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Enuresis

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Enuresis is more commonly known as bedwetting. It is the difficulty of controlling urination while asleep for people who are normally expected to do so. This is a common disorder that is associated with children.

Enuresis or bedwetting is a common issue in the pediatric world. At some point, parent are found to have just expected their children manage urination during sleep too early. In some cases, bedwetting comes off as a serious problem that is based on developmental disturbances. Enuresis is also sometimes associated with family history.

Statistics show that young females should manage sleeping dry at age six while young males manage it at age seven. By the time children reach the age of ten, only 5% of the population are seen with the problem of Enuresis.

But Enuresis also occurs in adult patients. The bedwetting rates in adult is between .5 and 2.3%.

Treatments for Enuresis vary from behavioral to medical. Your doctor would determine what’s right for you, depending on the kind of treatment required for your case.

ENURESIS SIGNS

The most imminent sign of Enuresis is bedwetting or urinating while you are asleep or during times when you should not. At a certain age, people are expected to take control of their urinating habits. As mentioned above, this is normally achieved by age ten in both girls and boys.

When you find you are having the urge to urinate at inappropriate times and in inappropriate places, you may well be a candidate for Enuresis.

ENURESIS SYMPTOMS

There are two types of Enuresis that was defined. The first is called Primary Enuresis. PE refers to a case where the child has not yet managed to control his urinating habits, either when he is asleep, awake, or both. This problem starts from infancy. Naturally, children are expected to control their urinating habits at a certain age. Children who have this condition do not consciously urinate. Some research suggests that children with Primary Enuresis may be slow to process the feeling or idea of having a full bladder. The problem supposedly stems from the nervous system. Either that or they have problems controlling their urge to urinate or they continuously delay the feeling until they finally lose control.

The second type of Enuresis is called Secondary Enuresis. In this case, the patient goes back to bedwetting after managing to keep himself dry for a time. Usually, this type of Enuresis occurs at night, while the patient is asleep. Studies suggest that Secondary Enuresis may stem from stress. When someone is exposed to a stressful event, he often develops several psychological conditions. And Enuresis may be one of the effects.

In adults, Enuresis is often referred to as Urinary Incontinence, mostly associated with old age. In this case, dementia and other factors result to a person’s loss of control to his bodily functions.

ENURESIS CAUSES

At times, Enuresis may also be caused by genetics, which means that it runs in families. If any of your close relative has problems controlling urinating habits, you are less likely to develop the condition yourself.

In cases concerning children, most Enuresis can be left untreated. Children usually manage it better each year after reaching the age of six. If the problem goes beyond the age of ten, however, it becomes an entirely different thing altogether.

ENURESIS TREATMENT

Behavioral modification is often the treatment option for Enuresis. In this kind of treatment, an alarm is placed on the beddings. The sensor sets off the alarm once it becomes wet. This course of action is expected to prompt the child to figure out when his bladder feels full and gets up voluntarily to urinate after a while of dealing with the alarm. Although this kind of treatment may require patience, it has been proven to be effective in eradicating the problem completely. After a while of constantly being waken up by the alarm as it becomes wet due to involuntary wetting, your child is expected to manage emptying his bladder at the proper place, whenever it feels full.

Other behavioral treatments include consciously limiting your child’s fluid intake before bedtime, waking the child at night to go to the bathroom, and positive encouragement.

If the idea of waiting for your child to come around when it comes to bedwetting does not go along well with you and if you feel that behavioral modifications don’t do the trick, you may resort to medication treatments to control Enuresis.

Imipramine and Desmopressin acetate are two main drugs that re used through the years to treat Enuresis. Both medication treatments have been found to provide favorable results. The use of those drugs, however, must be well taken cared of. As much as they are effective in the treatment of Enuresis, they are also found to provide high relapse rates when stopped. It is important that you are guided well by a qualified professional when resorting to those medication therapies.

Enuresis has a strong impact on a person’s self-esteem. That is why it must be prevented at all costs. Children who wet are often prevented from enjoying sleepovers, camping, and some other activities that may make their bedwetting become known. In this case, behavior problems may arise along with Enuresis. In this case, you as an adult or a parent can do so much.


First, as much as you make your child responsible for the consequences of his bedwetting, you must never make him feel guilty or less lovable than other children who do not suffer from Enuresis. You also need to understand that such an act is done unconsciously. You cannot solve the problem by always punishing your child for it.

ENURESIS PREVENTION

Positive encouragement should come from you, being the parent. You must make your child understand the booboos that Enuresis may bring in his social life. After establishing that there is a problem to solve, you must work with your child hand-in-hand in finding the solution. Make the bathroom accessible even during the night by placing lights leading to it. You may also go out of your way and wake up your child several times each night to lead him to the bathroom. Once you see any progress, do not forget to praise your child for good work. Encourage him further to work double time when accidents of bedwetting occur.
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