Bedwetting (enuresis nocturna)

What is Nocturnal Enuresis? Until what age is bedwetting normal at night?

Nocturnal enuresis is defined as bedwetting at night in a child who has completed the age of five. Although one in 6-7 children who wet the bed at night every year recovers spontaneously, as the child grows up, behavioral and depressive disorders may occur, and behavioral disorders may be observed in school and social life. Therefore, it is very important to treat children with bedwetting problems in a timely manner.

What should be done if these children have complaints of daytime urinary incontinence?

It is also very important to investigate the symptoms of daytime voiding dysfunction in children with nocturnal enuresis, and it is necessary to treat children with complaints such as frequent urination, sudden urination and urinary incontinence.

What is being questioned in these children? What should you learn?

First of all, a good history should be taken in a child patient who presents with the reason of bedwetting. It should be questioned whether there is a similar history in the family, the frequency and intensity of bedwetting, the presence of concomitant constipation, and the presence of urinary incontinence while awake during the day. In addition, the depth of the child’s sleep and snoring are questioned. A physical examination is then performed, particularly the child’s back, thoroughly examined to identify any underlying neurological damage.

What tests are done?

Urinary system infection is ruled out with a complete urinalysis and the voiding chart is filled.

How are children who wet the bed treated?

Behavioral therapy is the first method we apply in the treatment of children who only wet the bed at night and do not have daytime complaints, and which we always add to other treatments. Precautions such as rewarding, motivation, fluid restriction before going to bed in some patients, and avoiding carbonated drinks are taken for dry nights. Then, according to the patient’s characteristics; One or more of desmopressin, alarm therapy, imipramine, anticholinergic drugs are administered together.

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