Bedwetting is a problem that is quite common in children of Pediatrics and many parents may encounter a difficult time managing this. There are majority of vast cases that are reported in young children but recent data suggest that bedwetting is also reported in a good percentage of adolescents who do not have complete control over their bladder.
Bedwetting is not a sign of any defect or illness, it’s just a normal and regular part of the development process. The exact pathogenesis of enuresis and why some children can achieve control of their bladder end is not exactly known.
However, it can be said that wetting the bed often feel uncomfortable and embarrassing if the problem is not resolved soon. This may even affect their normal mental, physical development and affect social behavior (such as some children may be reluctant to spend the night outside the house and feels nervous about letting others know about it).
What are the common causes of bedwetting in children?
Bedwetting should not be considered the fault or error of the child. It’s a natural thing without specific cause and occurs when the bladder is fully occupied by the urine during the night and the child fails to hold until he wakes up.
Here are some factors that may be the worst enuresis in children (but do not worry because you can control these factors with little effort) to reduce the incidence of enuresis.
- Stress: can increase the episodes of bedwetting in children. Physical, psychological or environmental such as bullying, abuse, loneliness, the end of the school holidays, etc. could cause a constrain.
- Caffeine containing foods: are also responsible for increased urination because caffeine acts as a diuretic compound because it increases the amount of urine formation by the kidneys.
- Constipation:can also be considered as a factor promoting uncontrolled urination as it puts pressure on the bladder, causing rapid emptying.
- Children who suffer from ADHD: Attention Deficit Hyperactive Disorder are more likely cause problems of urinating in bed.
- Other rare reasons bedwetting are: urinary tract infection, diabetes, sleep apnea (sleep breathlessess), enuresis specific day can be regarded as a sign of a medical condition that can be diagnosed by the examination of the human urine sample.
How to deal with bedwetting in children
- Be patient and take effective measures
- Have patience, reassurance and love: Do not make your child feel embarrassed if he does not stop wetting the bed at the age of three years. Instead, congratulating a little and treat with confidential words he can stop and take control of this habit. Do not insult or punish your child.
- Use waterproof sheets: parents can use waterproof sheets on the mattress to avoid wetting depth and mitigate the consequences.
- Let your child take responsibility: parents may feel tired to change the sheets every day, they can also ask their children to change the sheets to promote healthy habits that can also discourage the behavior of enuresis.
- Explain to children: Discuss little physiology in front of your children is an easy way to make him understand what he is suppose to learn. Explain to the child that it is a water storage system in a balloon in his body, when the ball is full, it must be emptied as soon as possible, and otherwise it may leak. Learn more about how to talk to your children about their bedwetting:
- Make changes in the diet of your baby
- Limit your consumption of water around bedtime: normal intake of water should be about 250 ml, but if your child has a medical condition, you should limit your child’s water consumption (particularly around the night).
- Avoid caffeine containing products: Caffeine is a diuretic found in some drinks like cola, chocolate and other snacks. Do not allow your child to consume them after 18 hours to control bedwetting.
- Encourage better toilet habits
- Urination at bedtime: Develop a habit to urinate before going to bed is also quite useful in controlling the incidence of episodes of bedwetting.
- Potty training can help: Encourage your child to urinate once or twice every two to three hours to avoid sudden urgency and encourage him/her to not hesitate to call whenever he feels any discomfort.
- Encourage getting up if needed: Sometimes children are also afraid of urination and do not go to the bathroom during the night. Common reasons for this can be the fear of the dark, spiders or insects that can sting him. Try to leave to bathroom open for little encouragement lights so they can get up and cancel their bladder at night.
- Set up a reward system
- Setting up a reward system can help encourage your child to learn and support the habit. You can simply use a calendar with little space for each day of one star each time he performs a dry night. Also, you can give stars to urinate daily before going to bed.
- Consider these treatment options
Bedwetting usually stops with age more and more; this is where the child learns to control and use the toilet. However, some treatments are also invited in the search for early learning.
- Bedwetting Alarms: Your doctor may advise you to use alarms or bells called pad that can help you in the fast management of this issue. The time period usually last for 3-5 months to relieve the habit completely. Alarms operate so that, it is activated when it detects wetting the bed this makes the child to wake up and use the toilet at night.
- Pharmacological options: use of drugs may also be helpful in getting rid of this habit. Although it is not the permanent treatment and there is always a risk of mild recurrence after treatment is discontinued. Desmopressin is commonly used for this particular treatment when going on holiday or away from home.
- When nothing works
- Turn to the layers: You can return to nap if your child does not stop bedwetting by any other means; a nap reduces the pressure and embarrassment while providing sufficient security to recycle.
- Look at all the medical problems your child may be suffering from a disorder, making urinating on the bed usual. Parents should investigate any underlying cause such as constipation, stress, emotional problems, joint pain, etc. and seek medical evaluation for early management.
The following video provides more guidance on adaptation with bedwetting problems in your children:
When to see a doctor
Parents are encouraged to seek immediate medical attention if they experience any reason of unusual cause bedwetting. Following are signs of bedwetting that should be taken in order to avoid further complications.
- Sudden appearance in frequent bedwetting
- Time Enuresis Day
- Snores a lot at night
- Pain or burning during urination
- Frequent urination
- Recent increase in fluid intake (may be a sign of juvenile diabetes)
- Crossed 7 but bedwetting
In addition, you can also tell your doctor your child’s behavior or unusual stress, he feels.