Enuresis is referred to a pattern of involuntary discharge of urine by a child age 5 or older, at least twice a week for three months. The term nocturnal enuresis, the most common form of enuresis, refers to bed-wetting at night during sleep and the term diurnal enuresis refers to daytime wetting. Some children experience either type or a combination of both. This behavior may or may not be purposeful.
- This condition, though for the most part not physically harmful, can cause psychological stress for the child and parents. This may damage a child’s self-esteem and interfere with social experiences such as sleepovers or attending summer camp.
- This condition is more common in boys than girls and seems to run in families. It is estimated that 5-10% of children have enuresis at 5 years of age. This rate decreases to 3-5% in children by age 10 and to 1% by age 15 and into adulthood.
- The main cause of enuresis in most children is the delay in the maturation of the part of the nervous system that controls bladder function and seems to have a genetic component. Other causes can include medical causes such as a urinary tract infection, overactive bladder, or neurological issues such as developmental delays as well as psychological issues such as severe stress and trauma.
- Reduce caffeine, chocolate, and other stimulants. Do not drink fluids 2 hours before bedtime.
- Diagnose and eliminate food allergies.
- Consider bladder stretching exercises.
- Reassure the child, do not punish the child for the enuresis incidents
- Use a reward system and tracking on a calendar
- Imagery techniques and hypnotherapy can be effective
- Alarm systems that ring when the bed is wet may help some children
- Psychotherapy if enuresis is stress or trauma-related
Medication may help in the treatment and management of enuresis.
- Acupuncture may be of benefit to some patients
To schedule an appointment please contact us
Carolina Integrative Clinic
254 Towne Village Dr, Cary, NC 27513, United States
Tel: (919) 869-6661
Fax: (919) 301-9349