Rainbow Children’s Hospital doctor advise on how to control Bedwetting in Kids!

In last 8 years, we had around 1200 kids with bedwetting in the age group of 7 to 10 years. 636(53%) are male and 564( 47%)are female. 70% did not require medication , just needed reassurance and motivational therapy.

Rainbow Children's Hospital doctor advises on Bedwetting
Rainbow Children's Hospital doctor advises on Bedwetting

Bedwetting

Bedwetting is common in childhood but dealing with bedwetting every day can have a big effect on children, young people and their families. Bedwetting happens when a child involuntarily wets while sleeping. It is not a child’s fault they wet at night, nor are they being lazy. The medical name for Bedwetting is nocturnal enuresis. If a child has never been dry at night it is called primary nocturnal enuresis. If a child has been dry for 6 months or more and begins wetting at night again, this is called secondary nocturnal enuresis.

What Causes Bedwetting?

Bedwetting is most often related to deep sleep—the bladder is full but the child doesn’t wake up. Some children have smaller bladders, or produce more urine during the night. Constipation can also lead to Bedwetting because the bowel presses on the bladder.

Bedwetting in kids is a problem we can easily diagnose
Bedwetting in kids is a problem we can easily diagnose

Does it run in families?
Yes. In fact, a child with one parent who wet the bed when they were young is 30% more likely to wet to the bed. If both parents wet the bed as children, that number rises to about 50%. Most children will outgrow bedwetting on their own over time.
At 5 years of age, 15% of children wet the bed.
By 10 years, 5% of children wet the bed.
by 15 years of age, about 2% of children still wet the bed

Bedwetting happens as the result of one or more of the following: 
Lack of ability to wake from sleep to the signal to empty the bladder
Lack of the hormone vasopressin
An overactive bladder
Constipation
A urinary tract infection (UTI)
Anxiety and stress
Small bladder size

Treatment

There is good evidence that treatment can be very effective in resolving bedwetting and is recommended if bedwetting continues on a regular basis beyond the age of seven. It is very important that the child has sufficient understanding and motivation to engage in a plan of treatment and parents need to be understanding and supportive.

Bedwetting Alarms
Bedwetting alarms work by helping the child recognize the sensation of a full bladder during sleep and wake up to go to the toilet or learn to hold on. Bedwetting alarms can be very successful in resolving bedwetting provided the child is ready to work towards becoming dry and is involved in resolving the problem.

Medication
Two types of prescribed medication are commonly used to help children become dry at night. Desmopressin, an artificial form of the natural hormone vasopressin, helps the kidneys make less wee during the night. Muscle relaxants such as Oxybutynin will help the bladder relax and enable them to fill. Very occasionally, both medications will be prescribed for use at the same time.

Bladder Training
Some children who have both daytime wetting problems and bedwetting problems may benefit from a bladder training programme. An individual assessment will usually determine whether bladder training may help the child. Bladder training usually consists of establishing a regular toilet routine – often starting by going to the toilet at hourly intervals and building this up over time to two hourly intervals.

Dr Satya Prasad from Rainbow Children's Hospital about Bedwetting
Dr Satya Prasad from Rainbow Children’s Hospital about Bedwetting

Our experience at Rainbow Children’s Hospital

In last 8 years, we had around 1200 kids with bedwetting in the age group of 7 to 10 years. 636(53%) are male and 564( 47%)are female. 70% did not require medication , just needed reassurance and motivational therapy. We had 2450 kids with bed wetting in the age group of 10 to 15 years. 56%(1372) are male and 44% (1078)are female. 90% required medication due to anxiety and stress.

Dr V V R Satya Prasad
MD(Peds), Fellowship in Pediatric Nephrology

Mobile Number:-8882046046

(AIIMS, New Delhi), (NUH, Singapore)
Senior Consultant Pediatric Nephrologist
Rainbow Children’s Hospital, Banjara hills

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