What is bed wetting?
Bed wetting is also knows as
nocturnal enuresis. The person passes urine involuntarily while sleeping, and
have no control over it. Nocturnal enuresis is a complicated problem and it can
cause distress in patients and the children who are affected by it. The parents
of the child are mostly not only concerned about the emotional effect but also
the social effect bed wetting has on their child. It is extremely common in
young children. However, bed wetting can continue into teenager’s years. The
child feels embarrassed about bed wetting the bed and also feels guilty that
it's their fault that they can't stop it.
Symptoms of bed wetting
There are few symptoms that are
common in bedwetters and can be observed by the parents. These children tend to
snore. They also grind their teeth while sleeping. These children usually wake
up late in the morning due to uncomfortable sleep. They may be grumpy and
irritable during the day. These children also have a sleep disorder which is
inherited from their parents. As bed wetting is involuntary, they do not
remember the episode of wetting their bed in the morning. Any activity that
involves sleeping at night somewhere other than their home can cause children
to feel anxious and embarrassed.
Causes of bed wetting
There are reasons why children wet
their bed. These include certain diseases. Children with Down's syndrome and
Attention Deficit Disorder tend to cause bed wetting. Any disease that may
increase urine production by the body of child can cause bed wetting, when the
children drinks fluids before sleeping have higher incidents of bed wetting.
Children who have infection in their urinary system tend to wet their bed as
the infection irritates the bladder mucosa which makes it difficult for the
child to control the urine passing. Stress in children also acts as a cause of bed
wetting. Bed wetting tends to occur when the child is in deep sleep. Any
problem in the prostate gland in males can cause an increase in pressure on the
bladder resulting in bed wetting. Sleep Apnea, in which there is cessation of
breathing while sleeping, also tends cause nocturnal enuresis.
Risk factors of bed wetting
There are several risk factors
involved in bed wetting. These include the genetics of the patient, which
decrease the control of the children on urine control. Genetic factors can also
cause diseases that cause bed wetting like Down’s syndrome. If a child’s
parents have had problem with bed wetting, there is a higher chance that the child
will have it too. Children who have increased pressure in abdomen due to
retaining of fecal matter like constipation and encopresis also act as a being
at risk. Stress caused by depression, social phobias and anxiety can also act
as major contributor to risk factors. Another risk factor is when the body has
increased production or urine at night time. A child who has mental status
which has been altered and is immobile can also have higher chances of
developing bed wetting.
Complications of bed wetting
There are no major complications of bed
wetting. Most are related to psychological and social effects of bed wetting on
the child, as the child get anxious and feel guilty. In order to avoid
psychosocial problems from developing bed wetting problem should be treated
quickly with a good technique. However physical complications can also develop
if any physical condition which is causing bed wetting is not considered and
treated.
Diagnosis of bed wetting
In order to diagnose bed wetting,
the child specialist known as a pediatrician will require a detailed history of
the child’s problem. The parents can make urinary diary of the child, in which
they have to input the wet and dry days of the child. The diary should include
the number of times the child has passed urine in a day and the amount of
liquid the child drank in the day. It also includes the food habits of the
child. Certain investigation can also be ordered by the child’s doctor. These
include noninvasive tests. An X-ray of the abdomen will view the kidneys and
the bladder. An Ultra sonogram of kidney, ureters and bladders is ordered.
Also, in order to rule out any infection in urinary system, a routine urine
test is done. These investigations help the doctor in determining what causes
the problem.
Treatment of bed wetting
Homeopathic Treatment of Bed wetting
Homeopathic is highly effective in
controlling the bed wetting problem in children. Homeopathic is a safe medicine
to be used in children. In order to solve the bed wetting problem, homeopathy
treats the child on psychological and on physical level. There are a few
remedies that are used which include Causticum, Kreosote, Pulsatilla, Sepia and
Sulphur.
Acupuncture and acupressure
treatment of bed wetting
Acupressure is a non-invasive
treatment; it is painless and is cheap. It helps in reducing the bed wetting
episodes. A single small, low-quality study was done, which reported that
children whose parents gave their children "micro massage" on
acupressure sites saw that the incidence of bed wetting has decreased in them.
Another small scale study compared the acupressure with the drug used known as
oxybutynin. The research showed that the acupressure was more effective than
oxybutynin treatment.
Psychotherapy treatment of Bed
wetting
For a child in whom bed wetting is
caused by emotional stress, psychotherapy and counseling appears to be helpful.
The therapy consists of the child talking with a trained professional who
counsels and helps the child in figuring out the causes of stress and how to
deal with them, which are causing the incidental nocturnal enuresis. This
therapy involves the parents also.
Conventional/Allopathic treatment of
Bed wetting
Allopathic treatment is only given
to the child if the child is above the age of 6. However the first thing to do
is behavioral therapy. This therapy helps in child realizing his/her bladder is
full. By waking the child up at night so the child can urinate. This therapy
also includes asking the child to wash their own sheets and change them. If
behavioral therapy does not work, a drug called imipramine is prescribed. After
this, the improvement tends to occur within the first week of therapy.
Surgical treatment of Bed wetting
Any physical defect in the body
which causes the bed wetting can be removed through a surgery. If the bed
wetting is caused by large size of adenoid glands causing sleeping apnea, the adenoids can be removed by surgery. If a
defect is present in the urinary system, it can be excised. If bed wetting is
occurring due to spinal tumor, the tumor can be removed . If there is a defect in
the urinary system it can be corrected.
Dietary and herbal treatment of bed
wetting
This includes adding certain foods
to the child’s diet and avoiding certain foods. The parents should make sure
the child eats food like fresh, leafy vegetables. Also, brown rice and foods
that have high amount of compounds like silica, magnesium and calcium. The
child should be given a diet which is rich in fiber. The child should avoid
fruit juices like apple, orange, grape and pineapple juice, as well as
prepackaged and processed food. The parents should make sure the child avoids
sweets. The child should be give controlled amount of meat and food with
additives which are artificial.
Other treatment of Bed wetting
This treatment includes massaging
the lower stomach of the child before every meal with warm sesame oil. After
that make the child drink one warm cup of water with one spoon honey.
Precaution and Prevention of bed
wetting
The child going through bed wetting
needs psychological and emotional support in order to help him/her to control
their problem. There are several steps that need to be taken by the parents
that can help in decreasing the episodes of bed wetting. The child should be
encouraged to sleep in the normal times like their evening nap and night
sleep. The child should be shown to the
bathroom after every meal and regularly. Before the child goes to bed, the
parents should make sure the child goes to the bathroom and passes urine before
sleeping. In order to provide emotional
support, reward the child when they have a dry night. Also make sure the child
can easily access the bathroom if he/she wants to. Also, in order to decrease
production of urine, do not give your child coffee, chocolate, tea or soda and
any drink that increases urine production after evening.
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Patient's Feedback
For Safe Natural Holistic Treatment, contact or visit:
Ethos Healthcare
Email : contactethos@gmail.com
Phone: +91-11-26164016, 46026700
Mobile / Whatsapp: +91-9810155920
Website:
www.ethosbodyandmindclinic.com
and
www.ethoshealthcare.com
----------------------------------------------------------------------------------------------------------------
Patient's Feedback
For Safe Natural Holistic Treatment, contact or visit:
Ethos Healthcare
Email : contactethos@gmail.com
Phone: +91-11-26164016, 46026700
Mobile / Whatsapp: +91-9810155920
Website:
www.ethosbodyandmindclinic.com
and
www.ethoshealthcare.com
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