Bedwetting in children (enuresis)

Enuresis, which is a common condition in our country, literally means bedwetting. If a child over the age of 5 wets the bed at night, it is called enuresis nocturna, and if he wets the bed during the day and night, it is called enuresis diurna. Enuresis can be in the form of leaking all or a part of the urine. While this situation can be considered normal during the toilet training period when the child is taught to control urine, it is not normal for children with normal mental development according to international classifications after a certain age. In some children, urinary control cannot be achieved at all since birth, and this is called primary enuresis. In some children, urinary control gained may be lost again due to any disease (such as urinary tract infection, epilepsy) or a psychosocial factor (such as divorce, birth of siblings, loss of parents), which is called secondary enuresis.

Although urinary incontinence is seen as a simple problem, it significantly affects the daily life and quality of life of families and children. It is one of the most common problems among mental illnesses seen in young ages. About 15% of 5-year-olds have bedwetting at night. Nocturnal urinary incontinence is 3 times more common than daytime. It is more common in boys than girls. It is observed more frequently in children with a similar history in parents, indicating that there is also a genetic predisposition. It is often seen together with other mental illnesses (such as attention problems, aggressive behaviors, low social competence, poor school performance, anxiety and depression). Enuresis can occur due to biological and psycho-social reasons. Biological causes, genetic background, hormonal factors, problems with bladder and kidneys, developmental disorders, side effects of drugs used and inability to wake up from deep sleep in some children can cause enuresis. In psycho-social reasons, mother’s being pregnant or sibling jealousy, starting toilet training when the child is not ready, or wrong toilet training attitudes (such as punishing the child, getting angry, shouting and stubborn), wrong parental attitudes (too harsh, oppressive or overprotective). ) and negative life events experienced by the child (fights in the family, arguments, parental separation, violence, intense anxiety) can cause enuresis.

The nighttime bedwetting process not only affects the child deeply, but also negatively affects many families psychologically and socially. The thing to note here is that after the age of 5, the situation is taken seriously and expert help is sought and the problem is not covered up. Families should not think that the child does this intentionally or because of a mental problem, they should be understanding and patient towards the child, and they should definitely avoid punishment methods. The rumors that are unfounded among the public that it will pass with circumcision, that the treatment causes infertility or that penal methods bring benefits should not be respected, and expert help should be sought.

Related Posts

Leave a Reply

Your email address will not be published.