- May 19, 2020
- Posted by: Prof Dr Coşkun Şahin
- Category: Child Urology, Urinary Incontinence
What is Enuresis?
Although the urinary control age in each child is different; Urinary incontinence in the daytime over the age of 2.5 and wetting at night over the age of 5 are called urinary incontinence. The causes and treatments of nighttime wetting and daytime wetting problems differ from each other.
What are Enuresis Symptoms?
Daytime urinary incontinence can be either totally total or in the form of incontinence and incontinence. Nights may be every night in a month, or some nights. It is the upper age limit of 2.5 for daytime abductions and the age limit of 5-6 for nighttime abductions.
What Causes Enuresis?
The causes of urinary incontinence in children should be examined as night wetting and daytime wetting.
Daytime Urinary Incontinence Causes:
-Stress and anxiety problems
-Caffeinated beverages like cola
-Pressure of constipation on the bladder
-Not urinating while urinating
-Over active bladder syndrome
-structural problems in the urinary
-Urinary tract infections
Causes of Night Wetting
-Obesity ;The rate of voiding problems is increasing in overweight, obese children.
-Children with night breathing problems
-Children with attention deficit and hyperactivity syndrome
What are the Risk Factors of Enuresis?
Family history, preterm birth, low birth weight conditions, environmental negative factors are among the risk factors.
What are the Complications of Enuresis?
Psychological problems may develop in the child and his family in enuresis nocturna, that is, at night incontinence. There may be problems in harmony with society, at school, in barracks, in human relations. Children who miss urine during the day may develop more serious physical function losses. Urinary infections can be seen with disease such as stone formation, kidney failure.
What should be done before the doctor’s appointment?
If available, the examination and radiological imaging methods should be accompanied. Voiding diary should be kept. It should be noted how many nights in a month and at what time of night do children missed at night. Incontinence patterns of children who miss urine during the day should be examined closely.
What are the Inspection Methods?
The patient and his family are mostly diagnosed by speaking. If necessary, advanced examinations such as urine analysis, urine culture, ultrasonography, voiding test, voiding diary, voiding graph, and psychological counseling may be required.
What are the Treatment Methods?
In daytime urinary incontinence, cause-oriented treatment is planned. Drug treatments, alarm devices, and psychological counseling are provided at night urinary incontinence. With these treatments, response is obtained in 70% of patients. With the cessation of treatment, the disease may recur. If urinary incontinence is not treated in children, it can turn into psychological trauma with serious health problems.
What are the recommendations to families for the urinary incontinence problem?
Treatment of urinary incontinence problems in children begins in the family. The fact that the family acts together with the teacher and child urology has positive results in the treatment.
In the treatment of psychological nighttime urination, the attitude of the family at the beginning and throughout the treatment is very important. Excluding the child, derogatory words, ridicule are both faulty, both directly and by implication, making treatment more difficult.
– Children should definitely have a toilet before going to bed at night.
– Eating and drinking should be stopped for the last 1 hour before bedtime.
-Children should be taken to the toilet every 2 hours regardless of their need.
-20% of children with urination problems suffer from constipation. Urinary incontinence – Urinary incontinence also increases constipation. If there is constipation, the diet (fiber foods, plenty of liquid, etc.) should be preferred.
– Avoiding fried foods, carbonated drinks, dyed candies
. The use of diapers will eliminate the need for toilet at night and cause it to behave comfortably. Be supportive as a family during education.