ENURESIS (BED WETTING)

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.

Management

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.