Bed wetting

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.

  -------------------------------------------------------------------------------------------------------------

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

----------------------------------------------------------------------------------------------------------------