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Bed wetting.

Enuresis or bed wetting is the involuntary passage of urine beyond the age of anticipated control that is usually 5-6 years. 15-20% of children 5 years of age wet their beds. Nearly 5% of 10 year olds will wet, and 1% of adolescents and adults continue to wet. It is twice as common in boys as in girls. Bedwetting also seems to run in families. What are the types of wetting problems? Primary enuresis means that the child has been wet from the beginning, whereas secondary enuresis means that the child had been dry earlier and has now started wetting. The latter condition could be due to urinary infection, diseases like diabetes, structural abnormalities in the urinary passages or stressful situations at school or at home like divorce, demanding parents or the arrival of a sibling. What are the symptoms? Commonly, wetting at night is the only symptom, but some children also have frequent urination during the daytime with occasional wetting. It has been seen that children who are constipated are more likely to have enuresis. What investigations are needed? The doctor first takes a detailed history and examines the child to exclude structural abnormalities that may be the cause of bed-wetting. In case a doubt persists after examination, the doctor will order a urine test to exclude urinary infection. An ultrasound scan may be done to evaluate the urinary system for structural abnormalities. Rarely, special tests may be asked for, like intravenous pyelography (IVP) that is a special X-ray test after an injection into the vein, or cystometry in which the pressures inside the urinary bladder are measured.
Asked On : Sun, 21 Dec 2008
Answers:  3 Views:  2323
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General Surgeon 's  Response
Enuresis is a common problems faced by few children & some adults.It need proper affection to the baby.punishment worsen the condition.restricting fluid in the night & making a habit to pass urine before going to bed. Certain drugs are used by pediatrician /doctors . effectiveness /utility of these drugs are not well established. If there is no organic cause then condition subsides it self.
Answered: Wed, 9 Feb 2011
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  User's Response
The good thing is that a large number of children stop wetting as they grow up. But during the time that they are wetting, the social costs are enormous. These children need all the support and compassion from their parents and the care givers. Other methods that often help include: # Behavior modification techniques such as rewarding the child for remaining dry at night. The rewards may increase in value with each passing dry night. It is inappropriate to punish the child for a wet night. In fact, punishment worsens the situation. # Fluid intake should be limited from the evening so that the child produces less urine. Sometimes this regime may be harsh to enforce on children. # The use of alarm devices is beneficial. These alarms use a pad inserted into the child's underwear, so that as soon as the pad gets wet an alarm bell rings waking the child up before the bladder empties completely. This conditions the voiding mechanism in several children. Unfortunately, good quality alarms are not available in I
Answered: Wed, 24 Dec 2008
  User's Response
yeah...its a very common problem !!!!!
Answered: Fri, 26 Dec 2008
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