Publisher: Kenneth Kee
Publication Date: September 10, 2017
Binding: Kobo eBook
Nocturnal enuresis (NE) is when a child after age 5 or 6 wets the bed at night, more than twice a week.
It affects boys more than girls and has a prevalence of 15%.
There are 2 types of Nocturnal enuresis:
1. Primary enuresis.
Children who have never been consistently dry at night for more than 6 months.
This most often happens when the body makes more urine at night than what the bladder can retain, and the child does not wake up when the bladder is full.
The child's brain has not learned to respond to the signal that the bladder is full.
This is the most frequent reason for nocturnal enuresis.
This is the recurrent involuntary passage of urine during sleep by a child aged 5 years or older, who has never achieved consistent night-time dryness.
This may further be subdivided into:
a. Primary nocturnal enuresis without daytime symptoms: children who have enuresis only at night.
b. Primary nocturnal enuresis with daytime symptoms: those who also have daytime symptoms, such as urgency, frequency, or daytime wetting.
2. Secondary enuresis.
Secondary enuresis indicates children who were dry for at least 6 months, but start nocturnal enuresis again.
There are many reasons that children wet the bed after being fully toilet trained.
It might be physical, emotional, or just a change in sleep.
The cause of nocturnal enuresis is believed to be multi-factoral and that include:
2.Small functional bladder capacity
4.Disorder of sleep arousal
5.Delay in maturation
6.Global maturation delay
Difficulty with poor stream.
Pain on urination
The doctor should assess for underlying cause:
4.Behavioral and emotional ...