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Enuresis, Facts You Need To Know About Bedwetting

Enuresis is a medical term for bedwetting, which is a condition in which a person cannot hold urine while sleeping. Not only occurs in children, enuresis can also occur in adults. Come on, know the causes and how to overcome them. Enuresis can be nocturnal and diurnal. Nocturnal enuresis is a term for bedwetting habits at night, while diurnal enuresis is a term for bedwetting habits during the day. This condition is often experienced by children under five years old. As we get older, this habit will disappear by itself due to the increased ability of children to control their bladder. But sometimes, this bedwetting habit can also occur in adults, you know!

Types and Causes of Enuresis You Need to Know

There are two types of enuresis, including:
  • Primary enuresis: Enuresis which often occurs starting from infants, nocturnal enuresis is the most common form of primary enuresis.
  • Secondary Enuresis: Enuresis which still often occurs in someone who has previously been able to control his bladder.
In people with normal bladder control, nerves in the bladder wall will send a message to the brain when the bladder is full. The brain then sends a message back to the bladder so that it can resist urination until the person is ready to go to the toilet. But, people with nocturnal enuresis have a problem that causes them to pass urine unnoticed at night. There are various causes of enuresis, both in children and also in adults, as well as enuresis caused by certain medical conditions, including:
  • Enuresis in children

  • The cause of enuresis in children is not known with certainty, but it is generally caused because the Little One does not wake up when the bladder is full, or Little Child produces more urine than usual. Several factors are also called can trigger enuresis, namely the size of a small bladder, persistent urinary tract infections, severe stress, and the growth and development of children who are late. Enuresis whether intentional or unintentional can also be associated with mental disorders, behavioral disorders, and emotional disorders such as anxiety. Enuresis can also be triggered by heredity.
  • Enuresis in adults

  • Not much different in adults, causes of enuresis include kidneys that produce more urine than usual. This happens because of two things, namely the body produces less hormone ADH (Antidiuretic Hormone) which is a hormone that controls urine production by sending signals to the kidneys. Or the other way around, the kidneys don't respond well to the signals sent by the ADH hormone to produce less urine while sleeping. ADH hormone levels can also be influenced by diabetes insipidus which makes you urinate frequently. Other causes are conditions where your bladder does not hold enough urine, or overactive bladder muscles and squeezing the bladder at the wrong time. Certain medications that you consume can irritate your bladder and can cause enuresis, one of which is sleeping pills or antipsychotic drugs.

Medical Conditions That Can Trigger Enuresis

Enuresis can also occur due to medical conditions that affect the body's ability to store and hold urine. These medical conditions include:
  • Bladder cancer.
  • Prostate disease, such as prostate cancer or prostate gland enlargement.
  • Diseases that attack the brain and spine, such as epilepsy, multiple sclerosis, or Parkinson's disease.
  • Urethra The urethra is a urinary tract that carries urine from the bladder.
  • Constipation.
  • Diabetes.
  • Urinary disorders (neurogenic bladder).
  • Sleep apnea or snoring habits.
  • Decreased pelvic organs.
  • Disorders of the structure of the bladder or other urinary organs.
  • Infection or stones in the urinary tract.

Various Ways to Overcome Enuresis

There is no specific treatment for enuresis in children. Mild enuresis in children also does not require medical drugs. You only need to do a few things to train Little One not to wet the bed. One way is to get your child to urinate before going to bed. Avoid punishing Little just for bedwetting. Instead, you can ask him to clean the bed and wash the sheets after bed-wetting. If the child has severe enuresis, it can be treated with drugs such as desmopressin acetate, imipramine and antidepressants. However, these drugs are not recommended for children under 6 years of age. While enuresis in adults can be treated in various ways, ranging from simple methods, drugs, to surgical procedures. To treat enuresis that may be caused by certain medical conditions, it is necessary to start with a series of examinations. Physical examination followed by urine tests to find signs of infection, the presence or absence of bacteria, and other disorders of the bladder, urinary tract, to your kidneys. Here are some ways to deal with enuresis in adults:
  • Avoid drinking water, alcoholic beverages, and caffeine before going to bed. Consuming these drinks can stimulate the bladder.
  • You can set the alarm to sound at night so you wake up to urinate.
  • Medications such as desmopressin, imipramine, tolterodin, and solifenacin can reduce urine production and soothe overactive bladder muscles.
  • Medical treatment. Some medical procedures such as bladder augmentation (surgery to enlarge the bladder), sacral nerve stimulation (help control overactive bladder), and detrusor myectomy (a surgical procedure to remove part or all of the muscles around the bladder) may be needed if medications drugs and other treatment methods can not overcome enuresis.

Anti Bother Tips for Bedwetting

Do not want to bother cleaning the little "wet" former, you can do several ways, among others, by putting a base or often called waterproof baby bedding on a mattress or bed sheet on a child's bed. You can also anticipate inconvenience by using pampers. Don't forget to use a special cleaning cloth and skin lotion to prevent irritation to the baby or child's skin. If you suspect enuresis is caused by a certain medical condition, consult your doctor immediately.

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