In medical terms, bedwetting is also termed “enuresis”. There are 2 types of enuresis: the primary and secondary. Somebody with primary enuresis had been bedwetting since early years as baby while; secondary enuresis also called Secondary bedwetting is a condition that develops for at least 6 months or years after learning how to control the bladder.
Secondary Bedwetting accounts for almost one-fourth of children that are bedwetting. By the age of 10, almost 8% of children will develop secondary bedwetting while 50% of children have a family record of Secondary bedwetting.
The emotional effect of bedwetting in the child and the family can be remarkable. Many studies have reported thoughts of embarrassment, worry, low self-esteem and unfavorable effects on self-awareness, relational interactions, school performance and overall value of life.
What causes Secondary Bedwetting?
Doctors don’t usually know the particular reason for secondary bedwetting. Some possible causes and causative factors are:
- Sleep Issue. When the bladder is full, the feeling triggers the child that it’s time to pee. However, some kids sleep so deeply that they are unable to wake up.
- Obstructive Sleep Apnea (OSA). Though unusual, secondary bed-wetting is sometimes caused by Obstructive Sleep Apnea. Large adenoid is the commonest reason for sleep apnea that results in secondary bed-wetting.
- Bladder Problem. Some kids have small bladders that are unable to hold a big quantity of urine while others might make too much urine during the night. In some kids, too much muscle spasms will be able to inhibit the bladder from holding a usual quantity of urine.
- An Overactive Bladder (OAB). It’s a usual occurrence of SNE in the playgroup children. Kids with an overactive bladder (OAB) urinate more than normal, frequently have to visit the toilet, and are regularly wet during the daytime.
- Medical Condition. Bladder infections, diabetes, and constipation can also cause secondary bedwetting. Almost 15-20% of children with a bladder infection present with Secondary bedwetting. Hard or irregular stools can trigger or worsen bedwetting. Children suffering from diabetes can develop bedwetting because it triggers an excessive quantity of urine and excessive thirstiness.
- Psychological Stress. Various professionals believe that stress can be related to bedwetting. So much common circumstances can be too stressful for kids, such as the birth of a new baby, parent divorce or separation, child abuse, issues at school or even death. Psychological stress is more possible to be the cause of later in life bedwetting
- Hormonal Problem. A hormone termed antidiuretic hormone (ADH) enables the body to produce less urine during the night. However, some people’s systems don’t produce enough ADH, which simply means their bodies might produce much urine during sleep.
- Genetics. Kids with enuresis most times have parents who had the same issue at almost the same age. Scientists have recognized specific genes that cause enuresis.
When should you see the Doctor?
Kids with secondary bedwetting ought to have a thorough physical check with a pediatrician (a doctor expert who specializes in children). A urine test named “urinalysis” will be done. In these tests, urine is tested for signs of a disorder such as diabetes. Many children with nocturnal enuresis, these test results usually come back absolutely normal.
Together with carrying out a physical examination, the doctor should collect detailed medical history. This includes asking your kids if they any worries, allergies, taking any treatments, has urinary signs such as an urge to urinate a lot, the need to run to the toilet, or pain during urination, or other matters. The doctor should also ask about sleeping behaviors, bowel behaviors, past, and family health. Lastly, the physician may tell any stressful circumstances that could be adding to the problem
How can you help?
Children with bedwetting will profit from the caring attitude of their parents. There should be no reason for punishment and an encouraging approach is vital to impart confidence. Motivation is an essential factor for success.
Some of these kids have given up on the thought of dryness and a positive attitude must be encouraged. Focus on taking the entire daily fluid requirement by the day. The kid should not drink too much fluid a few hours before bedtime. Taking your kid to the toilet before bedtime can help. Wetness alarm remedy and medicines are available, and your doctor can help you choose which approach is best for you.