Bed-wetting is also known as nighttime incontinence or nocturnal enuresis. Generally, bed-wetting before age 7 isn't a concern. At this age, your child may still be developing nighttime bladder control.
If bed-wetting continues, treat the problem with patience and understanding. Bladder training, moisture alarms or medication may help reduce bed-wetting
Causes--No one knows for sure what causes bed-wetting, but various factors may play a role:
A small bladder. Your child's bladder may not be developed enough to hold urine produced during the night.
Inability to recognize a full bladder. If the nerves that control the bladder are slow to mature, a full bladder may not wake your child — especially if your child is a deep sleeper.
A hormone imbalance. During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
Stress. Stressful events — such as becoming a big brother or sister, starting a new school, or sleeping away from home — may trigger bed-wetting.
Urinary tract infection. This infection can make it difficult for your child to control urination. Signs and symptoms may include bed-wetting, daytime accidents, frequent urination, red or pink urine, and pain during urination.
Sleep apnea. Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep — often due to inflamed or enlarged tonsils or adenoids. Other signs and symptoms may include snoring, frequent ear and sinus infections, sore throat, or daytime drowsiness.
Diabetes. For a child who's usually dry at night, bed-wetting may be the first sign of diabetes. Other signs and symptoms may include passing large amounts of urine at once, increased thirst, fatigue and weight loss in spite of a good appetite
Chronic constipation. The same muscles are used to control urine and stool elimination. When constipation is long term, these muscles can become dysfunctional and contribute to bed-wetting at night.
A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.
Symptoms-Bed-wetting is involuntary urination while asleep after the age at which staying dry at night can be reasonably expected.
Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.
Risk factors-Several factors have been associated with an increased risk of bed-wetting, including:
Being male. Bed-wetting can affect anyone, but it's twice as common in boys as girls.
Family history. If one or both of a child's parents wet the bed as children, their child has a significant chance of wetting the bed, too.
Attention-deficit/hyperactivity disorder (ADHD). Bed-wetting is more common in children who have ADHD.
Complications-Although frustrating, bed-wetting without a physical cause doesn't pose any health risks. However, bed-wetting can create some issues for your child, including:
· Guilt and embarrassment, which can lead to low self-esteem
· Loss of opportunities for social activities, such as sleepovers and camp
· Rashes on the child's bottom and genital area — especially if your child sleeps in wet underwear
HOMOEOPATHIC REMEDIES
Well selected Homoeopathic remedies are effective for bed wetting problems and cure safely without any side effects.
KREOSOTUM 30- Kreosotum is one of the most indicated medicines for bed wetting. Here bed wetting occurs in the first part of the sleep with dreams as if urinating in the urinals. The child finds it difficult to wake up from deep slumber.
EQUISETUM 30- Equisetum is another effective remedy for bed wetting where the urination is painful.
The child wet their pants or bed for no known reason other than out of habit.
CAUSTICUM 30-Causticum is prescribed when involuntary urination is worse in winter and better in summer.The children wet their pants when they cough or sneeze or even laugh.
CINA 30-Cina is best for bed wetting due to the presence of worms in children. There is irritation of the nose causing constant desire to pick, or scratch or press in it.There is extreme ill humour, heightened irritability and commonly gritting teeth during sleep.
BENZOIC ACID 30- Benzoic acid is prescribed for bed wetting where strong smelling urine of low specific gravity occurs. The child wet the bed several times during sleep. Another feature is urine smelling of ammonia, like horse’s urine.
MEDORRHINUM 200-Medorrhinum is indicated as a general remedy for bed wetting, passing large quantities of pungent smelling urine or scanty or highly coloured or copious pale urine with pungent odour.
SEPIA 200- Sepia is another effective remedy and it is more suitable to yellow sickly girls.Sepia is specific for wetting the bed during the first sleep. The child wets the bed as soon as she goes to sleep or passes urine within two hours of going to bed.
SULPHUR 200-Sulphur is best for wed wetting , found in pale, lean children with large abdomen who love sugar and highly seasoned food. Child hurry to urinate , when there is sudden call.
PSORINUM 200-Psorinum is prescribed for bed wetting as an intercurrent remedy when well selected remedies fail. Bed wetting following suppression of eczema, or eruptions or after acute severe illness.Psorinum child wets the bed , especially during full moon.
CALCAREA CARB. 200- Calcarea carb is prescribed for bed wetting in fat flabby children who eat dirt and other indigestible things.
PULSATILLA NIG. 30-Pulsatilla girls wet the bed during the day as well as night. They are poor sleepers and eat too much.Wetting the bed following measles.
VERBASCUM THAPS. Q—Verbascum is effective for bed wetting of long standing , resistant treatment.
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