Bedwetting overview: Difference between revisions
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'''Bedwetting''' is involuntary [[urination]] while [[sleep|asleep]] after the age at which bladder control would normally be anticipated. | '''Bedwetting''' is involuntary [[urination]] while [[sleep|asleep]] after the age at which bladder control would normally be anticipated. | ||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
Bedwetting is the most common childhood urologic complaint <ref>{{cite web | url =http://www.hawaii.edu/medicine/pediatrics/pedtext/s13c09.html | title = Case Based Pediatrics For Medical Students and Residents |accessdate = 2010-05-28 | last = Reynoso Paredes, MD | first = Potenciano | publisher = Department of Pediatrics, University of Hawaii John A. Burns School of Medicine}}</ref> and one of the most common pediatric-health issues.<ref>{{cite web | url =http://urology.ucla.edu/body.cfm?id=146 | title = Nocturnal Enuresis | accessdate = 2010-05-28 | publisher = UCLA Urology}}</ref>Most bedwetting, however, is just a developmental delay—not an emotional problem or physical illness. Only a small percentage (5% to 10%) of bedwetting cases are caused by specific medical situations.<ref name="johnson">{{cite web|url=http://www.duj.com/Johnson.html|title=Nocturnal Enuresis|publisher=www.duj.com|accessdate=2008-02-02|last=Johnson|first=Mary |archiveurl =http://web.archive.org/web/20080122063339/http://www.duj.com/Johnson.html <!-- Bot retrieved archive --> |archivedate = 2008-01-22}}</ref> Bedwetting is frequently associated with a [[Family history (medicine)|family history]] of the condition.<ref>{{cite web| title = Bedwetting| publisher = The Royal Childrens Hospital Melbourne| url =http://www.rch.org.au/kidsinfo/factsheets.cfm?doc_id=3716| accessdate = 2009-10-20}}</ref> Most girls can stay dry by age six and most boys stay dry by age seven. By ten years old, 95% of children are dry at night. Studies place adult bedwetting rates at between 0.5% to 2.3%.<ref name="Pediatrics">{{cite web|url=http://www.pediatriceducation.org/2005/04/04|title=Pediatrics |Paediatrics | Pediatric Education | Paediatric Education -PediatricEducation.org|publisher=www.pediatriceducation.org|accessdate=2008-02-02|last=|first=}}</ref> | Bedwetting is the most common childhood urologic complaint <ref>{{cite web | url =http://www.hawaii.edu/medicine/pediatrics/pedtext/s13c09.html | title = Case Based Pediatrics For Medical Students and Residents |accessdate = 2010-05-28 | last = Reynoso Paredes, MD | first = Potenciano | publisher = Department of Pediatrics, University of Hawaii John A. Burns School of Medicine}}</ref> and one of the most common pediatric-health issues.<ref>{{cite web | url =http://urology.ucla.edu/body.cfm?id=146 | title = Nocturnal Enuresis | accessdate = 2010-05-28 | publisher = UCLA Urology}}</ref>Most bedwetting, however, is just a developmental delay—not an emotional problem or physical illness. Only a small percentage (5% to 10%) of bedwetting cases are caused by specific medical situations.<ref name="johnson">{{cite web|url=http://www.duj.com/Johnson.html|title=Nocturnal Enuresis|publisher=www.duj.com|accessdate=2008-02-02|last=Johnson|first=Mary |archiveurl =http://web.archive.org/web/20080122063339/http://www.duj.com/Johnson.html <!-- Bot retrieved archive --> |archivedate = 2008-01-22}}</ref> Bedwetting is frequently associated with a [[Family history (medicine)|family history]] of the condition.<ref>{{cite web| title = Bedwetting| publisher = The Royal Childrens Hospital Melbourne| url =http://www.rch.org.au/kidsinfo/factsheets.cfm?doc_id=3716| accessdate = 2009-10-20}}</ref> Most girls can stay dry by age six and most boys stay dry by age seven. By ten years old, 95% of children are dry at night. Studies place adult bedwetting rates at between 0.5% to 2.3%.<ref name="Pediatrics">{{cite web|url=http://www.pediatriceducation.org/2005/04/04|title=Pediatrics |Paediatrics | Pediatric Education | Paediatric Education -PediatricEducation.org|publisher=www.pediatriceducation.org|accessdate=2008-02-02|last=|first=}}</ref> | ||
==Diagnosis== | ==Diagnosis== | ||
===History and Symptoms=== | ===History and Symptoms=== | ||
The main symptom is involuntary urination, usually at night, that occurs at least twice per month. | The main symptom is involuntary urination, usually at night, that occurs at least twice per month. | ||
===Laboratory Findings=== | ===Laboratory Findings=== | ||
A [[urinalysis]] will be done to rule out [[infection]] or [[diabetes]]. | A [[urinalysis]] will be done to rule out [[infection]] or [[diabetes]]. | ||
===X Ray=== | ===X Ray=== | ||
X-rays of the [[kidney]]s and [[bladder]]s and other studies are not needed unless there is reason to suspect some other problems. | X-rays of the [[kidney]]s and [[bladder]]s and other studies are not needed unless there is reason to suspect some other problems. | ||
==Treatment== | ==Treatment== | ||
===Medical Therapy=== | ===Medical Therapy=== | ||
Treatments range from [[Behaviour therapy|behavioral-based]] options such as [[bedwetting alarm]]s, to medication such as hormone replacement, and even surgery such as urethral enlargement. Since most bedwetting is simply a developmental delay, most treatment plans aim to protect or improve [[self-esteem]].<ref name="johnson" /> Bedwetting children and adults can suffer emotional stress or psychological injury if they feel shamed by the condition. Treatment guidelines recommend that the physician counsel the parents, warning about psychological damage caused by pressure, shaming, or punishment for a condition children cannot control.<ref name="johnson" /> | Treatments range from [[Behaviour therapy|behavioral-based]] options such as [[bedwetting alarm]]s, to medication such as hormone replacement, and even surgery such as urethral enlargement. Since most bedwetting is simply a developmental delay, most treatment plans aim to protect or improve [[self-esteem]].<ref name="johnson" /> Bedwetting children and adults can suffer emotional stress or psychological injury if they feel shamed by the condition. Treatment guidelines recommend that the physician counsel the parents, warning about psychological damage caused by pressure, shaming, or punishment for a condition children cannot control.<ref name="johnson" /> | ||
===Primary Prevention=== | ===Primary Prevention=== | ||
Getting plenty of [[sleep]] and going to the bathroom at regular times during the day and night can help prevent some aspects of bedwetting. | Getting plenty of [[sleep]] and going to the bathroom at regular times during the day and night can help prevent some aspects of bedwetting. | ||
Revision as of 18:11, 26 March 2013
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Bedwetting Microchapters |
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Bedwetting overview On the Web |
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Editor(s)-in-Chief: C. Michael Gibson, M.S.,M.D. [1] Phone:617-632-7753; Steven C. Campbell, M.D., Ph.D., [2] Phone:216-444-5595 Professor of Surgery, Residency Program Director, Section of Urologic Oncology, Glickman Urological and Kidney Institute, Cleveland Clinic.
Overview
Bedwetting is involuntary urination while asleep after the age at which bladder control would normally be anticipated.
Epidemiology and Demographics
Bedwetting is the most common childhood urologic complaint [1] and one of the most common pediatric-health issues.[2]Most bedwetting, however, is just a developmental delay—not an emotional problem or physical illness. Only a small percentage (5% to 10%) of bedwetting cases are caused by specific medical situations.[3] Bedwetting is frequently associated with a family history of the condition.[4] Most girls can stay dry by age six and most boys stay dry by age seven. By ten years old, 95% of children are dry at night. Studies place adult bedwetting rates at between 0.5% to 2.3%.[5]
Diagnosis
History and Symptoms
The main symptom is involuntary urination, usually at night, that occurs at least twice per month.
Laboratory Findings
A urinalysis will be done to rule out infection or diabetes.
X Ray
X-rays of the kidneys and bladders and other studies are not needed unless there is reason to suspect some other problems.
Treatment
Medical Therapy
Treatments range from behavioral-based options such as bedwetting alarms, to medication such as hormone replacement, and even surgery such as urethral enlargement. Since most bedwetting is simply a developmental delay, most treatment plans aim to protect or improve self-esteem.[3] Bedwetting children and adults can suffer emotional stress or psychological injury if they feel shamed by the condition. Treatment guidelines recommend that the physician counsel the parents, warning about psychological damage caused by pressure, shaming, or punishment for a condition children cannot control.[3]
Primary Prevention
Getting plenty of sleep and going to the bathroom at regular times during the day and night can help prevent some aspects of bedwetting.
References
- ↑ Reynoso Paredes, MD, Potenciano. "Case Based Pediatrics For Medical Students and Residents". Department of Pediatrics, University of Hawaii John A. Burns School of Medicine. Retrieved 2010-05-28.
- ↑ "Nocturnal Enuresis". UCLA Urology. Retrieved 2010-05-28.
- ↑ 3.0 3.1 3.2 Johnson, Mary. "Nocturnal Enuresis". www.duj.com. Archived from the original on 2008-01-22. Retrieved 2008-02-02.
- ↑ "Bedwetting". The Royal Childrens Hospital Melbourne. Retrieved 2009-10-20.
- ↑ "Pediatrics". www.pediatriceducation.org. Retrieved 2008-02-02. Text "Paediatrics " ignored (help); Text " Pediatric Education " ignored (help); Text " Paediatric Education -PediatricEducation.org" ignored (help)