What can be done?

enuresis
enuresis nocturna

Treatment of bed-wetting depends on its cause. Treatment with an alarm or medication is recommended for the management of enuresis. These are the first two options recommended by the Children’s International Continence Society, 1 along with lifestyle changes and bladder training exercises.

Pharmacological treatments are often prescribed to treat nocturnal enuresis. An alarm is another commonly used method that is triggered when a sensor detects moisture. Sometimes medications are combined with an alarm..

La Enuresis no solo trae problemas en el niño si no también a sus padres y a toda la familia. Las mismas se van agravando a medida que los niños van creciendo sin solucionar el problema.

No perder la calma y saber que  la enuresis puede tener solución. La consulta al médico especialista es fundamental para un adecuado diagnóstico y tratamiento.

What to do?

5-6 years, age of initiation of treatment

The age of initiation of treatment is variable but it is advisable from 5 – 6 years when the prevalence of enuresis is still high (15-20%). In general, it is the same child who asks for it in different ways but it is usually related to the beginning of going to school and their greater social exposure (1st grade).

It is essential to verify and, if necessary, modify the child’s behavior habits. Although these modifications do not solve by themselves the episodes of enuresis, they notably reduce the emission of nocturnal urine to the bladder during the first hour of sleep, which will not be modified by any medication.

It is important to know that there are therapeutic alternatives that adequately indicated allow children to wake up with the “dry bed”

What habits of the child should we verify?

enuresis nocturna
Enuresis nocturna

Last liquid intake: it is recommended not to drink liquids at least one hour before going to sleep.

Time before sleep and time of last urination: Make sure the child performs the last urination of the day just before going to sleep.

Bedtime and wake-up time: keep your child from sleeping more than 10 hours at a time.

After allergies, enuresis is the
chronic condition most common in
children over 5 years of age.

Learn more

Enuresis not only brings problems to the child but also to the whole family, and it worsens as children grow without solving it.

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References: 1Nørgaard JP et al. Experience and current status of research into the pathophysiology of nocturnal enuresis. Br J Urol 1997; 79: 825-835.2 Vande Walle J et al. Practical concensus guidelines for the management of enuresis. Eur J Pediatr 2012; 171: 971-983 Erratum in: Eur J Pediatr. 2012; 171: 1005: Eur J Pediatr. 2013; 172: 285.3 Butler RJ, Heron J. The prevalence of infrequent bedwetting and nocturnal enuresis in childhood. Scand J Urol Nephrol 2008; 42: 257-264.4 Yeung CK et al. Characteristics of primary nocturnal enuresis in adults: an epidemiological study. BJU Int 2004; 93: 341-3455 Adapted from Vande Walle J, Rittig S, Bauer S et al. Practical consensus guidelines for the management of enuresis. Eur J Pediatr 2012; 171: 971-983. Erratum in: Eur J Pediatr. 2012; 171: 1005: Eur J Pediatr. 2013; 172: 285.