Enuresis (bedwetting) most often is not a serious health problem, and children usually outgrow it. However, bedwetting can be upsetting for children and parents. Bedwetting often results in emotional troubles for both children and their families. This can lead to Children feeling unworthy and developing low self-esteem. Thus, affecting their social health, feeling about self and schoolwork. Children with enuresis may also feel they cannot go to sleepovers with their friends. Therefore parents and siblings should help and render support to get over it.
Enuresis is an intermittent urinary incontinence during sleep in a child at least five years of age. It is the inability to awaken from sleep in response to a full bladder. Enuresis is more commonly known as bed-wetting. It can be associated with excessive nighttime urine production or a reduced functionality and bladder capacity. Nocturnal enuresis is bed-wetting at night while Daytime wetting is called diurnal enuresis. Some children experience either or a combination of both.
Causes of Enuresis
Enuresis may be associated with other mental disorders, including behavior disorders or emotional disorders such as anxiety.
- Delay in toilet training.
- Bladder or kidney disease: This can result in both daytime and night bedwetting as the child has a bladder control problem which may be associated with other urinary symptoms such as pain when urinating or the need to urinate frequently.
- Neurologic disease: In a rare case, spinal cord problem that develops while growing or at birth can pose a child to bedwetting. Other symptoms like numbness, tingling, or pain in the legs can be felt.
- Deep sleep: A deep sleep pattern can be part of normal adolescent development, as a result of poor sleep schedule and too few hours of sleep due to engagements of lots of activities. It is all common, especially during teenage
- Stress: This is one of the most common causes of secondary enuresis. Children experience stress when moving to a new home or school, experiencing parental divorce or losing a parent. As well as losing ot people they love or going through another major life event. Reduced stress can stop the bedwetting.
- Persistent urinary tract infection.
Here are Tips for Parents
It is very important to note that bedwetting is not under your child’s control or his or her fault. Family members and friends should focus on working with a doctor to figure out the cause and taking steps that can help and not embarrass or put them into shame.
- Bed alarm therapy: Using an alarm system that rings, when the bed gets wet, can help the child learn to respond to bladder sensations at night.
- Bladder training should begin at an early age and it should be made pleasant for the kids. The parent should not be strict during toilet training. Any developmental problem that can interfere with successful training should be reported early.
- Reduce the intake of food or drinks with caffeine; avoid salty snacks and sugary drinks. Increase fluid intake earlier in the day and reduce it at night.
- Encourage your child to go to the bathroom regularly during the day at least every two to three hours and before going to bed.
- Wake your child only once during the night to urinate. Waking your child too often during the night may disrupt the child’s sleep pattern.
- Encourage and do not resort to punishment which will otherwise make your child feel good about progress by consistently rewarding successes.
Most children will grow out of it by the late teenage years or sooner because bedwetting almost goes on its own. Secondary enuresis which starts later in life goes either when treated, or it gets better on its own. However, if bedwetting persists till the late teenage years, take your child to visit a doctor.