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All about bedwetting (nocturnal enuresis) primary nocturnal enuresis secondary nocturnal enuresis causes of betwetting causes of primary betwetting causes of secondary bedwetting diagnosis of bedwetting treatment for bedwetting prevention of bedwetting {sleep disorders} dysomnias insomnia narcolepsy sleep apnea restless legs syndrome delayed sleep phase syndrome night terror sleepwalking (somnambulism) bedwetting sudden infant death syndrome (SIDS) sleeping sickness sleep paralysis snoring bruxism jet lag

What causes betwetting?

Bed wetting is usually simply due to a delay in the maturation of the part of the nervous system that controls bladder function. It sometimes may be due to either psychological problems or medical disorders, such as a urinary tract infection, urinary tract abnormalities, or diabetes (diabetes mellitus or diabetes insipidus).

Children over age 5 or 6 are said to have primary nocturnal enuresis if they are unable to maintain nighttime bladder control for more than 6 months in a row. Bed-wetting that develops after a child has been dry for a period of time (secondary nocturnal enuresis) may be caused by a medical condition, such as diabetes, or emotional stress. If a child's bed-wetting is caused by a medical condition, treatment for the condition may be needed.

Bedwetting is not a behavioral problem and it is not related to how a child sleeps. Many parents have the perception that their children are very 'deep' sleepers and this is what has caused the bedwetting. However, studies have shown no difference in the sleep patterns of enuretic and normal children. There is more evidence suggesting that enuresis is the result of a developmental delay in the normal process of achieving nighttime control. The normal process involves the release of a hormone that prompts the kidneys to slow down production of urine during nighttime sleep. This hormone, called vasopressin, is not secreted in many children who have a problem at night usually.

There is no single cause for this condition but researchers have discovered some genetic links, suggesting heredity may play a role. A family history of nocturnal enuresis is found in most children with the condition. Heredity as a causative factor of primary nocturnal enuresis has been confirmed by the identification of a gene marker associated with the disorder.

More information on bedwetting

What is bedwetting? - Bedwetting, also called nocturnal enuresis, means that a child accidentally passes urine at night during sleep.
What is primary nocturnal enuresis? - Primary nocturnal enuresis means bedwetting that has been ongoing since early childhood without a break.
What is secondary nocturnal enuresis? - Secondary bedwetting is a sign of an underlying medical or emotional problem. Secondary bedwetting is related to sexual abuse or to extreme bullying.
What causes betwetting? - Bed wetting is usually caused by a delay in the maturation of the part of the nervous system that controls bladder function.
What causes primary betwetting? - Primary bedwetting probably indicates immaturity of the nervous system. Primary bedwetting is a delay in neurological maturation.
What causes secondary bedwetting? - Secondary bedwetting may be related to sexual abuse or to extreme bullying. The child with secondary bedwetting is more likely to have other symptoms.
How is bedwetting diagnosed? - Diagnosis of bedwetting is based on several tests. Voiding cystourethrogram (VCUG) is a specific x-ray that examines the urinary tract.
What's the treatment for bedwetting? - Behavioral conditioning in the treatment of primary nocturnal enuresis is based on the use of a signal alarm device.
How to help your children avoid bedwetting? - Bedwetting can be possibly prevented by limiting fluids after dinner, urinating before going to bed, recording wet and dry nights.
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