Commonly referred to as “bed wet”, enuresis from a certain age and under certain circumstances can be a sign of an underlying disorder. If in doubt, do not hesitate to discuss the matter with your pediatrician.
Early enuresis: Definition
We call enuresis involuntary urination, which often occurs at night, at an age when cleanliness is considered to be fully achieved, in other words more than 5 years. Early enuresis Occurs in a child who has never been able to control his bladder sphincters, when Secondary enuresis Occurs after at least six months of incessant urination, without accidents of the “bed wet” type; This is said to be the case with a child who starts wetting the bed again after taking the ribbon training.
What causes primary enuresis in children?
In an aneurysm baby, Early enuresis May be related to:
- Delayed bladder maturation;
- Nocturnal polyuria, i.e. excessive urine production at night due to decreased production of anti-diuretic hormones;
- Smaller than average or overactive bladder;
- A higher “awakening threshold”, meaning a child who is in a deep sleep late at night, and wakes up in the middle of the night with greater difficulty when it is necessary to urinate;
- A familial tendency and therefore hereditary genetic factors, including enuresis in ascending people in 30 to 60% of cases.
It should be noted that some psychological or socio-familial factors may trigger, maintain or exacerbate enuresis.
Is it always daily or nocturnal?
Enuresis is usually nocturnal, daytime enuresis is rather a form of urinary incontinence, including urinary tract or urinary tract infection. LawEnuresis during the early days It can be a symptom of an underlying condition, such as diabetes, or is associated with delayed bladder development. When it is both daily and nocturnal, early enuresis is essential Press for advice To identify the cause (s) and deal with it accordingly.
What is the difference between primary and secondary enuresis?
Aneurysm is early if it is not preceded by a Cleaning episodeA period when the baby is clean for at least six months.
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, especially during adolescence.
Treatment and solution for primary enuresis
Bed wetting treatment Depends primarily on its establishment Lifestyle and dietary arrangements Easy, such as monitoring the amount of drink you drink before going to bed and making it a habit to urinate before going to bed.
Educational system such as Keep a discarded diary, With “dry” and “wet” nights, can also be effective against bed wetting. “Stop urinating”, an alarm system aimed at waking the baby at the first drop of urine in his diaper, is controversial but it can work.
At the drug level, the main prescribed treatment is desmopressin (minirin®, nokutil), but it is not systemic.
Which specialist to consult?
Initially, in children experiencing early enuresis, we would advise A general practitioner or Pediatrician, Who will look for possible causes (s) and deny or not deny the diagnosis of primary nocturnal aneurysms associated with daily mitochondrial disorder or daytime aneurysms. Because the management is not the same it is associated with an isolated primary nocturnal enuresis (ENPI) or a daily form of nocturnal enuresis.
The general practitioner or pediatrician is competent enough to treat the initial aneurysm if it is not associated with a complex pathology or psychological cause. The healthcare professional will then refer a colleague (urologist, pediatric surgeon, pediatric psychiatrist, psychologist, etc.) if enuresis requires more specific follow-up.
Is homeopathy effective?
Undoubtedly a lot of evidence indicates that homeopathy has made it possible to eliminate early aneurysms. However, complementary therapies such as hypnosis, homeopathy, acupuncture or chiropractic have not proven their effectiveness, at least according to the French Association of Urologists. There is a lot of research on this subject, but the association thinks it is not very rigorous at their systematic level. But nothing prevents you from trying, especially in the case of parallel or conventional treatment failures.
Can Early Enuresis Affect Adults?
By its definition, early enuresis does not affect adults. In adults, involuntary urination at night can occur unexpectedly Secondary enuresis is considered. Furthermore, in terms of pathology (especially type 1 or 2 diabetes) we do not talk about enuresis if there is urinary incontinence, urinary retention, urinary leakage or polyuria. Delayed control of the bladder sphincter in people with motor or mental retardation is not called primary aneurysm.