What is Nocturnal Enuresis ?

Nocturnal enuresis, commonly known as bedwetting, is the involuntary passing of urine during sleep in children aged 5 years and older. While it is common in young children, persistent bedwetting may require evaluation and treatment. It can be primary ( when the child dry at night ) or secondary ( when bedwetting starts after a dry period of at least 6 months). 

Causes :

• Delayed bladder maturity - The bladder is still developing control

• Deep sleep pattern - The child may not wake up when the bladder is full

• Hormonal imbalance - Low levels of antidiuretic hormone, which controls night time urine production

• Genetic factors - Often runs in families

• Urinary Tract Infections - may cause increased urination

• Constipation - Full bowel can press on the bladder

• Stress & Anxiety - Emotional factors can contribute

• Underlying Medical Conditions - Such as diabetes or neurogenic bladder (rare).

Symptoms ?

• Uncontrolled urination during sleep, at least twice a week

• More frequent tbedwetting episodes when stressed or unwell

• Occassional daytime urinary urgency or accidents

• Increased thirst or frequent urination in some cases

• Frequent urination ( more than 8 times a day )

• Waking up at night to urinate ( Nocturia )

Solutions : 

• Reassurance & Patience - Most children outgrow bedwetting naturally

• Bladder Training - Encouraging regular urination during the day and before bedtime

• Fluid Management - Limiting fluid in the evening and avoiding caffeine 

• Bedwetting alarms - Helps train the child to wake up when the bladder is full

• Medications ( if needed ) - to reduce nighttime urine production

• Treating underlying conditions - If UTIs, constipation, or other medical issues are present