- by Medikoe Health Expert
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- Jan 11 2018
WHAT IS BEDWETTING?
Bedwetting is when kids who are old enough to control their bladder pee at night during sleep. It is a common problem in kids, especially those under 6 years old.
Most kids are fully toilet trained by age 5, but there is really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.
- Child's bladder may not be developed enough to hold urine produced during the night.
- If the nerves that control the bladder are slow to mature, a full bladder may not wake your child especially if your child is a deep sleeper. During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow night time urine production.
- Stress triggers bed-wetting.
- Urinary tract infection can make it difficult for child to control urination.
- Sometimes bed-wetting is a sign of obstructive sleep apnea, often due to inflamed or enlarged tonsils or adenoids.
- For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.
Bed-wetting can affect anyone, but it is common in boys.
If one or both of a child’s parents wet the bed as children, their child has a chance of wetting the bed too.
Bed wetting is more common in children who have ADHD.
Your child will need a physical exam. Depending on the circumstances, your doctor may recommend:
Urine tests to check for signs of an infection or diabetes.
X-rays or other imaging tests of the kidneys or bladder.
- Limit how much your child drinks in the evening.
- Avoid beverages and foods with caffeine.
- Encourage double voiding before bed.
- Encourage regular toilet use throughout the day
- Treat constipation.
- Prevent rashes.
The drug desmopressin boosts levels of a natural hormone (anti-diuretic hormone, or ADH) that forces the body to make less urine at night.
If a child has a small bladder, an anticholinergic drug such as oxybutynin (Ditropan XL) may help reduce bladder contractions and increase bladder capacity.
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