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BED WETTING

Enuresis is an inability to control urine that may occur during the day or night. This is usually not a cause of concern until the child is past the age of five. Almost 100% of children will be dry by the age of 15 years. Most children seem to wet more at night. Sometimes children may start to be wet after they have been dry for some time.

Symptoms

  • Wetting during the day
  • Frequency, urgency, or burning on urination
  • Straining, dribbling, or other unusual symptoms with urination
  • Cloudy or pinkish urine, or blood stains on underpants or pajamas
  • Soiling, being unable to control bowel movements (known as fecal incontinence or encopresis)
  • Constipation

Causes

  • Current psychological stress such as starting a new school
  • Family history
  • Urinary tract infections
  • Small bladder
  • Males

Diagnosis

Physical examination to rule out Urinary infection or abnormalities

Complications

  • Loss of self esteem
  • Loss of opportunities such as camping
  • Maceration of skin

Treatment

  • Appropriate toilet training
  • Avoiding large amounts of  fluid before sleeping
  • Decreasing emotional stressors
  • Rewarding the child with praise for dry nights
  • Bed pad apparatus