NOCTURNAL ENURESIS - Symptoms, Causes, Risk Factors, Diagnosis, Treatment - AINU


NOCTURNAL ENURESIS

Bed-wetting is also known as nighttime incontinence or nocturnal enuresis. Generally, bed-wetting before age 7 isn’t a concern. At this age, the child may still be developing nighttime bladder control. If bedwetting continues, treat the problem with patience & understanding. Bladder training or medication may help reduce bedwetting.

SYMPTOMS

  •          Bed-wetting is involuntary urination while asleep after the age at which staying dry at night can be reasonably expected (above 7 yrs).
  •          Bed-wetting is sometimes accompanied by unusual thirst painful urination, pink or red urine, hard stools, snoring.


CAUSES

There are no exact causes for bed-wetting but various factors may play a role :
  •          A small bladder
  •          Inability to recognize full Bladder
  •          A hormonal imbalance
  •          Stress
  •          Urinary tract Infection
  •          Sleep apnea
  •          Diabetes
  •          Chronic constipation
  •          Any structural deformities in the Urinary tract or Nervous system of the child.


RISK FACTORS

Several risk factors have been associated with an increased risk of bed-wetting, which includes,
  •          Family history
  •          Attention-deficit/hyperactivity disorder (ADHD).


DIAGNOSIS

Initially, the child requires Physical Examination by the doctor. Later depending on the situation of the child the doctor may suggest:-

  •          Bloods Urine tests to check for signs of an infection or diabetes.
  •          X-rays or other imaging tests of the kidneys or bladder, if the doctor suspects a structural problem with the child’s urinary tract or another health concern.
  •          Other types of tests or assessments, if other health issues are suspected.


TREATMENT 

  •          In most of the children, bed-wetting will be resolved on its own.
  •          In case there is a family history of bed-wetting, the child will probably stop bed-wetting around the age the parent stopped bed-wetting
  •          In case of any underlying causes of bed-wetting, such as constipation or sleep apnea, should be addressed before other treatment.
  •          Timed voiding with the usage of alarms at the time when the child usually west the bed...


           MEDICATIONS 


·         Slow nighttime urine production medicines like- Desmopressin
·         Calm the bladder- if the child has a small bladder, an anticholinergic drug such as -      Oxybutynin is prescribed. Usually this medication is used in combination with other medications and is generally recommended only when other treatments have failed.



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Asian Institute of Nephrology and Urology (AINU) is the best kidney hospital in India, providing world-class treatment for all your renal problems. AINU hospitals successfully completed 500 robotic surgeries and proven that they are the best kidney transplant hospital in India.


AINU is known for the best urology hospital in India by providing world-class healthcare experts to help from all urological problems for men and women of all ages. AINU is also known for the best nephrology hospital in India by providing comprehensive treatment for all nephrological problems.



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AINU: Asian Institute of Nephrology and Urology
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