What is Bed Wetting/Enuresis ?
Nocturnal enuresis, commonly called bed wetting, is involuntary urination while asleep after the age at which bladder control usually occurs. Nocturnal enuresis is considered primary (PNE) when a child has not yet had a prolonged period of being dry. Secondary nocturnal enuresis (SNE) is when a child or adult begins wetting again after having stayed dry.
Bed wetting is the most common childhood urologic complaint and one of the most common pediatric-health issues. Most bedwetting, however, is just a developmental delay—not an emotional problem or physical illness. Only a small percentage (5% to 10%) of bedwetting cases are caused by specific medical situations. Bed wetting is frequently associated with a family history of the condition.
Bed Wetting/Enuresis Causes :
- Bed wetting is usually caused by an immature bladder or the inability to wake up due to very deep sleep states.
- Studies suggest that bedwetting may be due to a nervous system that is slow to process the feeling of a full bladder.
- Bedwetting has a strong genetic component. Children whose parents were not enuretic have only a 15% incidence of bedwetting. When one or both parents were bedwetters, the rates jump to 44% and 77% respectively
- Stress is a cause of people who return to wetting the bed. Researchers find that moving to a new town, parent conflict or divorce, arrival of a new baby, or loss of a loved one or pet can cause insecurity, contributing to returning bedwetting
Bed Wetting/Enuresis Symptoms
- Most people (80%) who wet their beds, wet only at night. They tend to have no other symptoms other than wetting the bed at night
- Wetting during the day
- Frequency, urgency, or burning on urination.
Bed Wetting/Enuresis Prevention
Never punish or shame your child for wetting the bed. Be patient and kind, and show that you understand that it is not their fault. Show them that you are keen to help them with this problem. Added stress and anxiety will only compound the problem and may even increase the chances of a bedwetting episode.
- Give your child the encouragement and self-reliance they need to motivate themselves. This will increase your child’s willingness and determination to stay dry all night on their own terms.
- Implement good bedtime habits by limiting fluid intake at night, and ensuring that children empty their bladders before bedtime. If bedwetting occurs consistently at about the same time, wake your child just before this time for a trip to the bathroom.
- Talk to your child about any fears, worries, and feelings of anxiety. You may find that your child is feeling insecure or anxious about something that needs to be addressed.
- Reassure children that there is nothing wrong with getting up in the night to use the toilet and discuss ways of making this less intimidating. Consider leaving the corridor and bathroom light on, or leave a “bathroom buddy” softtoy waiting outside the bedroom door to accompany worried children to the bathroom.
- Plan ahead for nighttime accidents. Cover your child’s mattress with a plastic covering and make sure that spare linen and pajama’s are readily available. When bedwetting happens, get your child to take some of the responsibility by helping you change the sheets and put the wet items in the wash.
- Praise dry nights, concerted efforts and any help your child gives after the bedwetting. This will give your child a sense of control and pride in staying dry.
- If you have other children, make sure that they do not taunt and tease the bed-wetting sibling. This added “ammunition” can make your child very vulnerable to the emotional problems of poor self-esteem and shame that you are trying so hard to avoid. Make the whole family aware that it is not the bed-wetter’s fault.
- Pull-up disposable underpants are a short-term option and can be especially useful for hassle-free family holidays or if your child wants to go to sleepovers without the risk of wetting the bed. These can be used discretely, and may offer your child added self-esteem. It must be noted that while pull-ups may be convenient, they often do not solve the long-term problem.
Bed Wetting/Enuresis Home
- California raisin (Munakka): It can be given in the night before going bed cures bed wetting problem.
- Honey: Giving a spoon of Honey before sleeping helps in curing Bed Wetting problem.
- Walnuts: Taking 2 Walnuts (Akhrot) with few Raisins (Kishmish) everyday helps to cure Bed Wetting problem.
- Amla: Gooseberry (Amla) with sugar candy (Mishri) or Gooseberry Murabba given everyday helps in curing Bed Wetting problem.
- Black berry (Jamun): The powder of its seeds given with hot water helps in curing Bed Wetting problem.
- Dry dates (Chuara):They should be given at night with Milk to help overcome Bed Wetting problem.