Bed-wetting

Enuresis

This is involuntary (accidental) bed-wetting in children over 5 years old.

Accidental bed-wetting two or more times per month in a child above 5 years old

Usually unknown Attempting toilet training too young (before 3 years old) may cause bed-wetting later Lesions of the spinal cord Diabetes Anatomical problems in the genital tract

Physical exam to check for medical causes Urinalysis to check for Urinary Tract Infection Urine or blood may be checked for diabetes Special X-Ray tests may be ordered by the doctor

Parents need to be aware that unless there is an underlying medical problem, Enuresis is not a serious problem.  Time and patience is the rule, because the condition will get better on its own.  Unless there is an underlying medical problem, bed-wetting stops by adulthood in nearly all cases! Treat underlying causes such as anatomical problems Methods that help some: Limiting fluids after dinner -- but do not restrict fluids from a thirsty child. Encourage child to only drink if thirsty, and try to avoid fluids before bed. Avoid beverages with caffeine. Alarm devices on a pad that wake the child Medications that may be helpful: Imipramine DDAVP hormone nasal spray Remember to be supportive of your child -- it is not his fault.  If not handled properly, this can lead to embarrassment and lack of self-esteem in the child.

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