Nocturnal and daytime enuresis - treatment in children, adolescents and adults

Urinary incontinence in medicine is called enuresis. The nocturnal appearance of this disease means that a person is unable to control the urination process during sleep. Quite often, nocturnal enuresis is diagnosed in children, although this problem can be observed both in adolescence and adulthood. It is noteworthy that daytime enuresis in a child is extremely rare and almost always appears after a psychological trauma that caused a malfunction of the nervous system.

Before starting treatment, the doctor must find out the causes of this condition. They can be as follows:

1. The child experienced severe psychological trauma, stress. The problem may arise after the birth of another child, moving to a new place or transferring to a new school.
2. The child has a very sound sleep. Treatment of nocturnal enuresis in children is necessary only if wet sheets in the morning have become a routine. But, as a rule, urinary incontinence due to sound sleep occurs only after a very busy day.
3. The child drinks too much liquid during the day. The usual family tradition of evening tea can lead to nocturnal enuresis in a child, but this phenomenon will be temporary, perhaps isolated.
4. Nocturnal polyuria. This condition is characterized by the production of a large amount of urine at night. This process is regulated by the hormone vasopressin, the amount of which may temporarily decrease.
5. Heredity. According to statistics, if both parents have faced the problem in question, then in 75% of cases their child will have nocturnal enuresis.
6. Urethra infections. Treatment of enuresis in children should begin with an examination and collection of biomaterial for laboratory testing for the presence of infection. The mentioned pathologies are accompanied by frequent urination, which the child may not control.
7. Damage to the spinal cord or spine. This can happen during childbirth or due to a complicated pregnancy. The result of damage is a pathologically altered flow of nerve impulses from the bladder to the brain.
8. Retardation in development. Daytime enuresis, the treatment of which is carried out only after a thorough examination of a small patient, often appears when the child has not yet had time to form the necessary reflex. This happens especially often with girls – their biological age may be less than the calendar age.

The causes of urinary incontinence mentioned above are more typical for girls. In boys, the following provoking factors can be identified:

• hyperactivity – it is observed four times more often in boys;
• attention deficit and/or hyperopia – characteristic of children raised in single-parent families;
• disruption of endocrine glands and hormonal background – thin and short boys experience a lack of growth hormone, at the same time there is a decrease in the production of the hormone vasopressin.

Treatment of enuresis in boys and girls – the process is long, requiring the involvement of various specialists and the use of various methods.

There are many ways to treat children's enuresis, they can be divided into three main groups:

• medicinal;
• non-medicinal;
• modes.

The specific method of treating enuresis is determined by a specialist – a lot depends on the cause of the development of the pathological condition, the general state of health. If the child shows hyperactivity, the doctor can prescribe tranquilizers (sedatives), and in the case of diagnosing an infection of the urinary system - ndash; course of antibacterial therapy. Secondary enuresis is common in children. treatment will be accompanied by the use of nootropic drugs, since this development of the pathology is often associated with the improper development of the nervous system.

It is about physiotherapeutic procedures and visiting a psychologist/psychotherapist. You can treat enuresis in children with the help of urinary alarms. devices that have a sensor that starts emitting a signal when a drop of urine falls on it. The device is placed in the child's underpants.

Non-drug treatment of enuresis in adults helps to cope with the problem – as part of the therapy, such procedures as electrosleep, magnetic therapy, circular shower, therapeutic gymnastics, massage, acupuncture can be carried out. First, the patient undergoes a full examination, because enuresis at an older age, as a rule, has a well-defined origin. weakness of the muscle corset, infectious diseases of the urethra and others. Enuresis in adults, the treatment of which is carried out with the help of medicines, must be accompanied by the observance of a special diet and daily routine. The doctor will give more detailed consultations and recommendations, there is no single scheme of therapy – everything is purely individual. How to treat enuresis in adults can be found on our site.

Non-drug treatment methods include the help of a psychologist/psychotherapist. Nocturnal enuresis in teenagers can be associated with fears of exams, first feelings for the opposite sex, worries about the lack of popularity among friends - this is what a psychologist corrects.

For the therapy to be effective, you need to follow a certain diet – the menu should be rich in vitamins and varied, before going to bed the baby can eat a small piece of salted fish or bread with salt. Nocturnal enuresis in children, the treatment of which is carried out with drugs, will disappear faster if non-drug therapy is carried out at the same time.

Urinary incontinence – the problem is unpleasant and can significantly worsen the patient's psychological condition. How to treat children's nocturnal enuresis, what can be done to save the problem in teenagers – these questions will be answered only by a specialist, it is mandatory to consult a doctor.