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Bed Wetting

21 December 2016

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BED WETTING

Bed wetting is a common issue among children. In another word it is called enuresis. Enuresis often occurs among boys then girls.

The real cause is yet to know but in a small number , it may be due to urinary tract infection , childhood diabetes , neurological deficit or development delay. Some children are sound sleepers and do not wake to the stimulus of a full bladder. Normally the body tends to ‘slow down” the production of the urine at night and this is achieved by a hormone called the anti- diuretic hormone (ADH). However if it continues after the age of seven or causing distress for the child or family, professional help is recommended for treatment.

 What can be done?

  • Avoid punishment,public ridicule and teasing- this can cause long lasting mental scars.
  • Set the correct goals – the child has to learn to wake up at night and go to the toilet in a ‘half-wake’ state.
  • Avoid excessive fluids – reducing daily fluids does not help much. The child should be encouraged to drink lots during the day and the train the bladder to hold large amounts of urine.
  • Avoid constipation – this leads to pressure build-up in the area around the bladder and can reduce the amount of urine that the bladder can hold.

When to seek professional help?

If the child is already showing emotional distress, get him referred to a specialist.

Two kind of treatment

  • Behavioural therapy –includes motivational therapy using positive reinforcement and reward system.
  • Medication- mostly prescribed is desmopressin . Its a synthetic form of the form of the ADH hormone and therefore reduces the production of urine. It is taken before bed and it is effective for 8 to 12 hours. Most of all, remember that achieving dry nights can take time. Patience, love and encouragement will go long way to resolve the problem.

By Pharmacy Department, Sri Kota Specialist Medical Centre

Reference:-The Star paper year 2006