Bed Wetting (Enuresis) Treatment in Indore

✅ What Is Bed Wetting (Enuresis)?

Bed wetting, also referred to as Enuresis, is urine involuntarily released during sleep.

It is normal in children, particularly below the age of 57 years, as the management of the bladder is still not established.

Enuresis is not a disease but a childhood condition that is associated with the maturity of the bladder, sleep habits, and even emotional or health-related causes.

Bed-wetting can occur:

Night only → Nocturnal Enuresis (most frequent)

Daytime - Diurnal Enuresis.

Both day and night -Combined Enuresis

⭐ Types of Enuresis

🔹 1. Primary Nocturnal Enuresis

The infant has never been consistently dry at night.

It is usually due to:

Slow bladder development

Deep sleep

Genetics

Hormone (ADH) imbalance

🔹 2. Secondary Enuresis

The child had not wet himself in 6 months or so, and began to wet the bed again.

Often linked to:

Stress

Emotional changes

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Hospital diseases such as diabetes or constipation.

⭐ Why Does Bed Wetting Happen? (Causes)

There is normally more than one cause of bed wetting.

✔ 1. Delayed Bladder Maturity

The bladder does not have the capacity to retain urine at night.

✔ 2. Deep Sleep Patterns

Other children sleep so deeply that they do not wake up when the bladder is full.

✔ 3. Genetics

The probability is enhanced in case one or both parents wet the bed as children.

✔ 4. Hormone Imbalance (ADH)

Night-time urine production is decreased by ADH (antidiuretic hormone).

Some children have less production of ADH at night.

✔ 5. Small Bladder Capacity

There are those children who are prone to having small bladder capacities.

✔ 6. Stress or Emotional Factors

Changes like:

School pressure

Bullying

New sibling

Divorce of parents

Relocation

can trigger bed wetting.

✔ 7. Constipation

The bowels may be full and may press on the bladder and lowering its holding capacity.

✔ 8. Medical Conditions

Less commonly:

Urinary tract infections

Diabetes

Abnormalities of the kidney or bladder.

Sleep apnea

⭐ Symptoms of Enuresis

The main symptom is:

Urination during sleep is involuntary.

Other possible signs:

Frequent daytime urgency

Constipation

Deep sleep

Heightened thirst (when it is correlated with medical conditions).

⭐ How Enuresis Is Diagnosed

Diagnosis is normally easy and dependent on:

Child’s age

Bed-wetting pattern

Medical history

Physical examination

Doctors may check:

Urine test (to eliminate infection or diabetes)

Bowel (to identify constipation) habits.

Sleep patterns

The majority of children do not need imaging and other tests except in cases where the symptoms indicate a medical issue.

⭐ Treatment and Management

The treatment is aimed at support, behavioural treatment and occasionally medical treatment.

✔ 1. Behavioral Methods

Limit fluids before bed

Nighttime toilet routine

Urinating the child (timed urinating)

Positive reinforcement: reward chart system.

✔ 2. Bed-Wetting Alarms

Very useful for a large number of children.

These alarms detect when the child is wet and wake the child to train the bladder.

✔ 3. Managing Constipation

A key step in many cases:

High-fiber diet

Adequate water

Mild laxatives (not without a prescription)

✔ 4. Drugs (No regular drugs)

Repeated cases:

Desmopressin (DDAVP) → lessens the amount of urine discharged at nighttime.

Anticholinergics — to counter the overactivity of the bladder.

Drug treatment is not curative but is used to deal with the symptoms.

⭐ Prognosis (Outlook)

Bed wetting is a behaviour that is overcome by the maturity of most children.

Rates improve with age:

Age 5 → common

Age 7 → many improve

Age 10–15 → fewer but still normal

Adults → rare but treatable

No physical long-term complications.

⭐ What Parents Can Do to Help Their Child.

Avoid punishment or shaming

Wear protective sheets serenely.

Promote normal bathroom habits.

Praise efforts, not results

Get a favourable, accusation-free atmosphere.

Emotional support plays a very important role since children are likely to be embarrassed or anxious.