What is Bedwetting or Nocturnal Enuresis?
Enuresis (bedwetting) is a socially stigmatising and stressful condition which affects around 33% of four-year olds, 15% to 20% of five-year olds and up to 2% of young adults.
Although there is a high rate of spontaneous remission, the social, emotional and psychological costs to the children can be great.
What factors may contribute to bedwetting in children?
Not all causes are known, however common factors include:
- genetic tendency (particularly if the parents were bedwetters)
- small bladder capacity
- being a deep sleeper
- the child’s kidneys continue to produce a lot of urine at night
- constipation
In rare cases, a medical problem may be the cause of the child’s bedwetting.
When should speak to a doctor about our child’s bedwetting?
You may wish to book an appointment with Dr Ani in the following circumstances:
- your child is at least seven years old
- you or your child are troubled or frustrated by the bedwetting
- you punish, or are concerned that you might punish, your child for wetting the bed
- your child wets or has bowel movements in their underwear during the daytime
- If your child has been dry at night for six months then begins to wet their bed again
How is Bedwetting or Nocturnal Enuresis treated?
The good news is that for many children the problem will resolve itself over time, or can be fixed through fairly simple treatment.
Initially this may include:
- General motivation
- Bedwetting alarms
- Limiting fluid intake before bed.
In some cases treatment may include medications. Dr Ani can walk you and your family through the various options and answer any questions you may have.
Resources: Urinary Voiding Diary, Bladder Voiding Questionnaire
