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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