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When the child gets wet. When "should" grow out of it?
Bedwetting in children is a shameful topic that parents often don't want to talk about. They put their own vigilance to sleep, saying that the child will grow up, that he still has time ... And often they can not answer the question when the toddler should sleep through the nights without wetting the bed. Scientists also have a dilemma.
In Poland, in most sources abroad is considered to be the third year of life. In other words, it is argued that if a child who is three years old does not control his bladder at night, then the cause should be sought. On the other hand, good access to disposable diapers means that today many three-year-olds still wear a diaper during the day, not to mention the night. Because it is assumed that the age at which bedwetting is considered a "problem" depends on when the child develops bladder control. Parents' personal feelings are also important.
As a curiosity it is worth adding that, according to the English, children can get their beds wet even at the age of 5 and this is not a cause for concern. In the Netherlands and the USA, the limit is six years.
Is bedwetting hereditary?
The experience of many pediatricians shows that bedwetting can be hereditary. It is often started on children of parents who had a similar problem, it also passes at a similar age.
Bedwetting can be caused by illness. It is estimated that this is the case in 1% of cases. In other cases the reason is different.
This does not mean, however, that children who wet the bed they disobey or do it on purpose, outrageously parents. Usually, uncontrolled bladder at night is associated with developmental problems.
There are generally two types of bedwetting - primary and secondary. Primary bedwetting is one that lasts from childhood without interruption. In other words - the child has never developed the ability to sleep well at night. On the other hand, secondary bedwetting refers to a situation when a child learned to sleep through nights without a nappy and these were dry nights for at least six months.
What are the causes of primary problems with soaking?
Usually one or a combination of the following is indicated:
- the child cannot "hold" urine all night, in other words the child's bladder "matures" more slowly,
- the child's bladder is smaller than that of peers, which is why it is not able to contain more urine accumulating at night,
- the child cannot wake up when his bladder is full,
- the child produces large amounts of urine in the evening and at night,
- the child has bad habits about urinating - he holds urine during the day because he doesn't want to waste time going to the toilet, he doesn't drink much during the day for the same reason.
If there are secondary problems with urine retention, medical or emotional reasons should be considered. The most common causes are:
- urinary tract infection - resulting in irritations that cause pain or burning sensation when urinating, other symptoms include stronger bladder pressure and more frequent urination. Frequent urinary tract infections in children may indicate other problems - for example, anomalies,
- kidney failure
- presence of parasites
- constipation - few people know about it, and constipation is often the cause of nocturnal enuresis, in other words the same muscles are responsible for anal work and urine control,
- diabetes - high blood sugar diagnosed in people with diabetes makes the body produce more urine in order to get rid of excess sugar. Frequent urination is one of the first worrying signs of diabetes,
- neurological problems - can lead to damage that prevents urinary tract control,
- hormonal problems - reduced secretion of vasopressin, a hormone that reduces urine production at night,
- sleep apnea, snoring, enlargement of the third almond - all these symptoms may be related to bedwetting,
- structural or anatomical abnormalities - which can lead to muscle or nerve malfunction and consequent urinary incontinence,
- emotional problems - changes in the child's life, conflicts, problems that the child cannot cope with may be a symptom of severe stress and bedwetting.
Bedwetting usually requires no treatment. Most often, the problem passes by itself. It is important, however, how the parents approach the topic and whether they remember that: