Bedwetting (படுக்கையில் சிறுநீர் கழித்தல்)
Definition
Bedwetting is involuntary urination in children over 5 to 6 years old.
It may occur at any time of the day or night. This article focuses on nighttime
bedwetting.
Alternative Names
Enuresis
Causes, incidence, and risk factors(காரணங்கள்)
Children develop complete control over their bladders at
different ages. Nighttime dryness is usually the last stage of toilet learning.
When children wet the bed more than twice per month after age 5 or 6, it is
called bedwetting or nocturnal enuresis.
Bedwetting is common. More than 5 million children in the U.S. wet the bed at night. Some
children still wet the bed at age 7. The numbers drop slightly by age 10. Although the problem goes away over time, many children and even
a small number of adults continue to have bedwetting episodes.
Bedwetting runs strongly in families.
There are two types of bedwetting
· Primary
enuresis: Children who have never been consistently dry at night. This usually
occurs when the body makes more urine overnight than the bladder can hold and
the child does not wake up when the bladder is full. The child's brain has not
learned to respond to the signal that the bladder is full. It is not the
child's or the parent's fault.
· Secondary
enuresis: Children who were dry for at least 6 months start bedwetting again. There are many reasons that
children wet the bed after being fully toilet trained. It might be physical,
emotional, or just a change in sleep.
Physical causes are rare, but may include lower
·
Spinal cord
lesions
(முள்ளந்
தண்டுவடம்
புண்கள்)
·
Diabetes (நீரிழிவு)
birth defects of the genitourinary tract, infections of the
urinary tract,.
Symptoms (அறிகுறிகள்)
The main symptom is involuntary urination, usually at night,
that occurs at least twice per month.
Signs and tests
Your child's doctor will discuss the history of bedwetting in
detail. You can help by keeping a detailed diary that outlines normal urination
and wetting episodes, fluid and food intake (including time of meals), and
sleep times.
A physical examination should be performed to rule out physical
causes. A urinalysis will be done to rule out infection or diabetes.
X-rays of the kidneys and bladders and other studies are not
needed unless there is reason to suspect some other problems.
Treatment (சிகிச்சை)
Doing nothing or punishing the child are both common responses
to bedwetting. Neither helps. You should reassure your child that bedwetting is
common and can be helped.
Start by making sure that your child goes to the bathroom at
normal times during the day and evening and does not hold urine for long
periods of time. Be sure that the child goes to the bathroom before going to
sleep. You can reduce the amount of fluid the child drinks a few hours before
bedtime, but this alone is not a treatment for bedwetting. You should not
restrict fluids excessively.
Reward your child for dry nights. Some families use a chart or
diary that the child can mark each morning. While this is unlikely to solve the
problem completely, it can help and should be tried before medicines are used.
It is most useful in younger children, about 5 to 8 years old.
Bedwetting alarms are another method that can be used along with
reward systems. The alarms are small and readily available without a
prescription at many stores.
The alarm wakes the child or parent when the child starts to
urinate, so the child can get up and use the bathroom. Alarm training can take
several months to work properly. You may need to train your child more than
once. Bedwetting alarms have a high success rate if used consistently.
Once your child is dry for 3 weeks, continue using the alarm for another 2 weeks and then stop.
Some sources find that bedwetting alarms combined with medicine
results in the highest number of cures.
For children with secondary enuresis, your doctor will look for
the cause of the bedwetting before recommending treatment.
Homeopathy Treatment for Bed wetting
Symptomatic Homeopathy medicines helps for bed wetting, So its good to consult a
experienced Homeopathy physician without any hesitation.
Expectations prognosis
The condition poses no threat to the health of the child if
there is no physical cause of bedwetting. The child may feel embarrassment or
have a loss of self-esteem because of the problem. It is important to reassure
the child. Most children respond to some type of treatment.
Complications (சிக்கல்கள்)
Complications may develop if a physical cause of the disorder is
overlooked. Psychosocial complications may arise if the problem is not dealt
with effectively in a timely manner.
Calling your health care provider.
Be sure to mention bedwetting to your child's health care
provider. Children should have a physical exam and a urine test to rule out
urinary tract infection or other causes.
If your child is having pain with urination, fever, or blood in
the urine, contact your child's doctor right away.
Prevention (தடுப்புமுறைகள்)
Getting plenty of sleep and going to the bathroom at regular
times during the day and night can help prevent some aspects of bedwetting.
For more
details & Consultation
Contact us.
Vivekanantha Clinic Consultation Champers at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)
For appointment please Call us or Mail Us.
For appointment: SMS your Name -Age – Mobile Number - Problem in Single word -
date and day - Place of appointment (Eg: Rajini- 30 - 99xxxxxxx0 – பெட் வெட்டிங்,
படுக்கையில் யூரின் போகுதல், Bed wetting, passing urine in bed, – 21st Oct, Sunday -
Chennai ). You will receive Appointment details through SMS
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