What is Nocturnal Enuresis/Enuresis/Bedwetting?
Enuresis is commonly known as bedwetting. Nocturnal enuresis, or nocturnal enuresis, refers to bedwetting during nighttime. It is the most common type of elimination disorder. Diurnal enuresis refers to daytime wetting. Some children experience either or both.
This is a voluntary or involuntary behavior. The condition can be diagnosed only when the child is over 5 years old.
What are the signs of Enuresis?
The primary signs of enuresis include:
- Recurring bedwetting
- Wetting of clothes
- Wetting at least twice a week for nearly three months
What causes Enuresis?
Many different factors can contribute to cases of enuresis. Involuntary or unintentional urination may be due to:
- A small bladder
- Chronic infections of the urinary tract
- High stress
- Developmental delays that make it challenging to complete toilet training
Voluntary or intentional enuresis is sometimes accompanied by other mental disorders, such as behavior disorders or emotional disorders like anxiety. Enuresis also tends to be inherited, which means a predisposition for the disorder can be passed from parent to child, especially on the father's side. Additional factors that have been deemed to contribute to the development of the disorder include forcing or toilet training too early. However, because few research works exist, no conclusion can be drawn concerning the role of toilet training in developing enuresis.
Children with enuresis are commonly characterized as being heavy sleepers who fail to wake up at the urinary urge to void or when their bladders are full.
How Common Is Enuresis?
Enuresis is a relatively common childhood disorder. It is estimated that 7% of boys and 3% of girls suffer from enuresis at age 5. By age 10, it decreases to 3% of boys and 2% of girls. In general, children outgrow this condition in their teenage years. Therefore, only about 1% of males and less than 1% of females suffer from the disorder by 18.
How Is Enuresis Diagnosed?
A physical checkup and history will then be taken first to exclude any medical condition causing the damage of involuntary leakage or loss of urine, popularly called incontinence. Laboratory tests, such as a urinalysis and blood work, are also considered regarding blood sugar, hormones, and kidney function. Other possible causes of incontinence are physical disorders, such as diabetes, infection, or a developmental or structural anomaly that can obstruct the urinary pathway.
Enuresis is also associated with certain medications that have the side effect of causing confusion or disturbed behavior. Without apparent cause for the symptoms exhibited, the doctor would make an enuresis diagnosis strictly based on the child's symptoms and current presentation.
How Is Enuresis Treated?
Mild cases of enuresis might not be treated as many children with this condition outgrow without any form of treatment by the time they are teens. It is challenging to know precisely when to start the treatment because a child cannot be predicted how to change and progress from requiring treatment to simply outgrowing the condition. Some treatment choices involve deciding if the child's self-esteem is impacted by the wetting, and also whether or not enuresis is causing impairment of functioning, for example, refusing to sleep over at friends' homes.
If treatment is utilized, therapy to alter behavior is suggested for most patients. The response rate for the utilization of behavior therapy is greater than 75%, and includes but is not limited to:
- Alarms: A urine alarm can be installed for children who are wet at night, which will ring to alert the child when the bed is damp. Studies show that most bladder training occurs with an alarm and that urine alarms are the only treatment linked with sustained change. The recidivism rate is low, from 5% to 10%, so once a child's wetting starts to improve, it almost always stays improved.
- Bladder training: This technique uses the scheduled toilet visits, timed at increasingly longer intervals, with a hope that the child becomes accustomed to holding urine longer. It also stretches bladder capacity, another muscle that must be exercised. Bladder training is commonly one of the components of an enuresis treatment plan.
- Rewards: This can include some series of small rewards for the child once bladder control is achieved.
Treatment may also involve medication to control enuresis. However, these drugs are usually not prescribed if the disorder interferes with functioning and are not recommended for children younger than 6 years old.
While drugs may help to control symptoms of enuresis, when the medicines are stopped, the child usually returns to wetting. If medications are to be prescribed for children, their side effects and cost must be considered; the medicines can assist in improving the child's functioning until behavioral treatments become effective.
What Is the Prognosis for Children With Enuresis?
Most children with enuresis outgrow the disorder by the time they reach their teen years, with a spontaneous cure rate of 12% to 15% per year. Only a small number, about 1%, continue to have a problem into adulthood.
Can Enuresis Be Prevented?
While it cannot be assumed that all cases of enuresis can be prevented—especially those related to the child's anatomy problems—early consultation by a pediatrician may reduce the consequences of having this condition. Positive and patient attitudes displayed by a person who gives a child toilet training help avert negative attitudes toward using the toilet.
Why Choose Tender Palm Super Speciality Hospital for Nocturnal Enuresis (Bed-Wetting) Treatment in Lucknow, India?
Tender Palm Hospital has the most experienced team of Urologists and diagnostics with the latest and International standard infection control measures in Lucknow, India. The Urology team has decades of experience in successfully treating Nocturnal Enuresis (Bed-Wetting) in Lucknow, India.
To Seek an Expert Consultation for Nocturnal Enuresis (Bed-Wetting) treatment in Lucknow, India:
Call us at +91-9076972161
Email at care@tenderpalm.com
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