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Bed wetting and Nocturnal Enuresis

Nocturnal enuresis is defined as the involuntary passage of urine during sleep. Diurnal enuresis refers to the involuntary or intentional voiding of urine into clothing while awake. Primary nocturnal enuresis is bed-wetting that has been present since birth, and secondary nocturnal enuresis is enuresis that occurs after being dry for a mini mum of 6 months. Evaluation of nocturnal enuresis is usually not necessary unless the problem persists after 3 years of age nocturnal enuresis, enuresis, bed wetting, bedwetting, potty training, poty training.

Prevalence/Epidemiology

Most bed-wetting is due to a maturational delay, and it becomes less frequent with each passing year of life.

At age 5, 20% of children wet the nocturnal enuresis, enuresis, bed wetting, bedwetting bed at least monthly, with 5% of boys and 1% of girls wetting the bed nightly. By age 6, nocturnal enuresis, enuresis, bed wetting, bedwetting only 10% of children wet the bed. Thereafter, 15% of bed-wetters nocturnal enuresis, enuresis, bed wetting, bedwetting, potty training become dry each year. Overall, 60% of bed-wetters and more than 90% of nightly bed-wetters nocturnal enuresis, enuresis, bed wetting, bedwetting, potty training are male.

Etiology

Physiologic Enuresis

Most children who have primary nocturnal enuresis have no disease mechanism to explain the enuresis, and they are nocturnal enuresis, enuresis, bed wetting, bedwetting, potty training considered to have physiologic enuresis. Enuresis results from inability to recognize the sensation of a full bladder during sleep and to awaken from sleep to urinate into the toilet. Those children who wet nightly usually also have a small bladder, which is unable nocturnal enuresis, enuresis, bed wetting, bedwetting to hold all the urine produced nocturnal enuresis, enuresis, bed wetting, bedwetting, potty training during the night. Clues to a small capacity are daytime nocturnal enuresis, enuresis, bed wetting, bedwetting frequency, and wetness every night.

Enuresis has a genetic nocturnal enuresis, enuresis, bed wetting, bedwetting predisposition. If one parent was a bed-wetter, the probability of offspring having nocturnal enuresis, enuresis, bed wetting, bedwetting enuresis is 45%. If both parents were bed-wetters, the probability of enuresis is 77%.

Nocturnal Enuresis bed wetting bedwetting Nocturnal Enuresis bed wetting bedwetting Nocturnal Enuresis bed wetting bedwetting

Evaluation of Nocturnal Enuresis nocturnal enuresis, enuresis, bed wetting, bedwetting, potty training

Treatment