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Nocturnal Enuresis

Nighttime Bedwetting

Nocturnal Enuresis is another name for Nighttime Bedwetting. It is involuntary urination while sleeping found in children ages 5 years or older. At this age the bladder control should have occurred. Children with nocturnal enuresis may have excessive urine production, poor sleep at night or reduced bladder capacity. It's a common problem affecting an estimate 5 to 7 million children in United States. Nocturnal Enuresis occurs three times more in boys than girls. Unfortunately only one third of the families of children with this frequently troubling problem seek help from physician or use a bedwetting alarms or enuresis alarm . Children are not considered enuretic until they have reached 5 years of age. For the diagnose of nocturnal enuresis a child who is five or six years old should have two or more bedwetting accidents per month and a child who is over 6 years should have one or more bedwetting accidents per month

There are two kind of nocturnal enuresis. Primary Enuresis and Secondary Enuresis.

Primary Enuresis –  This is the recurrent involuntary passage of urine during sleep by a child aged 5 years or older, who has never achieved consistent nighttime dryness. This may further be subdivided into children who have enuresis only at night and those who also have daytime symptoms. This is the most common form of nocturnal enuresis.

Secondary Enuresis – This is the involuntary passage of urine during sleep for children, adults or teen who have previously been dry for at least six months.

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Some theories may contribute to individuals developing an enuresis condition.

  • Genetics – Children and Teens with enuresis often have a parent who had nocturnal enuresis at about the same age.
  • Sleep Problem – Some children and teens, both boys and girls sleep so deeply that they do not wake up when they have to pee.
  • Bladder Problem – While the real bladder capacity is identical in children with or without nocturnal enuresis whereas functional bladder capacity at which the bladder empties itself may be less in those with enuresis.
  • Physiologic Factor – Some experts believe that stress can be associated with enuresis.
  • Caffeine – Consuming too much caffeine can also cause more urination.
  • Hormonal problems – Some people's bodies don't make enough ADH, (A hormone called antidiuretic hormone that causes the body to produce less urine at night) which means their bodies may produce too much urine while they're sleeping.
  • Medical conditions – Includes diabetes, urinary tract abnormalities, constipation and urinary tract infections that can trigger secondary enuresis.
  • Constipation – When the bowels are full, it can put pressure on the bladder which causes bed wetting.
  • Sleep Apnea – Snoring and enlarged tonsils or adenoids are a sign of potential sleep apnea problems that has been associated with bedwetting.
  • Stress – Stress can be contributing to returning bedwetting called relapse.

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