Bed wetting or nocturnal enuresis is the unintentional, passage of urine during sleep at night after the age when a child should have the ability to control his/her bladder when it is full. Experts think that five to seven million children in this country wet the bed occasionally and are actively looking for ways to stop bed wetting. The older children get, the less likely they are to wet the bed, as children outgrow the problem at a rate of roughly 15% per year. However, this means that 1% of older teenagers, and 20% of children between the ages of six and five will still wet their bed regularly and need help to stop bed wetting.
There are two types of Bed wetting; Primary and secondary.
Primary Bed wetting is the type that is going on with the child since early childhood without a break, where the child has never been able to stop bed wetting and be dry at night for any significant period of time. Most of the children are having primary bed wetting.
Secondary Bed wetting is when the child has had a period of being dry during sleep (most often 6 to 12 months). Up to 25% of all bed wetter’s have secondary enuresis. While some cases of secondary enuresis can be linked to recent stress, the testing, care and results are often the same as for primary enuresis..
Primary bed wetting is viewed as a delay in maturation of the nervous system when children can not stop bed wetting. The inability to recognize messages of the nervous system sent by the full bladder to the sleep arousal centers of the brain while asleep.
Studies show that as many as 5-7 million children in the U.S suffer from bed wetting. The cause is likely due to one or combinations of any of the factors listed below.
A child with secondary bedwetting is much more likely to have other symptoms like daytime bedwetting. Some causes for secondary bed wetting are as follows.
Bed wetting can have short or long term impacts. When children can’t stop bed wetting, it is extremely stressful for both children and parents. Studies shows that bed wetting children can develop lower confidence and self esteem and live in fear of being discovered by their peers and feel of getting bullied and teased at home and school. Overall their social environment and school performance becomes weak. The impact of bed wetting can increase if they don’t get parental support that leads them to refuse to interact and be social in most situations so be patient and understanding – reassure your child, especially if they are upset
Parental support is very essential; parents must make children feel that they are not alone. Sharing bedwetting stories can make them feel better. The child might feel that something is wrong with them but to see positive results educate yourself and your child about bedwetting and help them to stop bed wetting and overcome bed wetting sooner.
Children often worry about wetting the bed at when they go for school camps or at sleepovers your child should be encouraged not to miss out on these fun times. Many children who wet the bed are very deep sleepers and it is usually harder to wake them up. Reassurance and encouragement often will work in time, but for some children, there are steps that can be taken to address the issues. some common recommended management and treatment options include the following: