A large number of children and adolescents around the world sleep in wet beds at night. Nighttime urinary incontinence in children can occur for a variety of reasons.
The main mistake made by many parents is that they scold their child for this. In no case should this be done, on the contrary, it is necessary to explain to him that he is not alone in pissing at night and there are still children who also suffer from this. Then the child will not think that he is alone.

Causes of nocturnal enuresis

Why does a child urinate in bed? - There are various causes of nocturnal enuresis, among which are the following:

Skills

Each of the children is individual, and, therefore, they can learn to go to the toilet at different ages. Independent night control in children of 3 years old is observed in 70% of cases, in children of 5 years old - in 80% of cases. Relying on these statistics, it is possible to assert the presence of nocturnal enuresis in a child only after reaching 4-5 years of age. Based on this, doctors recommend not giving your baby plenty of fluids before bedtime, as well as avoiding drinks that contain caffeine.

genetic feature

Incontinence at night in children can occur due to the slow formation of the regulatory system due to which the bladder may not be emptied for several hours. Over time, the child's regulatory system will develop and the problem will disappear on its own.

Symptoms of another disease

It happens that the cause of nocturnal enuresis in children is associated with the occurrence of diseases such as urinary infection, kidney disease, as well as endocrine diseases such as diabetes, hypothyroidism and hyperthyroidism. In such situations, the baby is written both at night and during the day.

Do not forget about diseases such as epileptic seizures at night or blockage of the upper respiratory tract at night, which also gives such a side effect as bed incontinence. It is worth mentioning that some drugs can cause reactions in the form of bedwetting, such as thioridazine and valproate. Here you need to seek help from a doctor so that he can determine the true cause of the disorder.

Temporary difficulties

Bedwetting in a child may be temporary difficulties. - There are situations when a child urinates unexpectedly at night, since this has not been observed before. In this situation, it is not necessary to talk about the presence of nocturnal enuresis in a child; most likely, this case arose due to the influence of stress on the baby's nervous system. Such stressful situations include: family problems, an adaptation period at school or in kindergarten. In such a situation, all the forces of the parents should be aimed at eliminating the psychological pressure of their child and strengthening his nervous system.

Deviations of a physiological nature

Why do children get urinary incontinence at night? The most difficult form of nocturnal enuresis to eliminate can be urinary incontinence, which has arisen due to disorders in the fetal brain - in the event of pathological processes during childbearing and childbirth, as a result of hypoxia or trauma.

Medical certificate:Such pathologies cause a lag in the formation of the central nervous system of children and the production of hormones, as well as vasopressin. In this situation, it is necessary to seek advice from an endocrinologist. A neurologist can also examine the baby for congenital pathologies of the genitourinary system and changes in the nervous regulation of the bladder. For the latter case, the main symptom is urinary incontinence at night and sometimes during the day. And pathological changes in the secretion of antidiuretic hormone contribute to the fact that the baby is written only at night. - This hormone is responsible for regulating the amount of urine produced - if the blood contains a large amount of it, then less urine is produced. - Which is typical for the night, when the level of this hormone in the blood, in a normal way, rises. In the case of enuresis, an absolutely opposite situation occurs - when the hormone is not produced in the proper volume.

Troubleshooting Methods

If you have found or suspect that your child has at least one of the above symptoms of serious diseases or pathologies, you should immediately consult a doctor. But if the problem of bedwetting in a baby lies in skills or temporary difficulties, it can be solved by introducing some rules:

• limited intake of tea, water or juice 2-3 hours before bedtime;
• going to the toilet before going to bed;
• keep a diary recording the nights that the child spent in a dry and wet bed - based on the results of counting dry nights, reward the baby;
• oblige the child to change wet pajamas and sheets immediately after they get wet;
• For older children, limit the use of drinks that contain caffeine.

For children from 6 years of age, the so-called enuresis alarm clock can help eliminate bedwetting. - Its action is aimed at waking the child to the toilet when only a couple of drops of urine fall on the bed. - This device allows children to solve the problem on their own - by developing skills in the problem of urinary incontinence at night. The effectiveness of its use is in 70-85% of cases. But it takes some time to develop skills - the first time of use, the child can wake up only after complete urination. And over the course of a few weeks, he will be able to wake up and stop urinating. As a result, the need to pee will wake him up instead of an alarm clock. The need for such a device may completely disappear after 3 weeks, but in some cases a longer period is required.

In any case, the problem of enuresis is solvable and parents must understand that bedwetting is a fairly common problem, such a disorder can be cured, so the child should not feel guilty and withdraw.

The specialist talks about the diagnosis and treatment of nocturnal enuresis in children:

The problem of wet sheets has to be faced by all parents without exception. Therefore, the question of how to wean a child to write to bed at night is relevant for every family.

If the night "accidents" of a baby at the age of 1-2 years are perceived by most parents quite adequately, then the inability to control nighttime urination at the age of 5 causes natural concern.

Sometimes the problem of wet sheets is explained by the fact that the child is unwell. For example, bladder diseases and, oddly enough, the presence of adenoids can lead to such results. Therefore, in some cases, it will be possible to get rid of wet panties with the help of a doctor. When should you start worrying?

• if a child at 4 years old regularly urinates in his pants during the day while awake;

• if the child does not control urination during sleep after reaching the age of 7 years;

• if a child who has already mastered the potty well and woke up dry for a long time suddenly began to urinate again in the bed.

In these cases, it is necessary to visit a pediatrician and, possibly, undergo an examination prescribed by a doctor.

Sometimes a visit to a child psychologist is necessary. Usually, psychological problems are indicated by the fact when a child, who has long abandoned diapers, again began to write in his pants.

Such a regression in development may be evidence of the stress that the child has endured. Therefore, in no case should you scold him, on the contrary, you need to show maximum love and patience. However, even the most attentive and loving mother cannot always figure out what exactly scares and worries the baby. In this case, you will need the help of a psychologist.

How to teach a child to wake up dry?

Many pediatricians, including Evgeny Komarovsky, urge not to force things. If a child at 3 years old regularly wets the bed, there is no need to worry, let him continue to sleep in a diaper until he wakes up dry every morning.

Read also: How to teach a child to eat with a spoon? Tips from Experienced Moms and Dads

If parents still decide to start accustoming to sleep without a diaper, then the following tips will help them:

• it is necessary to purchase a waterproof cover for the mattress, since at first night accidents are inevitable, and they will be repeated quite often;

• it is necessary to keep a supply of clean linen and spare pajamas for the child on hand. If the child wets himself, he can be quickly changed. If the child is already old enough, then it is worth involving him in this matter. For example, he himself can take off the soiled sheet and change into pajamas while his mother covers the bed with clean linen;

• night accidents must be treated philosophically. The older the child, the more he experiences his failures, and if the mother is also clearly annoyed by the need to change wet sheets, then the feeling of guilt will intensify. All this can contribute to the development of various psychological complexes, which will further aggravate the problem of bedwetting;

• It is important to teach your child to go to the toilet before going to bed. If he refuses, mom needs to gently but firmly insist. If a child pees before going to bed, then the likelihood that his bladder will fill up during the night will decrease;

• you need to wean the child to drink a lot of fluids in the evenings. During the day, the child can drink as much as he wants, but after dinner, you need to exclude the flow of fluid into the body;

• You should also watch what your child eats. For example, foods that are spicy and sour taste irritate the walls of the bladder, so the likelihood of an “accident” increases. In addition, nighttime incontinence can contribute to the lack of intake of micronutrients such as magnesium and potassium. Therefore, if a child regularly wakes up wet, bananas, apricots, broccoli, fish should be included in his diet;

• mom should remember what time the child wakes up wet at night, and try to wake him up a little earlier than this time in order to put him on the potty;

• sometimes children pee in bed because they are afraid to get up in the dark and go to the toilet. To exclude this option, you need to place a night light by the crib, giving a soft, dim light. And also put a potty, even if during the day the child goes to the toilet. It is better to buy a pot made of plastic, since it is cold to sit on a metal rim, and this may cause a child to be unwilling to get up;

• it is worth making sure that the child does not freeze at night, as the frequency of urination increases in the cold. For example, sometimes through a thin sheet, a child can feel the cold of an oilcloth laid on a mattress. Therefore, it can freeze even if the room is warm enough.

Are you worried that your child pees at night?

The problem of enuresis is a painful topic for many families. Although this issue is often overlooked.

Agree that on the playground, few people are ready to talk with other moms about the fact that their child pees at 5 years old.

And in this article we will analyze this topic in more detail.

For a detailed analysis of this issue, see the video: “The child has a neurosis. What to do?"

When can you talk about enuresis in a child?

Most parents understand that it is clearly too early to talk about enuresis at 1 year old. And when is it too late? Where is this edge? How not to miss the moment, so that later it would not be: “Mommy, where were you? The child has an advanced case!”

Many children aged 3-4 spend most of their nights dry. If your child is 4 years old, and he still pees almost every night, then it's time to take the situation into account. But do not panic and tear your hair out. I'll talk about the steps you can take later.

The process of maturation of bladder control is different for everyone: it is likely that the child will still mature on its own, and without your intervention.

If we talk about the medical diagnosis of enuresis, then usually it is not made before 5 years.

Approximately 10-20% of children 5-7 years old suffer from nocturnal enuresis.

And only 2-4% of school-age children still have the problem of bedwetting.

Another important fact about childhood enuresis is that incontinence can occur after the child has stopped writing at night. For example, at the age of 4, the child slept dry all night, but at the age of 7, he suddenly began to write.

Why does a child urinate at night?

There may be physiological and psychological reasons. In most cases, the causes are psychosomatic, i.e. psychological the problem leads to disruption of the body.

To be honest, among domestic pediatricians this reason is not even considered, but abroad, constipation is considered the No. 1 physiological cause of enuresis.

The whole point is that the intestines, constantly clogged with feces, constantly put pressure on the bladder, thereby stimulating frequent and nighttime urination.

If you or someone you know is having trouble coping with kids' night slips, save this infographic and share it with your friends. It is likely that constipation is the key to fixing the problem!

Another medical reason why a child pees at night!

In medicine, there is a diagnosis called "neurogenic bladder". The essence of the problem lies in the fact that the signals from the bladder to the brain and vice versa are incomplete. In this case, the child may not feel that the bladder is full, because. signals from it do not reach the brain, or the brain does not respond properly (by awakening) to signals. As a result, the child pees on the bed.

This diagnosis is made, of course, by a doctor. Most of the treatment at preschool age is aimed at the prevention of infectious diseases of the genitourinary system, because. with a neurogenic bladder, urine may accumulate for a long time or not be emptied completely.

But any competent doctor will send parents with a child to a psychologist, even if the diagnosis is “neurogenic bladder”. Why? Because in any case, the child has a feeling of guilt and shame for what is happening to him, even if his parents support him and do not scold him. And this can greatly exacerbate the situation.

Causes neurogenic bladder there may be various problems with the nervous system. And not necessarily serious problems, such as meningitis, birth trauma, developmental delay, etc.

It can be some fairly mild violations, even situational ones. For example, chronic fatigue, poor sleep, nervous exhaustion from stress, even the onset of puberty!

And of course, a common cause of enuresis is a recent urinary tract infection. In this case, the incontinence will go away on its own. Perhaps this is the rare case when incontinence is due to purely physiological reasons.

Let's talk more about the psychology of nocturnal enuresis in children.

You need to understand that most often it is worth talking about the psychological basis of bedwetting if the child has previously successfully slept most nights dry.

But at some point, something went wrong, and your already grown up 5, 6, 7, 8, 9 ... year old child began to write again at night.

If the examination by doctors did not give you any results, then you can safely assume a neurosis, and run to a psychologist.

In some situations, the cause can be clearly traced.

Some of the most common reasons: the birth of the youngest child in the family, admission to kindergarten or school, divorce of parents.

Why is stress affecting some children in such a sad way? Of course, the characteristics of the nervous system (temperament) of the child play their role, but a lot in these situations depends on the behavior of the parents.

I talk all the time about the importance of letting children express their emotions. And children's enuresis is just one of the consequences. You will object that you do not forbid the child to be angry or sad. Perhaps you are not doing it directly: perhaps the child is just trying to fit you if he sees that you are constantly holding back.

How does this happen? Our body strives for balance, for homeostasis. Tension and relaxation always replace each other. After prolonged tension, relaxation always comes:

• After a long tension in the kindergarten, where the child is afraid that his parents will not pick him up for 8-10 hours in a row, but keeps his emotions, he goes to bed at home and relaxes.
• After the whole day the child pretended not to miss his father, so as not to upset his mother, he goes to bed and pees in bed.

I think the principle is clear?

It happens that it is impossible to determine the “reference point” immediately.

Then you need to be prepared for a rather long course of studies with a psychologist. , Dealing with neuroses takes time, and, most often, is not limited to a couple of sessions.

The cause of childhood enuresis may well be disharmony in the parent-child relationship.

In this case, the child is often diagnosed with "neurogenic bladder", and the parents do not even know that this diagnosis is secondary. . And the primary reason is just in the relationship at home.

And it can be radically opposite situations. Such as, for example, hyper-custody in one case, and hypo-custody (attention deficit, coldness of parents) in another ...

A common reason is failure to meet the need for security(link) when the situation in the family is very tense: for example, a conflict between parents, even hidden. Children feel everything. This situation leads to increased anxiety in the child, which easily translates into fears and neuroses. The child's sleep may become restless or, conversely, too deep, which is why the child pees on the bed.

Another basic need, the frustration of which leads to enuresis in a child, is the need for acceptance. If a child is scolded for pissing, then such criticism leads to the fact that the child feels bad and unloved, which causes his stress to increase tenfold.

Or perhaps the parents are very critical of the child. For example, this happens when the youngest child is born. and the demands on the elder suddenly increase sharply. Naturally, the firstborn cannot cope with the sharply increased number of responsibilities and requirements, which means that he feels unsuccessful, is afraid to disappoint his parents even more, feels bad ... and begins to urinate in bed at night.

What should parents do if the child pees at night?

1. Pass the examination at the doctors.
2. In no case do not scold the child for "mistakes". By doing this, you will only aggravate the situation, you will form a feeling of guilt in the child, negative self-esteem (“I am bad”), and in the end it will be 100 times more difficult to get the child out of this state.
3. Understand for yourself that the child does this not in spite of mom and dad, but because he himself is very, very bad. The child needs your support your positive attention (not swearing, although this is also a manifestation of attention, but negative), joint games, hugs, etc.
4. Remove excess load on the nervous system of the child, i.e., there should not be a large number of circles, holidays with a bunch of people, and the like, because the constant overload of the nervous system can aggravate the situation. Go for walks more, play joint win-win outdoor games at home (without winners and losers), be creative, play role-playing games.
5. You don't need to remind your child all the time:"Wake up at night to pee!" On the contrary, it is necessary to try not to raise this topic at all once again. The child already knows that it is necessary to pee in the toilet, and not in the bed. He doesn't have multiple sclerosis. By doing this, you will only fix the stress, and the fear of describing yourself may also appear. The more the potty topic rises in the family, the more the child gets hung up on it. And the more you get hung up on the problem, the more hopeless it begins to seem, and this greatly hinders its solution.
6. You can play this situation in the game, you can read fairy tales on this topic. In this way, in a playful way and help the child.

May your children grow up happy!

Please write in the comments how you deal with this problem. What have you tried, what worked, what didn't work? It will be helpful for other parents too!

Enuresis is involuntary, uncontrolled urination during nighttime and/or daytime sleep in a child older than 5 years.

According to statistics, 7-12% of children aged 5 to 10 years suffer from urinary incontinence during sleep (enuresis). It often happens that a child at the age of 5-6 suddenly begins to write in bed at night. Why is this happening? The reasons and ways to solve this problem in children will be considered in the article.

A child of 5-7 years old began to write at night: how to find out the reason?

There are primary and secondary enuresis. Primary enuresis is caused by a lack of control over the emptying of the bladder. But if the child did not experience urinary incontinence for more than 6 months, and then he began to write at night, then experts say that this is secondary enuresis. Therefore, if a child at the age of 5-6 suddenly began to write to the bed during sleep, then we are talking about secondary enuresis.

Bedwetting can occur with completely different diseases, so it is important to diagnose it correctly, to understand what pathological condition enuresis is a manifestation of. It is secondary and primary, the difference is that the primary is the one that appears from a very early age, that is, when the function of controlling urination has not yet been established. Secondary - this is when a child wakes up from a year and a half and goes to the toilet at night, and then suddenly, at the age of 5-10, enuresis resumes. In such a case, it is necessary to consult a doctor as soon as possible, because the cause of enuresis is no longer just the immaturity of the nervous system, but the pathological condition that has arisen against the background of depression, neurosis, stress or fear.

What diseases can cause bedwetting in children?

Disease	Symptoms	Why does bedwetting occur?	What tests and examinations need to be done for diagnosis?
Urinary tract infection (kidney disease, cystitis)	Frequent urination in small portions.	The inflammatory process causes the bladder to empty more frequently. Due to irritation of the walls of the bladder, bedwetting occurs.	Hand over to identify the inflammatory process.
Diabetes	Constant urge to urinate. Consumption of large amounts of liquid.	Due to the fact that the baby drinks a lot of water, the brain of an immature baby does not have time to signal the timely emptying.	Donate blood for sugar for detection
Epilepsy	During sleep, the child has convulsions that provoke arbitrary urination. In the morning, the baby may not remember what happened to him at night.	With epilepsy, there is an increased excitability of the brain, which in childhood proceeds in the form of epileptic-like seizures, as a result of which epilepsy is diagnosed.	To diagnose the disease, the child must undergo a night examination. With the help of special devices and a video camera, which is aimed at the baby all night, the baby’s sleep is traced, recording brain readings on an encephalogram. Epilepsy has been successfully treated by conventional medicine today.

The psychological factors for the occurrence of enuresis in a child include:

• Quarrels in the house. When a child hears the raised tone of a parent, he begins to be afraid on a subconscious level, even if they are not shouting at him. Therefore, parents who sometimes allow themselves to sort things out with a child should exclude this moment from their “diet”.
• Psychological pressure on the baby . When the baby feels that he is being pressured, for example, by constantly reminding him to go to the toilet, this forces the baby to do everything in reverse.
• Jealousy for younger sister (brother) . It can also provoke the baby to involuntary urination at night. You should not yell at the baby because of this, because he still does it unconsciously. To solve this problem, pay more attention to the baby, spend time not only with the baby, but also involve the older child in the process of playing or motion sickness. Make it clear to the child that he is also very important, and even more important, because he is the eldest and should take care of the baby.
• Busy days. Constant stress is not the best companion of a little man. If you take your baby with you everywhere (to work, events, guests, etc.), he feels constant discomfort and anxiety, because soon he will have to go somewhere again. Therefore, crumbs often endure to go to the toilet, and relax at home. Kids should have their own routine and you can’t deviate from this.

It is also worth noting that Children's enuresis can be manifested due to medication . Antibiotics usually have this side effect.

What to do if a child of 5-6 years old pees at night?

It is absolutely impossible to scold your baby for a wet bed and panties.

Depending on the reason why the baby does not hold urine at night, the treatment is different.

Treatment methods for nocturnal enuresis:

• Medical. This method consists in taking pharmacological drugs by the child: antibiotics, antidepressants, drugs to improve brain function, as well as hormonal drugs. After diagnosing the health of the baby, the doctor prescribes adequate treatment that eliminates the urge to urinate at night.
• Psychotherapeutic . This method involves treating the baby through auto-training (self-hypnosis).
• Physiotherapy. This method eliminates the causes of nocturnal incontinence through acupuncture, music and magnetotherapy.

For the diagnosis and treatment of enuresis in children, the first step is to contact a pediatrician. He, having made the primary diagnosis of the baby, will refer him to a specialist of a narrow profile, who in the future will treat the child for enuresis.

Depending on the cause of bedwetting, the pediatrician may refer the child for a consultation with the following specialists:

• urologist
• nephrologist;
• physiotherapist;
• homeopath;
• neurologist
• psychiatrist;
• psychologist.

Here are some tips to help you deal with childhood enuresis:

• Make sure your baby goes to the bathroom before bed . Put it into his mode and make it a kind of tradition.
• Eliminate loud noise in the evening : TV, computer, etc. The baby should arrive in peace.
• Do not scold the child for such an "embarrassment" , but affectionately and lovingly focus on the fact that you need to write in a potty, and not in a crib.
• Two hours before bedtime, you should not drink yogurt or milk to the baby . These products have diuretic properties.
• Sleep is an efficient business. Teach your baby to go to bed and get up at a certain time. In this case, it will be easier for you to prevent nighttime urination.
• You should not wake up the baby at night . In a dream, he restores strength, grows, develops. But, if you hear movements, you can kindly ask the baby to pee on the potty and then put him to bed.
• Don't use a diaper at night . Doctors are against this approach, as it, on the contrary, slows down the treatment process.

Opinions of doctors about the causes of urinary incontinence in children

Children's psychoneurologist O. Kuzmicheva:

Bedwetting is often associated with the fact that such children sleep very deeply. Figuratively speaking, the centers responsible for awakening at night during the urge to urinate do not work in the brain, that is, this urge does not reach consciousness, the child does not wake up. We can say that pathologically deep sleep is often the cause of enuresis.
Another reason may be epileptic seizures, very often they are nocturnal, inconspicuous and almost always accompanied by urinary incontinence. Enuresis also occurs against the background of neurotic conditions, stress at the beginning of taking sedatives. Increased excitability of the bladder can also cause enuresis.
But one of the main ones is still considered the pathology of the central nervous system. If the doctor examining a child with enuresis does not find the cause of this pathological condition, you need to go to another, more qualified specialist.

Doctor I. Ganieva:

Parents should show angelic patience and tact. It is important that there is peace and tranquility in the family, and the child constantly feels the love, care and support of the closest people. There is one of the methods of improper treatment - this is a reduction in the amount of liquid so that the child does not write, so parents try to make life easier for themselves and the child, but this is wrong, the amount of liquid should always be sufficient. It's just better not to drink 3-4 hours before bedtime. And also reduce the consumption of certain foods and drinks: chocolate, cocoa, strong tea, coffee, marinades, soda, smoked meats. It is very important not to overcool and observe the hygiene of the genital tract.

E.I. Chernorutskaya, nephrologist:

The simplest diseases for both patients and doctors are those that have one cause and, accordingly, a standard treatment against this cause. All other diseases that have many causes (polyetiology) always cause a lot of controversy and doubt among doctors. Enuresis also belongs to such diseases or, more correctly, states. If deep sleep is considered the cause of bedwetting, then it is not clear why other children with deep sleep do not urinate at night - right? If we consider kidney disease to be the cause of enuresis, then I can assure you that quite rarely patients with kidney problems (Not bladder!) Piss at night, they usually wake up and go to the toilet 2-3 or more times, but wake up!

Conclusion one : with enuresis, there are three components: deep sleep, excess urine volume, changes in the sensitivity of bladder receptors. Each component separately does not always lead to enuresis. Only a combination of several causes from different groups can lead to enuresis. In some cases, over the course of life, there is a layering of other causes, which either gives a re-emergence of enuresis or does not allow “self-healing” to occur - one of the most favorite methods of treating parents and some doctors who do not want to delve into the essence of the problem.

If your child is 7-10 years old pissing in bed, then you will find a lot of useful tips on our website in the article:

The problem of childhood enuresis is being qualitatively solved today. The family needs to be patient and in no case blame the baby, because you can develop internal complexes in him. With regular and complex treatment, children get rid of this kind of problem forever. .

Nighttime urinary incontinence in children under 5 years of age is considered normal. Unfortunately, there are children who, even at the age of 7-10, sometimes wake up on wet sheets. In addition to the fact that the child is uncomfortable waking up in a wet, cold bed, he is also very ashamed. You can get rid of nighttime troubles only by establishing an accurate diagnosis of the disease that caused nocturnal enuresis.

What can provoke enuresis in children aged 7-10 years

The processes that contribute to urinary incontinence at night (enuresis) in children of age are represented by a physiological and psychological component. A wet bed when waking up causes trouble not only for the child, but for all family members. Most often, bedwetting occurs in boys and disappears in them by the beginning of adolescence. . This does not mean that the situation that has arisen does not need to be dealt with. If a child pees at night, he feels psychological discomfort, is ashamed and withdraws into himself.

The manifestation of nocturnal enuresis is caused by several reasons.

1. Causes of a psychological nature

By the way, the nervous stress experienced by the baby can provoke bedwetting.

• Change of environment (change of residence or transfer to a new school).
• Family conflicts.
• The loss of a dear person or four-legged pet.
• Exam or test papers at school.

In most of these cases, enuresis resolves without outside intervention, but sometimes the help of medical professionals may be required.

2. Failure or immaturity of the central nervous system

The body does not receive a signal that the bladder is full and that it is time to empty it. This reason is one of the main contributing to the manifestation of enuresis.

3. Hereditary factors

If both mom and dad suffered from the problem of nighttime urination, then the probability of its occurrence in a child is almost 80%, and if one of the parents, then up to 45%.

4. Cold weather

Children are more sensitive to a strong drop in temperature.

5. When the child is often raised to the toilet at night

He can sometimes wake up on his own and a conditioned reflex to urinate will quickly work in him.

6. Malfunctions of the endocrine system

In this case, the child manifests not only enuresis. He noticeably increases sweating, swelling of the face or a tendency to be overweight.

7. Hormonal imbalance

8. Pathological abnormalities in the urination system

9. Infection in the genitourinary system or vaginal infection (in girls)

10. Weakened bladder or kidney function

The problem of enuresis during night sleep at 7-10 years old can be quite prosaic. It's just that the baby has a healthy, sound sleep, or the root cause lies in the large amount of liquid, fruit or cold foods that he consumed before bedtime. Treatment in these cases will consist in the timely control of children.

Which doctor will help children get rid of enuresis

First of all, parents, faced with nocturnal enuresis, turn to the pediatrician. As a rule, the doctor advises to wait a bit, arguing that over time the problem will disappear. At best, he will prescribe a general blood test and an ultrasound examination of internal organs.

It is not necessary, on the advice of a doctor, to wake the child more often at night. This can only make the situation worse. Because of the frequent getting up at night, the child may then show symptoms of childhood neurosis.

A good pediatrician should determine what kind of specialist the baby will need and give a referral to a pediatric urologist, psychologist or neurologist. Only a complete examination will help determine what caused urinary incontinence during a night's sleep.

Do not wait for the problem to "resolve" without medical intervention. Consult a doctor at the first manifestations of the disease.

Methods of dealing with enuresis, depending on the causes of its occurrence

After a complete examination and discovery of the causes of the disease, the doctor decides which method to use to solve the problem in a particular case.

Treatment with medications

• One of the effective remedies for childhood enuresis is the drug Adiuretin-SD which contains desmopressin. It is an analogue of vasopressin, a hormonal agent that normalizes the process of excretion or absorption of free fluid by the body. The drug is released in the form of drops in the nose and is prescribed to children from the age of eight. For a baby who has not reached this age, the doctor reduces the dosage.
• For bedwetting, tranquilizers may be prescribed to improve children's sleep. having a hypnotic effect. (Radedorm or Eunoktin).
• With a neuropathic manifestation of the disease, Rudotel is prescribed , Atarax or Trioxazin (children over 6 years old).
• Neurological bedwetting is treated with amitriptyline. However, its use under 6 years of age is contraindicated.
• To increase the volume of the bladder, prescribe Driptan in tablets.
• To improve the functioning of the brain, prescribe sedatives such as Persen, Nootropil, Novopassit, B vitamins, vitamin A and E. Pantocalcin may be prescribed. With its help, the development of impulses responsible for the assimilation of new skills is stimulated.

You can use these funds only as directed and under the supervision of a physician. In order not to harm the child, strictly adhere to the prescribed dosage.

Non-drug therapy

When the problem of bedwetting is psychological in nature, no medication will help unless irritating factors are excluded from the life of a student. First of all, you can not scold the child for a wet bed or tease and mock him. This will only make the situation worse.

Fear of punishment or ridicule will provoke the development of the disease. You can’t tell strangers about the problems of your son or daughter, especially in their presence.

Creating a favorable microclimate in the family is the first step to success in the fight against childhood enuresis.

In addition, other factors contribute to the solution of the problem.

• Daily regime . It is necessary to properly organize and study a teenager. He should avoid heavy loads that lead to overwork, and increase the duration of sleep. The last meal should be 2.5-3 hours before bedtime. In the evening, you need to limit the intake of liquids, especially juices, dairy and sour-milk products.
• Bladder training. The procedure begins at the age of seven. The child is taught to delay the process of urination. Track when the baby goes to the toilet, offer him to be patient a little more. Slowly increase the delay time. This will help develop bladder control.
• motivational therapy . The method is highly effective, allowing to solve the problem of nocturnal enuresis in 80% of children. The best doctor in this case is the child himself. The essence of the method is very simple - encouraging children for every dry night. One child needs simple praise, another needs a new toy, a bicycle or skates. Hang a calendar over your son's or daughter's bed, marking all the dry nights on it. Agree with the child that with a certain number of dry nights per week or per month, the baby will receive a long-awaited gift. If he fulfills his part of the agreement, you must, without any excuses, fulfill yours.
• Physiotherapy . The procedures contribute to the improved functioning of the nervous system, brain and bladder. As medical procedures, to ensure a dry bed for the crumbs, electrophoresis, acupuncture, magnetotherapy are used, electrosleep, circular showers and therapeutic exercises are used.
• Psychotherapy . The specialist teaches the child self-hypnosis and relaxation techniques. In the process of training, the reflex connection between the bladder and the nervous system, weakened for various reasons, is restored. With severe neurotic enuresis, therapy is used for depressive mood shift - tearfulness, fear, irritability or anxiety. An important role in this is played by family psychotherapy, that is, the creation of a favorable climate in the family and the comprehensive support of the child.

Folk methods of dealing with bedwetting

Traditional medicine with its recipes can also become an assistant in the fight against the disease.

1. A tablespoon of dill seeds brew a glass of boiling water and insist 1 hour. Up to 10 years old, drink half a glass in the morning on an empty stomach.
2. A decoction of St. John's wort leaves is added to the compote of lingonberry berries, and give the child to drink several times a day. The tool helps well with incontinence, which is due to psychological factors.
3. One liter of boiling water pour 2 tablespoons of rose hips and let it brew. You need to drink infusion several times a day, replacing them with tea or compote. Rosehip not only helps to cope with enuresis, but also has a general strengthening effect on the entire body.

Traditional medicine offers a huge number of recipes for enuresis. But, before using them, do not forget to consult with your doctor.

For treatment to work, family members must be the moral support for the child. Praise him for every dry night, do not scold him if the bed suddenly turns out to be wet again.

It is necessary to reassure the beloved man, to inspire him that all this can be got rid of and that he is able to cope with the problem that has arisen. Feeling the full support of loved ones, the baby will quickly cope with such an unpleasant phenomenon as nocturnal enuresis.