Children with bed wetting (enuresis) cannot control urination at night. Even when awake, the child may not realize that the bladder is full of urine and cannot control urination like during the day. Bed wetting is also called nocturnal enuresis, while bed wetting that occurs during the day is called diurnal enuresis, which are two different diseases.
Bedwetting is common in young children. Children under 5 years of age have an incidence rate of 1/10, and children under 15 years of age have an incidence rate of 2/100. During the child’s development, unconscious enuresis at night is a normal stage, which is not caused by failure of defecation training. The speed at which each child grows and can learn to control the bladder is not consistent. Few children do not wet the bed before the age of 3, and most children will disappear between 3 and 8 years of age. Before the bed wetting disappears, you should give the child enough patience and understanding, help the child, and encourage the child.
What is reasons for bed wetting or enuresis ?
In most cases, bed wetting is simply because the child is asleep and cannot wake up when the bladder is full of urine.
Usually, bed wetting is inherited. If you have been a patient with bed wetting, then your child is more likely to have bed wetting.
In rare cases, type 1 diabetes or congenital defects of the urinary tract may cause enuresis. They not only cause nighttime enuresis, but also daytime enuresis. If there is no daytime enuresis, you can rest assured that your child is very likely to be very healthy.
Emotional and behavioral problems, such as restlessness, unsuitability to the new house, or newborn siblings, are not the cause of bed wetting. But if the child wetting the bed is seen as a “problem”, the child may become anxious and lose self-confidence. In fact, bed wetting is often just a problem of washing clothes.
When do I need to see a doctor ?
If your child has enuresis during the day, and it continues after 6 years of age or older, you need to take your child to see a doctor.
If your child wets the bed suddenly after 6 months or more, you need to take your child to see a doctor.
What is enuresis Treatment methods and drugs ?
If it is found that the child is suffering from daytime bed wetting due to physical reasons, the doctor will prescribe antibiotics and other drugs to treat urinary tract infections.
For children with bed wetting (nocturnal enuresis), the doctor may prescribe a hormone called desmopressin (DDAVO), but this medication is restricted to overnight stays and camping.
How to help children with enuresis ?
The child may need your comfort and understanding. Encouragement and positive teaching (such as praise for not wetting the bed) is no longer advocated, because when we praise the lack of bed wetting, it is difficult to convince children that bed wetting at night is not a shame. You can gently remind your child to urinate before going to bed, but waking a sleeping child to urinate may not be worth the gain. Most children stop bed wetting without treatment.
How to Control emotions and comfort children ?
Constantly washing your child’s bed linen is likely to make you feel frustrated. At this time, don’t punish or humiliate the child, but comfort the child and tell the child that this is not his fault. Bed wetting will disappear naturally after a while.
Other family members should also be tolerant of bed wetting children and never make fun of or tease the children.
What is other common sense details useful to children include ?
Remind children to get up at night to pee and use the toilet
Make sure the road to the toilet is clear
Encourage your child to go to the bathroom before going to bed. Another way is to tell the child to go to the bathroom just before bed time, and then tell the child to go again before going to bed
Put plastic sheets on the mattress
Let children develop the habit of washing regularly in the morning in a way that does not humiliate or punish
- Bed wetting is common in young children
- Every child learns to control the bladder at different speeds
- If your child has difficulty controlling the bladder after 6 months, please consult a doctor
- Treatment includes comforting the child and gently reminding the child to go to the toilet
- Punishment and humiliation do not