BED WETTING

Enuresis (Bed-Wetting)

Q. What is enuresis or bed wetting?

A. Enuresis is the medical term for bed-wetting during sleep.
Bed-wetting is fairly common and is often just a developmental stage.
Bed-wetting is more common among boys than girls.

Q.Causes of bed-wetting?


A.Some of the causes of bed-wetting

•Stress
•Genetic factors which depend on the family
•Difficulties waking up from sleep
•Slower than normal development of the central nervous system (which reduces the child's ability to stop the bladder from emptying at night)
•Hormonal factors (not enough antidiuretic hormone is produced, which is the hormone that slows urine production at night)
•Urinary tract infections
•Abnormalities in the urethral valves in boys or in the ureter in girls or boys
•Abnormalities in the spinal cord
•A small bladder

Bed wetting is not a big problem it happens in child when the chind unable to feel the symptom to go bathroom during sleep

Q. When do most children achieve bladder control?

A.Children achieve bladder control at different ages. By the age of 6 years, most children no longer urinate in their sleep. Bed-wetting up to the age of 6 is not unusual, even though it may be frustrating to parents. Treating a child for bed-wetting before the age of 6 is not usually necessary.
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Q.What are the treatments for bed-wetting?Most children outgrow bed-

A.Some behavioral treatments include the following:

•Limit fluids before bedtime which means do not to take fluid just before the slip.
•Have your child go to the bathroom at the beginning of the bedtime routine and then again right before going to sleep.
•An alarm system that rings when the bed gets wet and teaches the child to respond to bladder sensations at night.
•A reward system for dry nights.
•Asking your child to change the bed sheets when he or she wets.
•Bladder training: having your child practice holding his or her urine for longer and longer times during the day, in effort to stretch the bladder so it can hold more urine.

Q.How can I help my child cope with wetting the bed?

A.Bed-wetting can lead to behavior problems because of the guilt and embarrassment a child feels. It's true that your child should take responsibility for bed-wetting (this could mean having your child help with the laundry). But your child shouldn't be made to feel guilty about something he or she cannot control. It's important for your child to know that bed-wetting isn't his or her "fault." Punishing your child for wetting the bed will not solve the problem.

It may help your child to know that no one knows the exact cause of bed-wetting. Explain that it tends to run in families (for example, if you wet the bed as a child, you should share that information with your child).

Remind your child that it's okay to use the bathroom during the night. Place nightlights leading to the bathroom so your child can easily find his or her way. You may also cover your child's mattress with a plastic cover to make cleanup easier. If accidents occur, praise your child for trying and for helping clean up.