Medical practitioners are not very sure about the cause and how this problem suddenly stops. Most children normally grow out of it naturally and without any medication. It is not usually a sign of any emotional or medical issues.



There are two types of bedwetting, namely primary enuresis and secondary enuresis. In the primary bedwetting the child is rarely dry during night and continues to wet the bed at least twice a week for a year. As the child grows up and with good parental guidance most of the children stop the habit. Secondary enuresis is when the children start wetting the bed after a temporary respite of a year. Sometimes this continues until the affected child reaches their teens. Doctors consider hereditary traits as one of the causes for primary and secondary enuresis.

Another factor is the non development of a hormone cycle which consists of a tiny burst of antidiuretic hormone which should occur around sunset to reduce urinary output from the kidney through the night to prevent the bladder getting full. This development is not present at the time of birth and children normally develop this cycle when they reach two years of age. In some children this development occurs late. In some cases this hormone cycle never develops at all leading to frequent bedwetting.

Diaper usage leading to a very comfortable and dry feeling also makes the child unable to learn how to control the bladder movement while asleep.

Families and the affected children can become very stressed due to this problem. Guilt and embarrassment causes anxiety among the affected children when they have to spend nights outside their family circle or when they have to attend camps.

By reassuring the child that this habit can be cured easily and lending emotional support will be very helpful to the child to overcome this problem.

By reminding the child to use the bathroom one last time prior to their bedtime will be a good practice. Waking the child during their deep sleep is not a big help at all to overcome this problem, although it may provide dry nights as a temporary solution.

In some rare cases, if abrupt bedwetting is combined with other symptoms may indicate a medical condition. It is better to consult the doctor immediately who will check for signs of constipation, bladder trouble, infected urinary tract or stress.

Bedwetting alarms can help cure the problem because of the noise it makes immediately after the first drop of moisture is sensed by the built-in pad. Upon hearing the alarm, the child awakes and goes to the toilet to clear the bladder. Alternative medicine such as Homeopathy claims that some formulas developed by them can help the child to attain good bladder control.

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