It is a serious problem of parents if their child urinate on bed.Many parents thinks it as normal phenomenon. But it is always not so normal.
Children's urination during sleep usually gets better within 5 years. After this age, if they urinate two or more times during sleep, it is called Enuresis Nocturnal Enuresis.
Bed wetting is one of the most common problems in children. We divide it into two parts.
1. Just wet the bed
2. In addition to wetting the bed, other symptoms such as burning sensation in the urine, inability to hold the urine, dripping urine during the day, etc.
Reasons for wetting the bed:
Hereditary: Genetic or hereditary problems are very important among the causes of bed urination. If one parent has a history of the problem, 44 percent, and if both have a history, 8 percent of the children are at risk.
Tea - Coffee or alcohol
# Problems waking up
#Stress: such as separation of parents, quarrels, new school, new home, family unrest
#Sexual abuse
Three types of babies usually urinate in bed
1. Those who have trouble waking up completely.
2. Those who lack urine produce more urine at night.
3. Those who have less capacity of the urinary bladder.
Examination:
This problem usually does not require any tests but according to other symptoms
Urine RME
Ultrasonography of KUB with MCC with PVR
Random Blood Sugar
MRI Spine
Urodynamic Study These tests may need to be done.
Treatment
The role of parents is most important in the treatment of this disease. Behavior therapy and alarm therapy are very important at the beginning of treatment.
Use change:
The child should be given two-thirds of the daily required liquid drink in the afternoon and one-third in the afternoon from bedtime. This will reduce the production of urine in his sleep.
#Must urinate twice before going to sleep.
#Urine should be taken in sufficient time so that it can be urinated completely.
#Do not drink tea or coffee after evening.
Constipation must be overcome.
Alarm therapy
There is an alarm device that has an object in the baby's pants so that when a drop of urine falls, the alarm sounds and the patient can go to the toilet and urinate. If you can practice in this way for some time, wetting the bed will stop.
Pharmacotherapy:
*M Desmopressin
*Oxybutanin
*Imipramin are treated with some drugs...
