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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

How is bedwetting diagnosed?

The doctor will ask many questions about the child's symptoms and about many other factors that can contribute to bedwetting. If a child continues to wet the bed after the age of six, parents may feel the need to seek evaluation and diagnosis by the family doctor or a children's specialist (pediatrician). Typically, before the doctor can make a diagnosis, a thorough medical history is obtained. Then the child receives a physical examination, appropriate laboratory tests,

including a urine test (urinalysis), and, if necessary, radiologic studies (such as x rays). If the child is healthy and no physical problem is found, which is the case 90% of the time, the doctor may not recommend treatment but rather may provide the parents and the child with reassurance, information, and advice.

Voiding cystourethrogram (VCUG) is a specific x-ray that examines the urinary tract. A catheter (hollow tube) is placed in the urethra (tube that drains urine from the bladder to the outside of the body) and the bladder is filled with a liquid dye. X-ray images will be taken as the bladder fills and empties. The images will show if there is any reverse flow of urine into the ureters and kidneys. Renal bladder ultrasound is a non-invasive test in which a transducer is passed over the kidney and bladder producing sound waves which bounce off these organs, transmitting pictures of them on a video screen. The test is used to determine the size and shape of the kidney and bladder, and to detect a mass, stone, cyst, or other obstruction or abnormalities. The urodynamics study is a test used to assess how the bladder and urethral sphincter function in accordance with the brain and spinal cord during the stages of bladder filling and emptying.

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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All information is intended for reference only. Please consult your physician for accurate medical advices and treatment. Copyright 2005, health-cares.net, all rights reserved. Last update: July 18, 2005