Enuresis (Involuntary Bedwetting) in Children

Enuresis refers to the involuntary leakage of urine during sleep in children over the age of five. Boys are more affected than girls, with an incidence ranging from 15-20% at the age of five and decreasing to 5% at the age of ten. It is diagnosed when bedwetting recurs after a period of recovery.

Causes of Enuresis in Children

Causes include bladder abnormalities, urinary tract infections, muscle spasms, and central nervous system disorders. Psychological factors such as stress and emotional pressure can also contribute to enuresis. Preventive measures include encouraging regular urination, avoiding carbonated and caffeinated drinks, having light meals before bedtime, and engaging in physical activity.

Medical Treatments for Enuresis

Medical interventions include medications, behavioral and functional training. Phototherapy can be used to improve bladder function, and medications can help reduce involuntary bedwetting. Behavioral training involves relaxation and breathing techniques, with rewards to reinforce desired behavior.

Preventive Measures for Enuresis Treatment

– Limiting fluid intake at night and avoiding spicy foods.
– Encouraging regular bathroom use and training children to hold urine for longer periods.
– Wearing cotton underwear and avoiding tight synthetic fibers and jeans.

Parental Involvement in Enuresis Treatment

– Motivating children to use the toilet regularly and reminding them to stop drinking fluids before bedtime.
– Training children to sense a full bladder and guiding them to use the toilet at the appropriate time.

Dealing with Stress and Psychological Pressure

– Using relaxation techniques and exercises to reduce stress.
– Consulting with a psychologist to cope with psychological pressures affecting enuresis.

Importance of Healthy Diet and Hydration

– Avoiding fatty foods and sugars and ensuring an adequate intake of water for urinary tract health.

Natural Measures:

– Lifestyle changes and restricting fluid intake before bedtime.

Treatment for Enuresis at Age 13

– Consultation with a doctor for a precise diagnosis and appropriate treatment.
– Prescription of medications to improve bladder function and control bedwetting.
– Guidance towards psychological therapy to help manage anxiety and stress affecting enuresis at this age.

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