Secondary enuresis in children: how to work against “bed wet”?

Conversationally known as “bed wetting”, enuresis – nocturnal or daily – is very common in children. It can have a physical or emotional cause and can be treated with certain conditions or with a little patience.

Secondary enuresis: Definition

Enuresis, or incontinence of urine, refers to an uncontrolled discharge of urine. Common in children, this bladder sphincter control disorder often occurs at night. This is called nocturnal aneurysm.

We design Secondary enuresis For example, going back to bed wet for a long time without any minor accident. In other words, a clean baby, who no longer wears diapers but begins to wet the bed again, is called an aneurysm.

Secondary enuresis is often present A psychological reason (E.g. change of environment or family reunion), even if there are pathological causes.

What is the difference between primary and secondary enuresis?

Enuresis is called early if it is not before a period of clean-up, i.e. a time when the baby was clean for at least six months. Early enuresis So the most common form of enuresis.

When enuresis occurs after the baby is cleansed, we are talking about secondary enuresis. It usually starts Between 5 and 7 yearsBut it can also happen later, such as during adolescence.

Secondary enuresis: what is the treatment?

The treatment of bed wetting certainly depends on its cause. First, we will explore possible treatment causes. If a UTI is diagnosed, antibiotics will be prescribed. Adequate management will be given if diabetes is detected. The same is true of possible urethral malformations.

If no medical cause is identified, there is probably a psychological cause of secondary aneurysm. A Psychological support Consideration may then be given to a psychologist or pediatric psychiatrist. Keep in mind that when this happens, however, secondary aneurysms are only temporary, and everything quickly returns to normal without any treatment or follow-up.

At what age can we talk about secondary aneurysms?

It is assumed that the child masturbates slowly as follows:

  • In her first year, urinating is a reflection for babies, which starts due to her bladder pressure
  • From the age of one, the child may urinate consciously and voluntarily and then indicate his need through words or gestures.
  • Children usually stay clean during the day from the age of two
  • From the age of three, often, he can sleep peacefully, being able to voluntarily contract his sphincter and perineum muscles.

So there is no real age to talk about secondary aneurysms. It is only necessary that this Involuntary urination Cleaning occurs after a long period of time, without accident, at least a few months. However, on its site, health insurance estimates that secondary aneurysms occur in most cases between the ages of 5 and 7. It further specifies that the percentage of children with nocturnal enuresis decreases with age: 49% of children between the ages of 3 and 4 are infected, 11% between the ages of 5 and 7, and 2 to 3% during adolescence.

Can adults also be affected?

It is possible for an adult to suffer from secondary aneurysms and soak the bed after years or even decades without such an event. And this, as all more so The bed is wet due to certain ailments or medication. This is especially true of bipolar disorder, psychotic depression and Huntington’s disease, and neurodegenerative diseases in general. Some cancers, especially cancers of the bladder or prostate, can also cause urinary incontinence and therefore secondary aneurysms.

Is there a link between secondary enuresis and diabetes?

Bed wet can be one of the symptoms of type 1 diabetes Symptoms of type 1 diabetes include:

  • An increased need to urinate, which becomes frequent and leads to excessive urination (polyuria) at night and during the day;
  • Increased thirst (polydipsia);
  • A Weight loss Despite a growing appetite;
  • Severe fatigue or blurred vision.

If a child has one or more symptoms of this condition, it is best to discuss this track with your doctor to rule it out, or not, and not to risk losing this pathology.

Secondary aneurysm: is it always daily or nocturnal?

Secondary aneurysms are often nocturnal and occur when the person is sleeping peacefully. Sometimes, however, secondary aneurysms also occur daily (during the day) and the person suffers from urinary incontinence.

In this case, it is necessary Exploring further pathological tracksBecause secondary aneurysms that can occur both daily and nocturnal can hide diabetes, a urinary tract infection (or cystitis), or even a kidney problem.

What are the main causes of “wet bed”?

Psychology, Trauma, Regression …

Secondary enuresis is often explained by one – or more – events that have caused stress in the child. Enuresis is then a sign of a Regressive passage Or a DepressionAssociated with a “traumatic” or least traumatic event: the birth of a new child, a step, the death or departure of a loved one, a serious illness of a loved one, school failure, etc.

Anuric child: What to do?

Although secondary enuresis often heals spontaneously, do not hesitate to consult if it continues. These “bed wet” problems actually have a significant impact on a child’s life, a Low self-esteemAnd on it Social and family life, Eventually leading to behavioral problems. So it is better to intervene before this secondary aneurysm causes further damage.

In the video: 10 tips to help your child be clean before the school year begins

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