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Bed wetting

Nocturnal Enuresis


Bed-wetting is involuntary urination while asleep. Bed wetting (also called nighttime or nocturnal enuresis) is a common childhood problem. Children learn to control daytime urination as they become aware of their bladder filling. Once this occurs, the child then learns to consciously control and coordinate his or her bladder. This generally occurs by four years of age. Nighttime bladder control usually takes longer and is not expected until a child is between five and seven years old.

Most kids are fully toilet trained by age 4, but there's really no target date for developing complete bladder control. The number of children with bedwetting varies by age; at five years of age, 16 percent of children have some difficulty staying dry at night. By 15 years of age, only 1 to 2 percent continues to wet the bed. Boys are twice as likely as girls to wet the bed.

For most children, bedwetting resolves on its own without treatment. However, parents and children may worry about bedwetting since it is embarrassing and inconvenient. Some parents may also worry about underlying medical problems.

Types of Bedwetting

  • Primary: when a child has never developed nighttime bladder control.
  • Secondary: when a child has accidental wetting after having had bladder control for six or more months.

Causes:

  • Family history: If both of a child's parents wet the bed as children, their child has an 80 percent chance of wetting the bed, too.
  • Attention-deficit/hyperactivity disorder (ADHD): Bed-wetting is more common in children who have ADHD.
  • 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 hormones (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: A urinary tract infection can make it difficult for your child to control urination. Signs and symptoms may include bed-wetting, daytime accidents, frequent urination, bloody urine and pain during 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 — often because of inflamed or enlarged tonsils or adenoids. Other signs and symptoms may include snoring, frequent ear and sinus infections, sore throat, and daytime drowsiness.
  • Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
  • Chronic constipation. A lack of regular bowel movements may make it so your child's bladder can't hold much urine, which can cause bed-wetting at night.
  • 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.

 

Consult your child's doctor if:

  • Your child still wets the bed after age 6 or 7
  • Your child starts to wet the bed after a period of being dry at night
  • The bed-wetting is accompanied by painful urination, unusual thirst, pink urine or snoring.

Self-Care Measures

  • Limit fluids before bedtime.
  • Avoid sugary and caffeine-containing drinks, especially in the evening
  • Have your child urinate just before falling asleep.
  • Wake the child during the night to empty their bladder.
  • Help your child recognize that it is okay to use the bathroom during the night if needed.
  • Use small night lights so that your child can easily find the way to the bathroom at night.
  • Be patient as you and your child work through the problem together.
  • Do not punish or ridicule your child for bed-wetting.
  • Be sensitive to your child’s feelings.
  • Help your child relieve negative feelings about their bed-wetting
  • Do not tease or allow siblings to tease a child who has wet the bed.
  • Taking responsibility for bed-wetting may help your child feel more control over the situation.

Offer positive support, understanding and encouragement.

  • Praise your child on dry mornings.

Homeopathic Treatment to Bed wetting:

Homeopathy is a safe system of medicine for children. Children being more susceptible, respond quicker to Homeopathy. Homeopathic treatment, being based on the ‘Constitutional Approach,’ treats the disease at the root level, hence enhancing the resistance power of the child. Homeopathy is also considered child friendly as the homeopathic pills, being sweet in taste, are accepted readily by children.

The homeopathic remedies act both on the psychological, physiological and physical level to relieve the condition of Bed-wetting. The Homeopathic remedies will prevent any unwanted contractions of the bladder and restore normal bladder musculature, function and urethral sphincter control, hence, preventing any involuntary passing of urine. Homeopathic remedies have been formulated to treat Nocturnal Enuresis or Bedwetting naturally without disturbing the endocrine system and it reduces anxiety, which is attributed to cause bed-wetting in children. These remedies are natural, gentle, safe and can be given to children of any age.

Hypnotherapy

Hypnotherapy works exceptionally well for children as they have a natural ability to use their imaginations. Their creativity is used to help them mentally prepare the subconscious mind to a) hold the urine and b) wake up fully to go to the toilet. The advantage of this method is that they are completely natural and safe, no drugs are involved.it include confidence building and self-esteem sessions.