What Is Bedwetting (Enuresis) ? What Is The Treatment?

Bedwetting or enuresis can occur for one or more reasons. In response to the question of bedwetting, it can be expressed as involuntary urinary incontinence in one’s sleep. Bedwetting, which can be experienced due to genetic factors, can also be experienced due to many different reasons such as hormonal factors, sleep disorders, and urinary bladder.

Bedwetting can be seen in children day and night. It is frequently encountered especially during the first toilet training period. However, it is known that it is not natural for children to wet the bed after a certain age. This situation is observed not only in children but also in adults. Bedwetting develops for different reasons and is frequently encountered especially in old age.

• Waking Disorder

Among the causes of bedwetting, the most common cause is arousal disorder. Awakening disorder, which can be seen more clearly in children, can be expressed as not noticing the fullness of the bladder during sleep.

• Genetic Causes

Among the causes of bedwetting are genetic factors. In 77% of the children whose mothers and fathers have bedwetting, if only the mother or only the father has the condition, the rate of incidence in the child has been determined as 46%. For this reason, genetic factors should be investigated in bedwetting situations.

• Diabetes

Diabetes causes more urine production during sleep. Diabetes with bedwetting can also be detected.

• Sleep Apnea Syndrome

Bedwetting is a common condition associated with sleep apnea syndrome. The fact that people with sleep apnea syndrome do not have healthy sleep causes bedwetting to occur.

• Psychological Reasons

Psychological problems experienced can have negative effects in childhood and later in life. The basis of bedwetting is generally due to psychological reasons.

• Urinary Tract Infection

Causes such as frequent urination, the urgency to urinate during the day, and a burning sensation during urination indicate urinary tract infection. Urinary tract infection can be effective in the onset of bedwetting.

Causes of bedwetting also include non-sugar diabetes, urethral obstruction, increased urine output at night, hyperthyroidism, low bladder, and excessive bladder contractions.

Bedwetting in adults can be seen for different reasons. In addition to urinary tract infections and diabetes, epilepsy is also among the causes of urinary incontinence. The causes of bedwetting can be experienced in adults for many reasons. If a result is not reached after examining the physical conditions in determining the underlying cause, it can be diagnosed as being caused by psychological reasons.

After the age of five, it is expected that children will rarely encounter the situation of bedwetting after they acquire toilet training. If the child has bedwetting after the specified age or if the problem is encountered again in adulthood, physician support should be sought for the solution of the problem.

The causes of bedwetting in adults can be different. Diseases of the person or the drugs he is using can cause bedwetting. A young individual can hold up to half a liter of urine. As you get older, changes in the amount of urine that can be retained can also occur.

Bedwetting can be encountered for different reasons such as abnormal urine production, bladder problems, prostate, diabetes, heart problems, medications used, and excessive fluid consumption during the day or in the evening. In addition to this, it plays a role in the development of the problem related to bedwetting in some disorders seen with psychological problems or aging. In order to solve the problem, it is necessary to go through the doctor’s control and follow the treatment path determined by the doctor. Early diagnosis is important in the treatment of the problem.

Bedwetting (Enuresis) is a condition that negatively affects a person’s daily life. In addition to negatively affecting the quality of life, it can also cause sleep problems. Bedwetting, which creates a very distressing situation for all ages, is a serious discomfort.

The problem can sometimes be seen due to serious diseases. For this reason, the physician may request a detailed test after the application is made regarding the bedwetting situation. Obtaining detailed information about the person and giving correct answers to all questions asked by the patient are also extremely important for the physician to reach the diagnosis in a shorter time.

In addition to the examination and laboratory tests requested by the physician, MRI, and direct graph may be requested according to the physician’s request.

Enuresis is popularly known as bedwetting. Bedwetting disorder can be seen in childhood by showing continuity after a certain age, as well as in youth, adulthood and old age.

If bedwetting starts to occur, support should be obtained by applying to the relevant physician. Bedwetting discomfort can be experienced for psychological reasons as well as a symptom of a serious illness.

The results of the examination and test performed by the physician related to the treatment of bedwetting are examined and the causes are determined. With the tests to be carried out by the physician, the condition causing the discomfort is determined and the treatment is started by drawing a road map according to the determined diagnosis.

Methods such as supportive treatment, drug treatment, alarm treatment, and psychotherapy can be preferred to the treatment of bedwetting (enuresis).

• Psychotherapy

If the underlying cause of the bedwetting problem is determined psychologically, it is recommended that the person undergo psychotherapy treatment. In this way, it is possible to get to the root of the problem and solve it.

• Medication

Medication is often used to relieve bedwetting. In particular, the drugs used to reduce urine production cause the person to sleep comfortably throughout the night and not to encounter lower incontinence since the bladder is not full. The drug is given half an hour before the patient’s admission. In addition, it is used in the treatment of antidepressant drug support and anticholinergic drugs.

• Supportive Treatment

Being late in treatment for bedwetting problems, which are more common in children, affects social as well as psychological problems. Children under the age of five are not included in the treatment for bedwetting. Treatment in children is considered the most school-starting age.

In cases of bedwetting, which are encountered in adults as well as children, daily fluid consumption of the person is observed. In the evening or before going to bed at night, it is examined whether the person consumes caffeine, cola, and similar beverages. It is effective in bedwetting of daily liquid consumption or drinks were taken at night.

• Alarm Treatment

It is a treatment application seen in children. It is extremely important that parents have a positive attitude towards treatment. If the child misses the toilet in his panties, the alarm gets active and wakes up the child. The application should be continued for at least 6 or 8 weeks. The success rate in alarm treatment is extremely high.