Enuresis | कुडल्स चाइल्ड क्लिनिक गुड़गांव

Enuresis (Bed Wetting): when child doesn’t have control of urination is known as Enuresis. It can be at night time (nocturnal) or both day and night time (diurnal). Most children achieve control by the age of four years. But some children achieve the control late by 6-7 years. Enuresis is countable, if the control is not after 7 years of age.

Enuresis is more common in boys than girls. This condition sometimes makes bad effect on children as well as parents in many ways:-

· Child is always scared: don’t want to go to camps, to relatives as he is hesitant to sleep at night.

· Parents feel frustrated with problem of their child and loose temper on them and make the condition worsen.

Nocturnal enuresis:

· Primary type is those who were never dry since potty trained. No daytime wetting.

· Secondary type is those who achieved dry days till 6 months but now again started bedwetting. Sometimes it’s related to any underlying disorder or stress.

Diagnosis: Reach to your pediatrician. Give proper history and details of child. Do some tests if required like Urine routine and culture, Renal function test, Thyroid, Bladder scan etc.

Treatment: Reduce amount of liquid intake 1-2 hours before bed. Alarm to urinate. Appreciation on not wetting, no scolding on wetting. Proper toilet training. Oral medicines like Desmopressin, Oxybutynin, Imipramine.

Not to do:

· Stopping food before sleep

· Night waking

Remember:

· It’s not child’s fault, avoid punishing

· Encourage toilet training during day

· Regular bowel habits

· Use bed protectors

· Applaud on dry day

· Enuresis ends on its own for most of the children. 

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