With Aude Mariani, Pediatrician
Enuresis is a urinary disorder that affects young children in particular. This is the medical term for wetting the bed. These frequent incidents can affect self-esteem in children. What is the cause of this incident? How can it be detected and treated? We take stock of bed wetting in the company of pediatrician Dr. Ode Mariani.
Definition: What does enuresis mean?
Aneurysms, as Dr. Odd Mariani explains, when children wet the bed: “Aneurysms in children, which are nocturnal, affect children when they 5 or 6 years old, Or older. In fact, when a small child soaks the bed, it is not enuresis, but a completely normal phenomenon, because the child is still not completely clean. Nocturnal enuresis is an uncontrolled phenomenon that has nothing to do with the child’s will. ” According to Health Insurance (AMELI) It affects 11% of children aged 5 to 7 years who are affected by nocturnal enuresis.
Bed urination at night: When are we talking about primary and secondary enuresis?
It is important to distinguish between primary enuresis and secondary enuresis. Dr. Ode Mariani tells us: “Early enuresis is when a baby urinates in bed from birth. He didn’t stop wetting the bed. Conversely, secondary aneurysm is when a child starts getting wet in bed when he is clean. These two types of enuresis can be associated with a variety of factors. ”
What is the cause of wetting the bed?
If bed wetting is a common disorder, it is important for parents and children to determine the causes. These are often more physiological than psychological, as Dr. Oud Mariani points out: “Idiopathic is the leading cause of aneurysms in children. For example, the baby may fall into a deep sleep or the bladder may become empty without control. The lack of maturity of the physiological control of the sphincter may also be the cause of this phenomenon. Wet bedding in children may be related to other factors. In fact, urinary incontinence may be associated with the presence of pinworms or tapeworms. Don’t hesitate to check if the child is suffering from constipation. “
Enuresis and can also cause involuntary urination Psychological reasons, But it is more complicated to identify these causes: “It is still slippery soil and experts are not clear about it It can happen that family life or a traumatic event can lead to enuresis through a mental illness, ”explains Dr. Ode Mariani.
Diabetes: When should we think about getting wet in bed?
If the cause is multiple, should we consult in the context of enuresis? Are there any cases where bed wetting hides more serious problems in children? Dr. Ode Mariani answers us: “In any case, it is important to consult a pediatrician if the baby gets wet after five years. In the case of secondary enuresis, you need to worry, especially if the child Regularly wake up at night and drink water. In fact, it could mean that he has diabetes (type 1 or 2). Then medical advice is essential. “
For your child to be able to spend dry nights and recover from bed wetting, parents must practice well. Dr. Ode Mariani tells us: “First, it is important that the baby does not wear diapers anymore! After that, the parents must In case of nocturnal incontinence, make arrangements for the child to take care of himself. For example, we can put a mattress next to the baby’s bed with clean pajamas, so he can put his wet things in the dirty place and change without calling the parents. In terms of care, the baby needs to drink plenty during the day (this may seem counterintuitive but it is important). The child should drink one and a half liters of water a day. Drink two-thirds before noon. After that, the baby needs to urinate frequently to re-educate the bladder. We try to urinate the baby Every two hours “Usually, the cure rate is very high.
There is also a drug treatment that can be used in certain cases: “There is a treatment based on Desmopressin (Minirin®, Nocutil®). It is an oral medication that has antidiuretic properties. It is usually given at bedtime, as you should not drink less than two hours before taking it. This medication is not automatically prescribed, but it can be practical to make a child’s social life easier when he sleeps with a friend or goes to a summer camp, for example. “
Bed wetting: should not be mistaken
Sometimes bed wetting creates frustration among parents. We must pay attention to the child’s behavior, as Dr. Ode Mariani noted: “It is useless to wake a child at night so that he can go to the toilet and not get his bed wet. It doesn’t work, and it will exhaust the whole family! Also, it is important to know Children do not intentionally wet the bed. Punishing him and insulting him will not do any good, just the opposite! I often recommend using a sun calendar to help the baby recover from wetting the bed. This is a calendar where there are sun clouds for dry nights and rain clouds for days when the baby soaks the bed. The goal is to reward him if, for example, he reaches four suns in a row! You can find this kind of calendar and lots of information on pipiaulit.fr. “