Enuresis is defined as involuntary voiding beyond the age of anticipated control. Diurnal enuresis is daytime wetting,
nocturnal enuresisis nighttime wetting. Both of these conditions can occur at the same time, however, many children with nighttime wetting will not have wetting during the day. Children with daytime wetting may have frequent urination, have urgent urination or dribble after urinating.
Daytime wetting is more common in girls than in boys, but
bedwettingis twice as prevalent in boys. Daytime wetting was found to have occurred more than once a week in 3% of girls with the mean age of 5.9 years.
Causes for daytime wetting
The causes are quite varied and could include:
*Incomplete emptying of the bladder
*Urinary tract infection
*Urgency (not “making it” to the bathroom in time)
*Poor toileting habits
*Small bladder capacity
*Medical conditions like overactive bladder disorder
*OthersAs you can see, this list is quite long. In most cases, seeing your health care provider or urologist to rule out conditions that need specific treatment is a good place to begin. They will begin with a voiding history and physical exam, as well as a
urinalysisand culture. Other tests may be warranted, based on their findings.
Managing daytime wetting
Major changes in the management of daytime wetting came about in the 1990s. In most current programs, non-invasive treatments incorporate hydration,
timed voiding, correction of constipationand in some cases, computer assisted pelvic floor retraining. These methods have been extremely successful in correcting daytime wetting. Bladder stretching exercises (where the person tries to hold their urine as long as possible) are no longer recommended. In fact, some urologists actually believe that this can be dangerous because the person could develop the long-term habit of tightening the urethral sphinctermuscle, which can cause bladder or kidneyproblems. Urinatingon a regular basis is much preferred.
"This article contains facts and text from"cite book
last = Mercer
first = Renee
authorlink = Renee Mercer
title = Seven Steps to Night Time Dryness
publisher = Brookeville Media
date = January, 2004
location = Ashton Maryland
pages = 22, 76-78
url = www.dryatnight.com
id = 0-9740688-0-2 "with permission from the author."
* [http://www.bedwettingstore.com/Buyers_Guides/daytime_facts.htm Daytime Wetting Facts from the Bedwetting Store]
* [http://www.webmd.com/hw/health_guide_atoz/ta2112.asp Helpful Hints from Web MD]
* [http://pedclerk.bsd.uchicago.edu/diurnalEnuresis.html Outline of Diurnal Enuresis]
* [http://dryatnight.com/index.htm Helpful Hints from a Child Enuresis Expert]
* [http://oabinkids.bravehost.com Site about overactive bladder disorder in kids]
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