiencing after a tiring time.
  2. In times of winter when the cold is uncontrollable or much more than usual, it may be natural for some children to not be able to control their bladder.
  3. In a lot of cases, the children may also wet the bed when they have had a scary or traumatic experience.

Just as the causes of the problem are varied, it must be realized that the medications are also supposed to be administered according to the issue.

Homepathic medication for betwetting
Homeopathy is a stream of medicine that treats the body in the most delicate manner, which is why it is a safe alternative for children. However, it must also be ensured that proper medical intervention is attained to start a course of homeopathic medication as well, so that bedwetting may be treated within a desired amount of time and the child may feel free from the embarrassment of wetting the bed. Here are the 5 best homeopathic medicines for bedwetting that help in working this magic-

  • Causticum
  • Kreosote
  • Cina
  • Acid Phos
  • Equisetum

In case you have a concern or query you can always consult an expert & get answers to your questions!

3241 people found this helpful

Doctor, I am 48 years man, one or two times in last six months, it has happened that I have passed few drops of urine in my sleep at night. What to do?

Dr. Laxmidutta Shukla 85% (258 ratings)
MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
Doctor, I am 48 years man, one or two times in last six months, it has happened that I have passed few drops of urine...
TriphLawat two to twice Gokhru kada two Tsf twice Samsam I wati two tab twice Shanmhpushlichoorn two Tsf twice.
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In the night while sleeping, I urinate as I dream of doing the act. Why it is so? Is it any urinary problem?

Dr. K V Anand 94% (23168 ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
In the night while sleeping, I urinate as I dream of doing the act. Why it is so? Is it any urinary problem?
Dear lybrate user. I can understand. The matter you are referring to could be night fall. A NIGHT FALL / nocturnal emission / wet dream or involuntary leakage is an involuntary ejaculation of semen that occurs during sleep or along with urine while urination. There are many ways that you can control your night fall. For starting treatment, I will need more information. Take care
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