Our grateful thanks to ERIC (Education and Resources for Improving Childhood Continence) for their help with this weeks report. For further help and advice call 0845 370 8008 or visit their website at www.eric.org.uk.
Bedwetting is a relatively common childhood condition. It occurs when there is an involuntary loss of urine during sleep. The medical name for bedwetting is nocturnal enuresis.
There are two types of bedwetting:
Prevalence Bedwetting can be a disruptive and stressful condition that is thought to affect:
Bedwetting is not a child’s fault if your child wets the bed, it is important for you to remember that it is not their fault and that they have no control over it.
You should not punish your child for wetting the bed because doing so can have harmful psychological effects, such as humiliating them and lowering their self-esteem.
There are a number of possible causes of bedwetting (nocturnal enuresis), and sometimes there may be more than one underlying cause. The main causes of bedwetting are:
Overactive bladder is a common cause of bedwetting. The bladder becomes ‘twitchy’ and wants to squeeze out urine even when it is not full, or when you are not ready.
An overactive bladder often causes urge incontinence, which is where you have a sudden urge to urinate and you are unable to hold it in.
Underlying health conditions Bedwetting can sometimes also be caused by a number of underlying health conditions. For example, it can be caused by:
Other causes Bedwetting can sometimes simply be caused by drinking too much fluid. It can also be the result of a number of chronic (long-term) conditions such as:
You should take your child to see your GP if they are wetting the bed at night time on a regular basis, and/or their bedwetting is upsetting them and causing them considerable distress.
Assessing your child’s bedwetting: In order to find out more about your child’s bedwetting, your GP will ask you and your child, a number of questions. For example, they may want to find out:
Ruling out underlying conditions to determine whether your child’s bedwetting is linked to a current infection, or health condition, your GP may carry out a physical examination.
They will want to find out whether there are any underlying health conditions that are causing your child’s symptoms, such as diabetes, or a urinary tract infection (UTI).
To do this, your GP will test your child’s urine for a number of substances, such as blood, glucose, and nitrites (chemical compounds). They may also send a sample to a laboratory for further testing.
What's the treatment? In children, medical treatment is rarely started before the age of six, but there's plenty the family can try at home.
Steps you can take include reassuring the child and explaining that it's a common problem, not done consciously and certainly not naughty. Don't blame the child or punish them, but take practical steps, such as putting a waterproof sheet on the bed. An enuresis alarm can help condition the child into getting up at night to pass urine. These can be purchased from ERIC (see below) or borrowed from a local enuresis clinic. However, one in three children relapses after a few months.
There are also lifestyle changes that prove very effective. These include:
Medical treatments include antidepressants (used for their effect on enuresis, not depression) and nasal sprays of antidiuretic hormone, which concentrates urine at night. They don't cure bed-wetting, but provide temporary relief and are best used on a temporary basis for holidays or sleepovers.
For more information please contact ERIC (Education and Resources for Improving Childhood Continence) on 0845 370 8008 or visit www.eric.org.uk.
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