User:Mr. Ibrahem/Bedwetting

Bedwetting, also called nocturnal enuresis, is the repeated involuntary loss of urine while asleep after the age at which bladder control usually begins. Bedwetting in children and adults can result in emotional stress or physical abuse. Occasionally lose of urine may occur during the day or other urinary symptoms may be present. Complications can include urinary tract infections.

Most bedwetting is results from slow development or excess urine production—not an emotional or physical problem. Bedwetting more commonly occurs in those whose parents were affected. Other factors may include urinary tract infections, constipation, ADHD, diabetes, stress, spina bifida, and obstructive sleep apnea (OSA). The underlying mechanism may involve lack of vasopressin, bladder instability, or an inability to wake up as a result of signals from the bladder. Bedding wetting is classified as primary when a child has not yet had a prolonged period of being dry and secondary when wetting begins after having stayed dry for six months.

Treatment is based on the underlying cause and potentially associated disorders. This may include restricting fluids 2 to 4 hours before bed and voiding before bed. Bedwetting alarms and the medication desmopressin. Other efforts include treating constipation. In those with OSA, tonsillectomy may resolve the disorder. The condition otherwise generally resolves with time. It is recommended that caregivers be counseled regarding appropriate reactions to bedwetting, with punishment having no role.

Bedwetting is common in children affected 17% at age 5, 13% at age 6, 10% at age 7, and 1.5% at age 15. Boys are more frequently affected than girls; though after the age of 10 this difference is less. The condition has been described since the time of the Ancient Egyptians. The term "enuresis" is from the Greek meaning "to void urine".