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Bedwetting

Bedwetting

Bedwetting is the most common problem in children, in which it is difficult to control urine while asleep at night. Bedwetting is normal in many cases especially in children but it can be a symptom of illness in adults. The condition is not diagnosed till 5 years of age.

Causes of bedwetting :
In children: it can be stress, fear or insecurity, ADHD. In young children, the birth of siblings, moving to a new place or any change in routine can cause enuresis. Small bladder size.

Hormonal imbalance: the decreased level of antidiuretic hormone (ADH) may cause increased production of urine overnight and the bladder is unable to hold urine. Diabetes. Urinary tract infection. Behaviour disorder or emotional disorders such as anxiety. If a child’s parents had a history of enuresis that would also cause bedwetting in children. Alcohol consumption can cause enuresis.

 Bedwetting Symptoms :
Voiding of urine during sleep at night.
Bedwetting occurs at least 2 times a week for 3 consecutive months.

Classifications :

Primary enuresis: children who were never trained to control enuresis.
Secondary enuresis: children who trained successfully to control urination for at least 6 months but revert to wetting in stressful situations.

There are two categories :
Monosymptomatic enuresis (MNE): bladder does not cause problems during the daytime.
Nonmonosymptomatic enuresis (NMNE): causing bladder dysfunction during the daytime also called diurnal enuresis.

Diagnosis:

  1. physical examination to rule out any medical illness.
  2. Urinalysis and blood test to see glucose level, hormones, and
  3. kidney function test and UTI
  4. Developmental behaviour disorder must be checked.
  • Management:
  • Behavioural therapy :
  • Limit fluid intake at night.
  • Training the bladder to hold urine.
  • Using an alarm when the bed gets wet can help the child to
  • learn to respond to bladder sensations at night.

Homoeopathy management:


Argentum nitricum: This medicine is well indicated for enuresis with loss of vascular control of the bladder. Urine passes unconsciously while asleep, whether it’s day or night.

Cuasticum: causticum is given when there is involuntary urination in children and aged people during sleep.

Sepia: Sepia is well marked in the enuresis of young girls during first sleep. It has marked results in enuresis with offensive urine.

Lac can: it has given good results in nocturnal enuresis. In which the patient is having a dream about urinating and passes urine unconsciously.

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