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Bed-wetting – Causes and Symptoms of Bed-wetting

Bed-wetting is called as night time incontinence or nocturnal enuresis. It refers to the unintentional passage of urine while sleeping. Children who suffer from this have a low self-esteem and their performance at school and interpersonal relationships and quality of life gets effected. Nocturnal bed-wetting does not require any treatment in children of preschool age and those who have achieved bladder capacity during the day.

Causes of bed-wetting
Though the exact cause is unknown, there are many factors that contribute to this disorder. They include:

  • A small bladder: When the bladder is not developed enough to hold urine that is produced at the night.
  • Hormonal Imbalance: In some children, the anti-diuretic hormone is not produced enough which slows the night time urine production.
  • Stress: Events that are stressful like starting a new school, sleeping away from home may trigger bed-wetting.
  • Inability to recognize a full bladder: If the nerves which control the bladder matures slowly and sometimes when your child is a deep sleeper he/she may not rouse from the sleep.
  • Urinary tract infection: When a child suffers from urinary tract infection it becomes very difficult for the child to control urination.
  • Sleep apnea: Bed-wetting can be one of the signs of sleep apnea.
  • Diabetes: If your child suffers from juvenile diabetes, then he/she may suffer from incontinence of urine.
  • Chronic constipation: when the bowel movements become slow and this may lead to reduced capacity of the bladder which may cause bed-wetting.
  • Anatomical defect: A defect in the urinary system or central nervous system may cause bed-wetting rarely.
  • Sex: Bed-wetting is more common in boys, though it can affect anyone.
  • Family history: If any of the parent suffered from this disorder as children, then there is 80% chance of their child suffering from this disorder.
  • Attention-deficit/hyperactivity disorder (ADHD) : Bed-wetting is very common among those children who suffer from ADHD.

Bed-wetting symptoms
The symptoms for bed-wetting include:

  • Frequent and urgent urination
  • Burning urination
  • Wetting during the day
  • Dribbling Or straining while urination
  • Pinkish or cloudy urine
  • Constipation
  • Involuntary urination during nights

When to consult your doctor?
Consult your child’s doctor if:

  • If your child starts to wet the bed after a period of being dry at night
  • Bed-wetting along with painful urination
  • Your child wets the bed even after the age of 5 or 6
  • Your child has unusual thirst and develops the habit of snoring
  • Pink colored urine
  • When you observe these symptoms, consult your doctor immediately because some children may need medical attention for some of the underlying condition.

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