It is a well-known phenomenon among parents: children who are not fully housed at the age of five. But what if this problem continues to occur in children aged six or over? Bedplashing, also known as enuresis, can be a challenge for both parents and children. Let's look more closely at the causes and treatments of bed-weathering.
Bed-weathering is more common than one would think. It is estimated that about ten percent of children between six and seven years suffer from this problem. This means that in an average grade of first and second grade two to three children wet bed. It's striking that boys are more often affected than girls.
It is important to understand that bed-wetting takes place outside the control of the child. It has nothing to do with laziness or unwillingness. It is therefore not productive to get angry at a bed wet child or to express threats, which can only harm the child's confidence.
What are the possible causes of bed-wetting in children? Several factors can play a role:
- High wake-up threshold: Children who wet their bed often have trouble waking up even when their bladder is full. This is because their internal alarm clock to wake up does not function well.
- Bad bladder function: Some children suffer from an overactive or unstable bladder, which may cause them to lose unconscious urine even if the bladder is not fully filled.
- Excessive urine production: Too much urine production during the night, often caused by a deficiency in a hormone that regulates urine production, can lead to bed-wetting.
- Emotional factors: Although bed-wetting is usually not directly related to emotional problems, stress, anxiety and fatigue can exacerbate the problem.
- Organic factors: Rare kidney and urinary disorders are the cause of bed-welding, but urinary tract infections and constipation can exacerbate the problem.
Is bed-welding hereditary? Yes, heredity plays a role. Children of parents who also suffered from bed wets have an increased risk to experience this as well.
How can be treated bed-weathering? In addition to some tips for parents, such as promoting regular peeing during the day and creating a comfortable environment for the child at night, medical treatments are available:
- Plass alarm clock: This method trains the child to wake up at the first signs of a full bladder by means of a sensor that activates an alarm. This has a success rate of about 70%.
- Medication: Desmopressin is a medicine that reduces urine production and can be prescribed for children with bed wets. The success rate varies between 40 and 80%, but relapses after treatment discontinuation are common.
It is important to have an open dialogue with the child and to find the best approach together with a doctor. With the right support and treatment parents and children can work together to overcome bed-weathering and promote good night's sleep.
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