Most children will be dry at night by age of 5 years. Enuresis is more common in boys. It may be a feature of diseases like renal diseases, cardiac diseases, diabetes mellitus, and seizure disorders.
Enuresis is categorized as primary when a child has never been dry, and secondary when a child has been dry for at
least 1 year before starting to bed-wetting again. Secondary enuresis is usually due to some stressful event(s) in a child’s life. However, it is important to rule other diseases that have been mentioned earlier.
The general management of enuresis involves the following:
- Getting the cooperation of the child and parent.
- Avoiding punishment and humiliation to the child.
- Limiting evening and night fluid intake.
- Giving low dose imipramine, which may help in difficult cases.
- For secondary enuresis, dealing with the causative factors.