Information on Bedwetting and Causes
Written by Corwin Brown

Monday, 19 May 2008


Bedwetting, also called nocturnal enuresis, is the involuntary passage of urine (urinary incontinence) while asleep. Inherent in the definition of bedwetting is satisfactory bladder control while the person is awake.

The most important thing to remember about bedwetting is that it is a benign disorder and not a willful act. Punishment is never an answer. Between five million and seven million children suffer from bedwetting; the majority are boys. Don't be unduly concerned about bedwetting unless your child is older than six. Before then, your child's body may not have developed enough to control bladder actions at night. Time usually cures the problem: Most children resolve any difficulties on their own by the age of seven.

Bedwetting, or nocturnal enuresis, refers to the passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is incontinence. For infants and young children, urination is involuntary, meaning they have no control over it. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first while nighttime control comes later.

Bedwetting is common for children, affecting more boys than girls. The condition occurs in 30% of children at the age of 4, 10% at the age of 6, and drops to 1% by the age of 18. Although children develop bladder control at different rates, most boys can control their bladder during the day and night by the age of 6, and most girls by the age of 5. When a child who is old enough to have bladder control urinates accidentally while sleeping, it's called nocturnal enuresis.

Enuresis is the involuntary voiding of urine at least twice a month in a child age five or older. Children vary markedly in the age at which they are physiologically ready to awaken from sleep aware of the need to urinate. This hinders their ability to hold their urine throughout the night.

Does bedwetting cause undue suffering?
YES! Many people with a bedwetting problem suffer from low self-esteem, shame and guilt. They have feelings of failure and see themselves as different from other people. People with a bedwetting problem are afraid of being discovered by their peers and often fear being teased and humiliated by their own siblings and relatives. Most bedwetting children will not go to camp or participate in sleepovers with friends. Very often the bedwetting child will suffer silently. The longer the bedwetting goes untreated, the greater the potential for problems.

The causes of bed-wetting are not entirely known. It tends to run in families. Most children with primary enuresis have a close relative—a parent, aunt, or uncle—who also had the disorder. About 70% of children with two parents who wet the bed will also wet the bed. Twin studies have shown that both of a pair of identical twins experience enuresis more often than both of a pair of fraternal twins.

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