Bed wetting can be embarrassing if it happens in adulthood.
The simple definition of bed wetting is;- Having urination at the bed in the night.
Usually bed wetting patient do not know that he/she pissed in the bed.
Usually bed wetting is an involuntary process. People can not control it. Although bedwetting is not a serious condition, it can cause stress for the child and family. Children who wet the bed may feel ashamed or embarrassed. They might avoid taking part in activities, such as sleepovers or camping, because they are worried that they might wet the bed while they’re away from home.
Global situation:- There are about 5 million children in the United States wet their beds. It happens more often among younger children, about 30% of children age 7 and under and about 5% of 10-year-old children. About 2 to 3% of people over 18 have primary nocturnal enuresis. Bed-wetting occurs more often among boys.
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What is bed wetting
“ Bedwetting is an involuntary release of urine during sleep. “
Bedwetting is a common problem among children, even after they have been toilet-trained.
Generally, bed-wetting before age 7 isn’t a concern. At this age, your child may still be developing nighttime bladder control. Most children gradually stop wetting the bed on their own as they grow older. Usually, children stop wetting the bed between 3 and 5 years of age. Bedwetting is considered a problem if the child is over age 7 and continues to wet the bed two or more times a week for at least three months in a row.
Medical terminology of bed wetting
Bed wetting is also known as “nocturnal enuresis” In medical language.
Types of bed wetting
There are following 2 types of bed wetting;-
- Primary nocturnal enuresis:- It is a condition in which the person has never remained dry throughout the night for six months in a row or longer. It describes children who never achieved dry nights since potty training.
- Secondary nocturnal enuresis:- It is a condition in which the child has started wetting the bed again after not wetting the bed for six months or more.
It a condition that develops at least 6 months or even several years after a person has learned to control their bladder.
Secondary enuresis is more likely to be caused by a medical or psychological condition.
Symptoms of bed wetting
There are following symptoms of bed wetting in children;-
Causes of bed-wetting
There are following causes of bed wetting;-
- A small bladder:- Children with small functional bladder capacity have normal-sized bladders, but they sense that their bladders are full even when the bladder can still hold more urine. They tend to urinate more often during the day and might have a sudden urge to run to the bathroom to prevent an accident. They also are more likely to wet the bed during the night.
In some people with enuresis, too many muscle spasms can prevent the bladder from holding a normal amount of pee. Some teens and adults also have relatively small bladders that can’t hold a lot of urine.
- Family history:- Children with a parent or parents who were bedwetters are more likely to wet the bed. According to research, in families where both parents had nocturnal enuresis (involuntary urination), there is a 77% chance that the children might develop it too. And if one of the parents had the problem, then there is a 45% chance. The chances of bedwetting would be only 15% if neither of the parents had the habit of bedwetting
Teens with enuresis often have a parent who had the same problem at about the same age. Scientists have identified specific genes that cause enuresis.
- Hormonal imbalance:- Teenagers go through hormonal changes, which could affect their ADH levels. Apart from this a hormone called antidiuretic hormone, or ADH, causes the body to make less pee at night. But some people’s bodies don’t make enough ADH, which means their bodies may make too much urine while they’re sleeping.
Vasopressin also limits the volume of urine that the body produces during the night. Vasopressin works by causing water in urine to be reabsorbed by the bloodstream, so a smaller volume of urine enters the bladder. Children who do not produce enough vasopressin might be more likely to wet the bed.
- Sleep problems:- Some teens may sleep so deeply that they don’t wake up when they need to pee.
Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child’s breathing is interrupted during sleep — often due to inflamed or enlarged tonsils or adenoids. Other signs and symptoms may include snoring and daytime drowsiness.
- Constipation:- Pressure from extra stool inside the rectum may interfere with the nerve signals that the bladder sends to the brain. A full rectum can also reduce the amount of urine that the bladder can hold or prevent it from emptying completely during urination. The same muscles are used to control urine and stool elimination. When constipation is long term, these muscles can become dysfunctional and contribute to bed-wetting at night.
- Psychological and emotional problems:- Emotional stress caused by traumatic events or disruptions in a child’s normal routine can cause bedwetting. Some experts believe that stress can be linked to enuresis. For example, moving to a new home, enrolling in a new school, or the death of a loved one may cause bedwetting episodes that become less frequent over time.
- Certain medical conditions:-Medical conditions that can trigger secondary enuresis include diabetes, urinary tract abnormalities (problems with the structure of a person’s urinary tract), sickle cell disease, and sleep apnea. Neurological problems or kidney or bladder abnormalities may also be causes. If bedwetting recurs after your child has been dry for six months or more, a medical condition may be causing it.
- Urinary tract infection:- This infection can make it difficult for your child to control urination. Signs and symptoms may include bed-wetting, daytime accidents, frequent urination, red or pink urine, and pain during urination.
- Diabetes:- For a child who’s usually dry at night, bed-wetting may be the first sign of diabetes. Other signs and symptoms may include passing large amounts of urine at once, increased thirst, fatigue and weight loss in spite of a good appetite.
Complications and risk factors
Although frustrating, bed-wetting without a physical cause doesn’t pose any health risks.
There are following complications that can be occurs if bed wetting left to be untreated;-
- Guilt and embarrassment, which can lead to low self-esteem
- Loss of opportunities for social activities, such as sleepovers and camp
- Rashes on the child’s bottom and genital area especially if your child sleeps in wet underwear
Bed-wetting can affect anyone, but it’s twice as common in boys as in girls. Several factors have been associated with an increased risk of bed-wetting, including:-
- Stressful situations:- Stressful events such as becoming a big brother or sister, starting a new school, or sleeping away from home may trigger bed-wetting.
- Family history:- If one or both of a child’s parents wet the bed as children, their child has a significant chance of wetting the bed, too
- Hormonal imbalance:- Our body has anti-diuretic hormone that is responsible for micturition. Imbalance in the amount of ADH (anti-diuretic hormone) can lead to the bed wetting.
- Small bladder:- In some people with enuresis, too many muscle spasms can prevent the bladder from holding a normal amount of pee. Some teens and adults also have relatively small bladders that can’t hold a lot of urine.
Tips to prevent bed wetting
You’re frustrated. You’re exhausted. Your child is already in school and they’re still wetting the bed at night.
However there are some following tips that can prevent bed wetting;-
- Use alarm during bedtime:- Doctors and nurses sometimes prescribe bedwetting alarms to treat teens with enuresis. This is a device that makes a loud noise or vibrates to awaken the child when he or she starts to wet the bed. It has a wetness sensor that triggers the alarm so that the child can wake up and finish urinating in the bathroom. Over time, the child learns to wake up when he or she feels the sensation of a full bladder, and eventually might be able to sleep through the night without having to urinate. This technique may take several months to be successful.
- Don’t take any liquid while going to the bed:- People with nocturnal enuresis can take some basic steps to prevent an overly full bladder, such as decreasing the amount of fluids they drink before going to bed. You can reduce the chances that you’ll wet the bed by going to the toilet just before bedtime. It may help to avoid eating foods that can irritate the bladder. These include coffee, tea, chocolate, and sodas or other carbonated beverages with caffeine.
- Don’t make your child use any screen:- Improving sleep hygiene can help their minds slow down so they can sleep better. This can also improve memory capacity of brain.
- Never get angry to your child:- Getting angry at your child doesn’t help them learn. The process doesn’t need to involve conflict. This will make child feel guilty and he/she will feel so much embarrassing.
- Go to bathroom before bedtime:- Randomly waking up a child at night and asking them to urinate on demand isn’t the answer, either. It will only lead to more sleeplessness and frustration, say he/she to go to bathroom before bedtime. Make sure your child goes to the bathroom and empties his or her bladder completely before going to bed.
- Use a light lamp:- Children will not be hesitated to go to bathroom in night if light lamp will be there. This will dispel fear.
Home remedies for bed wetting
There are following home remedies that can be effective in bed wetting;-
Enriched with Vitamin A and Omega acids, olive oil is already famed for its use in the development of brain functioning in kids. But apart from keeping the skin and hair healthy, it is also pivotal to treat bed-wetting in kids.
- Just heat and rub the oil on the lower abdominal region of the kid and gently massage in circular motions.
- Massaging the lower abdomen with olive oil might prevent involuntary flexing of the pelvic muscles that result in bedwetting.
- If done regularly before sleeping, it is bound to show results within a fortnight.
Cinnamon has antioxidant properties and also keeps away diabetes (10). So, if the bedwetting is caused due to a bacterial infection or diabetes, a dose of cinnamon every day might help.
- Give the child a piece of cinnamon to chew, every day.
- You could also use cinnamon powder as topping on milk, desserts, or bread
Walnuts and raisins
Walnuts and raisins might help in reducing the symptoms of bedwetting.
- Give the child a light snack of three almonds and two raisins before he goes to bed.
- Repeat this every day for a few months until there is significant progress, and the dry spells are longer.
Jaggery increases your child’s body heat and keeps it warm, thus might minimize the bedwetting problem.
- You could give the child a glass of warm milk and a piece of jaggery every morning.
- You can also prepare a treat with roasted sesame seeds and jaggery, combined with a pinch of salt.
The Indian gooseberry has wondrous benefits for adults and kids alike. This boost of Vitamin C and antioxidants not only shields your kid from any kind of infection but also promotes digestion and prevents constipation. By preventing urinary or intestinal infections, it is quite helpful in case of sudden urination while at sleep.
- Make a Syrup by mixing 1 tsp of Amla powder in warm water and sprinkle some black pepper in it.