Dr E V Kumar
Specialist - Paediatrics
Healthspring World Clinic
Enuresis is more commonly known as bed-wetting. Nocturnal enuresis, or bed-wetting at night, is the most common type. Daytime wetting is called diurnal enuresis. Some children experience either or a combination of both. The condition is not diagnosed unless the child is 5 years or older.
What Are the Symptoms of Enuresis?
The main symptoms of enuresis include:
• Repeated bed-wetting
• Wetting in the clothes
• Wetting at least twice a week for approximately three months
What Causes Enuresis?
Many factors may be involved in the development of enuresis. Involuntary, or non-intentional, release of urine may result from:
• A small bladder
• Persistent urinary tract infections
• Severe stress
How Common Is Enuresis?
Enuresis is a common childhood problem. Estimates suggest that 7 percent of boys and 3 percent of girls age 5 have enuresis.
How Is Enuresis Diagnosed?
First, the doctor will take a medical history and perform a physical exam to rule out any medical disorder that may be causing the release of urine, which is called incontinence. Laboratory tests may be also performed, such as a urinalysis and blood work to measure blood sugar, hormones and kidney function. Physical conditions that could result in incontinence include diabetes, an infection, or a functional or structural defect causing a blockage in the urinary tract.
How Is Enuresis Treated?
Treatment may not be needed for mild cases of enuresis, because most children with this condition outgrow it. Reassuring the child and parents is essential. Early dinner and no water after 9pm are helpful. Awakening the child at midnight and making him pass urine is often rewarding. Medicines are used more often if the child’s self esteem is getting affected by the wetting.
WebMD Medical Reference
