Posts tagged ‘bladder’

Some of us can’t help but get irked whenever we experience bedwetting at night and after a few episodes, we are usually frantically searching for a nocturnal enuresis treatment. Nocturnal enuresis, commonly known as enuresis is an involuntary urination while asleep after the age at which bladder control can be achieved.

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Bedwetting is considered primary (PNE), when a child has not yet had a long period of having a dry night. On the other hand, secondary nocturnal enuresis (SNE) is when a child or adult begins wetting again after having stayed dry.

Bedwetting is the most prevalent urological complaint in childhood and one of the most common pediatric health problems. Most bedwetting, however, are not really indications of a disease but only signify a developmental delay. In fact, only small percentage (5% to 10%) cases of nocturnal enuresis are caused by specific medical conditions. Bedwetting can also be associated with family history.

Most girls can stay dry as they reach six and most boys attain continuous dryness by age seven. By ten, 95% of children can already stay dry at night. Regarding adults, bedwetting usually occurs among 0.5% to 2.3% of their total populace.

Different types of treatment can be availed. It can range from behavioural types of treatment such as the usage of bedwetting alarms to using certain drugs like hormone replacement while some undergo surgical procedures such as urethral enlargement. Since majority of bedwetting cases are related to a developmental delay, most treatment plans are designed to protect or enhance self-esteem. Bedwetting children and adults can suffer from emotional distress or psychological harm if they are embarrassed by the disease. Treatment guidelines recommend that doctors should counsel the parents regarding this issue. Moreover, they should be warned about the possible psychological impacts that are due to embarrassment, pressure and punishment for a problem that these sufferers cannot control.

Primary type of nocturnal enuresis (PNE)

Primary type of nocturnal enuresis (PNE) is the most common form of urinary incontinence. Enuresis is considered a disorder when the child is old enough to attain a dry night, but still suffers from bedwetting at least twice a week without long periods of dryness. This condition is also applicable to those who are still assisted by another individual to go to the toilet when they wake up in the middle of their sleep.

Clinical guidelines vary when the child is already old enough to attain dryness. Medical definitions allow doctors to diagnose PNE between four and five years of age. This type of classification is often used by insurance companies. PNE is referred to as the continuous bedwetting in the absence of any urological, neurological or medical abnormalities in a child beyond the age in which more than 75% of children are usually dry.

Some researchers, however, recommend a range of different age regarding the onset of the condition. The guide says that bedwetting can be considered as a clinical problem if the child still wets the bed regularly after seven years of age.

Secondary type of nocturnal enuresis

Secondary enuresis occurs after a patient goes through a long period of drought in the night (about six months or more) and then returns to his or her bedwetting problems. Secondary enuresis can be due to emotional stress or a medical disease like bladder infection.